Abnormal Glucose Regulation and Treatment Strategies for Insulin Resistance HIV-Infected Patients

被引:1
作者
Grinspoon, Steven [1 ,2 ]
机构
[1] Mass Gen Hosp, Program Nutrit Metab, Boston, MA 02114 USA
[2] Harvard Med Sch, Boston, MA 02114 USA
关键词
HIV-infected patients; abnormalities; insulin resistance; glucose regulation;
D O I
10.3844/ajidsp.2006.184.186
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
HIV-infected patients receiving highly active antiretroviral therapy often demonstrate abnormalities in glucose regulation, in association with changes in fat distribution([1,2]). In the majority of cases, these abnormalities are best characterized by insulin resistance and impaired glucose tolerance, rather than overt diabetes mellitus and fasting hyperglycemia. Insulin resistance may result from direct effects of antiretroviral therapy, changes in fat distribution or abnormal regulation of fat metabolism and adipocytokines. Use of insulin sensitizing agents may be rationale to reduce cardiovascular risk and improve related metabolic and body fat abnormalities in HIV-infected patients.
引用
收藏
页码:184 / 186
页数:3
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