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Hepatitis C virus infection and type 2 diabetes mellitus in Mexican patients.
Chiquete, Erwin; Ochoa-Guzmán, Ana; García-Lamas, Leopoldo; Anaya-Gómez, Francisco; Gutiérrez-Manjarrez, Juan I; Sánchez-Orozco, Laura V; Godínez-Gutiérrez, Sergio A; Maldonado, Montserrat; Román, Sonia; Panduro, Arturo.
Afiliación
  • Chiquete E; Division of Internal Medicine, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Jalisco, México. erwinchiquete@runbox.com.mx
Rev Med Inst Mex Seguro Soc ; 50(5): 481-6, 2012.
Article en En | MEDLINE | ID: mdl-23282259
OBJECTIVE: to measure the frequency of type 2 diabetes mellitus (T2DM) in patients with confirmed HCV infection. METHODS: we studied 125 adults reactive to anti-HCV antibodies (62.4 % women, mean age 46.8 years) who received confirmatory RT-PCR testing for viremia (63.2 % HCV-RNA-positive). RESULTS: twenty-two patients had T2DM (17.6 %, 95 % confidence interval: 11.8-25.3 %; mean National prevalence: 14.4 %), more frequent among patients with detectable viremia than in negative cases (23.3 % vs. 9.6 %, respectively; p = 0.04), and among those with advanced liver disease, than in compensated patients (28.9 % vs. 11.3 %, respectively; p = 0.01). Fourteen (17.7 %) patients received interferon-based treatment and 6 (42.8 %) had sustained virology response. None of the 6 responders had T2DM, but 2 of the 8 (25 %) non-responders had diabetes. T2DM patients were older than those without diabetes (57.7 vs. 44.5 years, p < 0.001), and after multivariate analysis, only age was significantly associated with diagnosis of T2DM. CONCLUSIONS: T2DM was highly prevalent among patients with chronic HCV infection. Age was the most important determining factor.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hepatitis C / Diabetes Mellitus Tipo 2 Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: Mexico Idioma: En Revista: Rev Med Inst Mex Seguro Soc Asunto de la revista: MEDICINA / MEDICINA SOCIAL Año: 2012 Tipo del documento: Article Pais de publicación: México
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hepatitis C / Diabetes Mellitus Tipo 2 Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: Mexico Idioma: En Revista: Rev Med Inst Mex Seguro Soc Asunto de la revista: MEDICINA / MEDICINA SOCIAL Año: 2012 Tipo del documento: Article Pais de publicación: México