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Nutrition and ExerciseNutrition and Exercise
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Apr 7, 2003

I recently read that having HIV makes one more susceptible to Diabetes. Is this true?

Thank you.

Response from Mr. Vergel

There have been several small studies that have linked the use of protease inhibitors with insulin resistance and diabetes. Protease inhibitors seem to affect the way insulin "shutters" sugar into muscle and the liver as glycogen for storage and later use as energy. For some people with insulin resitance problems, diabetes can occur after months or years (incidence in some HIV studies range from 10-17%). Other drugs used for wasting like Megace or Serostim (growth hormone) can also lead to that problem. If you have a family history of diabetes, are obese and sedentary, your chances to get diabetes are increased. Talk to your doctor about your blood sugar. Some people have to start an exercise program ,see a dietitian for diet change, take insulin sensitizer agents, and/or switch HIV medications to manage the problem.

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