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Higher Diabetes Rate in People With HIV Highlights Importance of Prevention and Monitoring

U.S. researchers conducted this new study to estimate the diabetes rate (prevalence) in an HIV group that represents the entire U.S. HIV population. They then compared this estimate to the diabetes rate in a countrywide sample of people without HIV.

The study focused on two large groups: the Medical Monitoring Project (MMP) of people with HIV infection and the National Health and Nutrition Examination Survey (NHANES) of the general population. The study period for both groups was 2009-2010, and everyone was 20 years old or older. The researchers checked MMP and NHANES records to see how many people had diabetes in the study period. To compare diabetes rates in people with versus without HIV, the investigators used a statistical method that accounts for the impact of age, sex, race and other factors on diabetes risk.

There were 8610 people in the HIV group (74% of them men) and 5604 in the general population group (49% of them men). Most people in the HIV group (90%) were taking antiretroviral therapy. Almost three-quarters had a viral load below 200 copies/mL, and almost half had a CD4 count at or above 500 cells/mm (13.5%), with an HIV diagnosis for more than 10 years (12.3%) and with hepatitis C coinfection (11.6%). This analysis identified four factors independently linked to a higher diabetes rate in people with HIV: older age, obesity, longer time with HIV and higher CD4 count in the past 12 months.

Cholesterol Monitoring Guidelines - Bookshelf


Using Evidence to Guide Nursing Practice
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American Healthscare, How the Healthcare Industry's Scare Tactics Have Screwed Up Our Economy - and Our Future.
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American guidelines say everybody should be tested at age 20, and testing should continue periodically for the rest of a ... low acquisition cost” should be used, and once treatment has started no future LDL cholesterol monitoring is necessary.

Guidelines for Chiropractic Quality Assurance and Practice Parameters, Proceedings of the Mercy Center Consensus Conference
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Evidence-Based Medical Monitoring, From Principles to Practice
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Evidence-Based Medicine Guidelines
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Cholesterol Monitoring Guidelines - News


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