Higher Incidence of Diabetes in Liver Transplant Recipients With Hepatitis C
作者:
Hilla Knobler,
Alex Stagnaro-Green,
Sylvan Wallenstein,
Myron Schwartz,
Sheila Roman,
期刊:
Journal of Clinical Gastroenterology
(OVID Available online 1998)
卷期:
Volume 26,
issue 1
页码: 30-33
ISSN:0192-0790
年代: 1998
出版商: OVID
关键词: Diabetes mellitus;Hepatitis C;Liver transplantation
数据来源: OVID
摘要:
We assessed the clinical and biochemical parameters associated with the development of posttransplantation diabetes (PTDM) in 52 liver transplant recipients followed up for 1 year. Diabetes was present before transplantation in 9.6% (5 of 52) of patients, and PTDM occurred in 23% (11 of 47) of the remaining liver transplant recipients. Of the 13 patients who had hepatitis C as the cause of their liver failure (HC-LD), 8 (62%) developed PTDM; of the 34 patients with other causes of liver failure, 3 (9%) developed PTDM (p < 0.001). Posttransplantation diabetes was also associated with the development of early posttransplantation hyperglycemia, a higher number of liver rejection episodes, and lower serum albumin levels at 6 months. The association of PTDM with HC-LD remained significant in a logistic regression model after adjustment for potential confounding variables.We conclude that PTDM is common in liver transplant recipients. Associated clinical parameters predictive of PTDM include a diagnosis of HC-LD before transplantation, the development of early hyperglycemia after transplantation, multiple episodes of posttransplantation liver rejection and low serum albumin levels at 6 months. The fact that HC-LD remained an independent risk factor for the development of PTDM may suggest a direct or immune-mediated pancreatic effect of the virus.
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