Published April 30, 2023 | Version https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue4,Article165.pdf
Journal article Open

To Evaluate the Effect of Second-Line Anti-Retroviral Therapy on Blood Sugar in Patients with Human Immunodeficiency Virus (HIV) - Acquired Immune Deficiency Syndrome (AIDS)

  • 1. Resident Doctor, JLN Medical College, Ajmer, Rajasthan
  • 2. Associate Professor, JLN Medical College, Ajmer, Rajasthan
  • 3. Senior Professor, JLN Medical College, Ajmer, Rajasthan
  • 4. Resident Doctor, JLNMC, Ajmer, Rajasthan

Description

Background: To evaluate the effect of second-line anti-retroviral therapy on blood sugar in patients with human immunodeficiency virus (HIV) – acquired immune deficiency syndrome (AIDS). Methods: This prospective study was carried out at a tertiary care hospital among 100 HIV infected patients who had failed on First line and started on Second-line HAART, formed the cases of the study and registered at ART centre. Ethical approval was obtained from the Institutional Ethical Committee of this institution. Results: Average FBS of the study population was 89.95mg/dl at the baseline.  However, it increased with the course of treatment over the time.  It was observed that the mean FBS raised to 103.18mg/dl in 6 months and 115.28mg/dl in 12 months. This difference was statistically significant (P<0.0001). Average HBA1c of the studied subjects was 5.65% at the baseline.  However, it increased with the course of treatment over the time.  It was observed that the mean HBA1c raised to 6.02% in 6 months and 6.46% in 12 months. This difference was found to be statistically significant (P<0.0001). Conclusion: In our study it was found that second line ART along with its duration is a significant risk factor for development of  Hyperglycemia. Hence timely screening should be done for FBS in patient who are on second line ART so that we can prevent and timely manage the Metabolic complications.

 

 

 

Abstract (English)

Background: To evaluate the effect of second-line anti-retroviral therapy on blood sugar in patients with human immunodeficiency virus (HIV) – acquired immune deficiency syndrome (AIDS). Methods: This prospective study was carried out at a tertiary care hospital among 100 HIV infected patients who had failed on First line and started on Second-line HAART, formed the cases of the study and registered at ART centre. Ethical approval was obtained from the Institutional Ethical Committee of this institution. Results: Average FBS of the study population was 89.95mg/dl at the baseline.  However, it increased with the course of treatment over the time.  It was observed that the mean FBS raised to 103.18mg/dl in 6 months and 115.28mg/dl in 12 months. This difference was statistically significant (P<0.0001). Average HBA1c of the studied subjects was 5.65% at the baseline.  However, it increased with the course of treatment over the time.  It was observed that the mean HBA1c raised to 6.02% in 6 months and 6.46% in 12 months. This difference was found to be statistically significant (P<0.0001). Conclusion: In our study it was found that second line ART along with its duration is a significant risk factor for development of  Hyperglycemia. Hence timely screening should be done for FBS in patient who are on second line ART so that we can prevent and timely manage the Metabolic complications.

 

 

 

Files

IJPCR,Vol15,Issue4,Article165.pdf

Files (302.3 kB)

Name Size Download all
md5:97b853b5b3172c0df5d4f371ea7bab9a
302.3 kB Preview Download

Additional details

Dates

Accepted
2023-04-13

References

  • 1. Shah ASV, Stelzle D, Lee KK, et al. Global burden of atherosclerotic cardiovascular disease in people living with HIV. Circulation. 2018; 138:110 0–1112. 2. El-Sadr WM, Lundgren J, Neaton JD, et al. CD4+ count-guided interruption of antiretroviral treatment. N Engl J Med. 2006; 355:2283–2296. 3. Hsue PY, Waters DD. HIV infection and coronary heart disease: mechanisms and management. Nat Rev Cardiol. 2019; 16:745–759. 4. Dominick L, Midgley N, Swart LM, et al. HIV-related cardiovascular diseases: the search for a unifying hypothesis. Am J Physiol Heart Circ Physiol. 2020; 318:H731–H746. 5. Jyothi Idiculla, Ravindra'n GD, D'souza J, Singh G, Furruqh S. Diabetes mellitus, insulin resistance, and metabolic syndrome in HIVpositive patients in South India Int J Gen Med. 2011;4:73-8. 6. Meena DS, Rai M, Singh SK, Tapadar J, Kumar D. Metabolic changes in the patients on second-line highly activeantiretroviral therapy (HAART): A prospective cohort study from north India. J Family Med Prim Care. 2020; 9:1550-4 7. Alalade Ba. Metabolic Effects of Antiretroviral Therapy in Patients with Human Immunodeficiency Virus Infection. Faculty of Internal Medicine. 2017. 8. Chakroborty B., Parvin S., Hossain M. M., & Hossain, M. J. Self- Examination of Breast of the Students of Nursing College in Bangladesh. Journal of Medical Research and Health Sciences, 2022; 5(12): 2339–2344.