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relation b/w diabetes and HIV infection
Dec 2, 2007

I have a friend of mine who is HIV positive and now his CD4 count is 750 which was increased from 150. He has a CMV infection of his eye. My question is that is diabetes common in HIV positive patients with this CD4 count? If yes, what do you recommend and if no is there a chance of developing it and what are its consequences?

Response from Dr. Conway

Diabetes is more common in the setting of certain inds of antiviral treatments, especially protease inhibitors. This type of diabetes seldom requires insulin treatment and can usually be controlled with diet and exercise with oral hypoglycmeics (if simply changing the antiviral treatments does not do the trick). This being said, it would be important to carefully screen anyone with eye problems (such as CMV) for diabetes. This is because diabetes can affect the eyes and it is important to make sure that there is nothing going on that could worsen the effect of the CMV on the eyes.



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