Among a large US cohort of patients treated for hepatitis C virus (HCV), patients who achieved sustained virological response (SVR) demonstrated a substantially lower risk for development of type 2 diabetes mellitus (T2D) than patients with treatment failure. This according to a study that examined how response to HCV treatment impacts risk of subsequent T2D. Among HCV patients without a history of T2D or hepatitis B, researchers investigated incidence of T2D from 12 weeks post-HCV-treatment through December 2015. They found:
- Among 5,127 patients with an average follow-up of 3.7 years, T2D incidence was significantly lower among patients who achieved SVR than among patients with treatment failure (6.2% vs 21.7%).
- Risk of T2D was higher among African American and Asian American patients vs white patients (adjusted hazard ratio [aHR], 1.82 and 1.75, respectively).
- Patients with body mass index (BMI) ≥30 and 25-20 demonstrated higher risk than those with BMI <25.
- Cirrhosis at baseline was also a risk factor.
Li J, Zhang T, Gordon SC, et al. Impact of sustained virological response on risk of type 2 diabetes among hepatitis C patients in the US. [Published online ahead of print February 25, 2018]. J Viral Hepat. doi:10.1111/jvh.12887.
This Week's Must Reads
Lifestyle Behavioral Risk Factors for T2D, Diabetes Care; ePub 2018 Mar 2; Siegel, et al
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Electronic Reminder Systems for HCV Screening, J Viral Hepat; ePub 2018 Feb 25; MacLean, et al
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SVR & Risk of T2D Among Patients with HCV, J Viral Hepat; ePub 2018 Feb 25; Li, Zhang, et al
Chronic HCV Prognosis in TE-based Liver Stiffness, J Viral Hepat; ePub 2018 Jan 24; Erman, et al
Measuring HCV Intervention Success, J Viral Hepat; ePub 2018 Feb 27; Harris, et al