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diabetes
Mar 3, 2015

Would diabetes or hypoglycemia have any impact on hiv transmission, testing, or progression? Would insulin, metformin, canagliflozin, etc? Or are cd4 cells completely independent of glucose level? Conversely, would HIV and/or ARV's effect blood sugar? Could there be some good/bad interactions between the two conditions and related medications? Is there any way to protect nerves from such a two pronged attack?

Response from Dr. Young

Hello and thanks for posting.

There's no evidence that having diabetes or hypoglycemia impacts the natural history of HIV (testing, transmission or disease progression).

People living with HIV on some medications do seem to have impaired glucose metabolism (or insulin resistance).

The best way to prevent neuropathy (a complication of both HIV and diabetes) is to optimally control each disease. This means early and suppressive treatment of HIV, and good diabetic glucose control.

For more information about diabetes and HIV, check out our pages at myhivclinic.org.

Hope that helps, BY


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