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探索糖尿病与艾滋病病毒之间的关系:一篇叙述性综述。

Exploring the Relation Between Diabetes and HIV: A Narrative Review.

作者信息

Kumar Mayank, Singh Harshit, Chakole Swarupa

机构信息

Community Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2023 Aug 22;15(8):e43909. doi: 10.7759/cureus.43909. eCollection 2023 Aug.

Abstract

Diabetes mellitus, more usually abbreviated as DM or just diabetes, is a devastating metabolic disorder that claims many lives every year. Due to various variables, including the aging of the HIV (human immunodeficiency virus)-infected population and the high prevalence of chronic medical conditions among persons living with HIV, the crossroads of DM and HIV infection has become a significant research topic. Although the connection between HIV and diabetes is not simple, many aspects of the virus and its treatment have been connected to the onset of diabetes. The presence of inconclusive evidence that HIV is a risk factor for diabetes makes this area more challenging and debatable. This article examines the prevalence of DM in the HIV-positive community, along with its assessment, management, and treatment objectives. The most recent diabetes treatment recommendations from authoritative groups are considered in this article to give readers thorough and current advice. These guidelines emphasize the importance of tailoring pharmacological therapy and treatment goals to suit the specific needs of individuals with diabetes, including those who are also living with HIV. Individualizing treatment plans ensures that healthcare professionals consider comorbidities, medication interactions, and potential side effects when managing diabetes concerning HIV. In the later part of the article, a holistic approach is discussed to address the increased risk of cardiovascular disease and associated complications in HIV-positive individuals with diabetes. This approach aims to mitigate cardiovascular risks and improve overall health outcomes through comprehensive strategies such as lifestyle modifications, regular monitoring, medication management, and integration of multidisciplinary healthcare teams. By considering the unique challenges and considerations of individuals living with both HIV and diabetes, healthcare providers can develop targeted interventions and provide optimal care. In order to improve the life and health of persons living with HIV and diabetes, the article stresses the significance of cooperation amongst professionals in these fields.

摘要

糖尿病,通常简称为DM或仅称糖尿病,是一种具有毁灭性的代谢紊乱疾病,每年夺走许多人的生命。由于各种因素,包括感染人类免疫缺陷病毒(HIV)人群的老龄化以及HIV感染者中慢性疾病的高患病率,糖尿病与HIV感染的交叉点已成为一个重要的研究课题。尽管HIV与糖尿病之间的联系并不简单,但病毒及其治疗的许多方面都与糖尿病的发病有关。关于HIV是否为糖尿病危险因素的证据尚无定论,这使得该领域更具挑战性且存在争议。本文探讨了HIV阳性群体中糖尿病的患病率,以及其评估、管理和治疗目标。本文考虑了权威组织最新的糖尿病治疗建议,为读者提供全面且最新的建议。这些指南强调了调整药物治疗和治疗目标以满足糖尿病患者(包括同时感染HIV的患者)特定需求的重要性。个性化治疗方案可确保医疗保健专业人员在管理合并HIV的糖尿病时考虑合并症、药物相互作用和潜在副作用。在文章的后半部分,讨论了一种整体方法,以应对HIV阳性糖尿病患者心血管疾病风险增加及相关并发症。该方法旨在通过生活方式改变、定期监测、药物管理以及多学科医疗团队整合等综合策略来降低心血管风险并改善整体健康结果。通过考虑同时感染HIV和糖尿病患者面临的独特挑战和注意事项,医疗保健提供者可以制定有针对性的干预措施并提供最佳护理。为了改善HIV和糖尿病患者的生活与健康,文章强调了这些领域专业人员之间合作的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bc6/10512429/2343e2073f91/cureus-0015-00000043909-i01.jpg

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