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Diabetes in a hospital cohort of persons living with HIV: a descriptive and comparative study in French Guiana by Mathieu Nacher; Sebastien Rabier; Aude Lucarelli; Louise Hureau; Antoine Adenis; Nezha Hafsi; Nadia Sabbah is a Medicine article available to read on EtoBox.
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## Background In French Guiana (population 294,000) the prevalence of type 2 diabetes (10%) and of HIV(1.1%) are very high. Our objective was to determine the prevalence of diabetes and its complications in a HIV cohort. ## Materials and methods We enrolled HIV-infected persons followed in Cayenne, Kourou, and Saint Laurent du Maroni hospitals between January 1, 1992 and December 31, 2021 in the French Hospital Database for HIV (FHDH) a national database compiling data from all French regions. ## Results There was no difference of diabetes prevalence between men (8.2%) and women (8.8%), P = 0.4. Patients with diabetes were older (56 years ± 13.4) than those without diabetes (44.7 years ± 13.6) and prevalence increased with age. The proportion of persons with diabetes was greater among virologically suppressed persons (10%) than those with a detectable viral load under antiretroviral treatment (5.8%). Persons with diabetes had substantially greater CD4 counts at diagnosis than persons without diabetes. The majority of macro and microvascular complications were observed in people with diabetes. Persons with diabetes and HIV were significantly less likely to have had AIDS (1.6 versus
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- Author
- Mathieu Nacher; Sebastien Rabier; Aude Lucarelli; Louise Hureau; Antoine Adenis; Nezha Hafsi; Nadia Sabbah
- Publisher
- Springer Science and Business Media LLC
- Published
- 2023
- Language
- EN
- Field
- Medicine (Health Sciences)