Volume 42 Issue 8
Aug.  2021
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Li-xuan YAO, Ben NIU, Wei YUE, Wen-lin ZHOU, Ya-ting ZHANG. Correlation Between Hepatitis C Virus Infection and Type 2 Diabetes Mellitus[J]. Journal of Kunming Medical University, 2021, 42(8): 83-89. doi: 10.12259/j.issn.2095-610X.S20210815
Citation: Li-xuan YAO, Ben NIU, Wei YUE, Wen-lin ZHOU, Ya-ting ZHANG. Correlation Between Hepatitis C Virus Infection and Type 2 Diabetes Mellitus[J]. Journal of Kunming Medical University, 2021, 42(8): 83-89. doi: 10.12259/j.issn.2095-610X.S20210815

Correlation Between Hepatitis C Virus Infection and Type 2 Diabetes Mellitus

doi: 10.12259/j.issn.2095-610X.S20210815
  • Received Date: 2021-06-17
    Available Online: 2021-08-03
  • Publish Date: 2021-08-04
  •   Objective  To investigate the prevalence of and risk factors for type 2 diabetes mellitus in patients with chronic viral hepatitis C.  Methods  A total of 294 patients with chronic hepatitis C in Yunnan First People’ s Hospital from January 2018 to May 2020 were divided into two groups: 70 patients with diabetes and 224 patients without diabetes. After deletion of incomplete data, 56 patients with hepatitis C complicated with diabetes and 59 patients without diabetes were selected, then another 52 patients with type 2 diabetes mellitus who were treated in Endocrinology and Metabolism Department of Yunnan First People’ s Hospital in October 2020 were randomly selected for the study. General clinical data (gender, age, Place of residence, alcohol consumption) and laboratory tests (HCV RNA, hepatitis C antibody, LDH, AST, ALP, GGT, TBIL, DBIL, TBA, TP, ALB, GLB, BUN, CR, UA, TC, TG, HDL-C, LDL, blood sugar) were collected, and SPSS26.0 statistical software was used to establish a database and analyze whether there are statistical differences in blood biochemical indexes among the three groups of patients, and use disordered multivariate logistic regression to analyze risk factors.  Results  The detection rate of type 2 diabetes mellitus in patients with Chronic hepatitis C was 23.8%. There were significant differences in sex, age, region, alcohol consumption, UA, GLB, LDL-C, TC, LDH, GLB, AST, ALP, GGT, TBiL, DBiL, TBA and TG among the three groups (P < 0.05), but there were no significant differences in TP, HDL-C, BUN and CR(P > 0.05). Disordered multivariate Logistic regression analysis showed that age and TBA were the risk factors of type 2 diabetes in patients with chronic hepatitis C (P < 0.05).  Conclusion  Hepatitis C virus infection can aggravate liver injury, and elderly patients with hepatitis C with high TBA level are more likely to develop type 2 diabetes.
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  • [1]
    Li H, Tian S, Chen T, et al. Newly diagnosed diabetes is associated with a higher risk of mortality than known diabetes in hospitalized patients with COVID[J]. Diabetes, Obesity and Metabolism,2020,22(10):1897-1906. doi: 10.1111/dom.14099
    [2]
    中华医学会肝病学分会, 中华医学会感染病学分会. 丙型肝炎防治指南 (2015 年更新版)[J]. 临床肝胆病杂志,2015,31(12):1961-1979. doi: 10.3969/j.issn.1001-5256.2015.12.003
    [3]
    Roden M. Diabetes mellitus: definition, classification and diagnosis.[J]. Wien Klin Wochenschr,2016,128(Suppl 2):S37-40.
    [4]
    Ambachew S, Eshetie S, Geremew D, et al. Prevalence of type 2 diabetes mellitus among hepatitis C virus-infected patients: a protocol for systematic review and meta-analysis[J]. Syst Rev,2019,8(1):60. doi: 10.1186/s13643-019-0976-x
    [5]
    李世颖, 任红, 张大志. 丙型肝炎病毒感染与2型糖尿病发生相关性的进展研究[J]. 广东医学,2011,32(14):1936-1938. doi: 10.3969/j.issn.1001-9448.2011.14.063
    [6]
    Cuadros D F, Miller F D, Nagelkerke N, et al. Association between HCV infection and diabetes type 2 in Egypt: is it time to split up?[J]. Ann Epidemiol,2015,25(12):918-923. doi: 10.1016/j.annepidem.2015.09.005
    [7]
    Busch K, Waldenstrom J, Lagging M, et al. Prevalence and comorbidities of chronic hepatitis C: A nationwide population-based register study in Sweden[J]. Scand J Gastroenterol,2017,52(1):61-68. doi: 10.1080/00365521.2016.1228119
    [8]
    Rouabhia S, Malek R, Bounecer H, et al. Prevalence of type 2 diabetes in Algerian patients with hepatitis C virus infection[J]. World J Gastroenterol,2010,16(27):3427-3431. doi: 10.3748/wjg.v16.i27.3427
    [9]
    Yuan M, Zhou J, Du L, et al. Hepatitis C Virus clearance with glucose improvement and factors affecting the glucose control in chronic hepatitis C patients[J]. Scientific Reports,2020,10(1):1976. doi: 10.1038/s41598-020-58786-x
    [10]
    Hegazi R, El-Gamal M, Abdel-Hady N, et al. Epidemiology of and risk factors for type 2 diabetes in egypt[J]. Ann Glob Health,2015,81(6):814-820.
    [11]
    Ali S A, Nassif W M, Abdelaziz D H. Alterations in serum levels of fetuin A and selenoprotein P in chronic hepatitis C patients with concomitant type 2 diabetes: A case-control study[J]. Clin Res Hepatol Gastroenterol,2016,40(4):465-470. doi: 10.1016/j.clinre.2015.12.003
    [12]
    Kuna L, Jakab J, Smolic R, et al. HCV extrahepatic manifestations[J]. J Clin Transl Hepatol,2019,7(2):172-182.
    [13]
    邓舒妮, 张学思, 李新玥, 等. 慢性丙型肝炎病毒感染患者发生2型糖尿病的流行病学调查[J]. 中华医院感染学杂志,2016,26(6):1279-1280.
    [14]
    郭异凡, 冯志伟, 刘志萍, 等. 慢性丙型肝炎病毒感染患者2型糖尿病的流行病学调查及危险因素分析[J]. 中华医院感染学杂志,2014,24(6):1452-1454.
    [15]
    Garcia-Martinez R, Caraceni P, Bernardi M, et al. Albumin: pathophysiologic basis of its role in the treatment of cirrhosis and its complications[J]. Hepatology,2013,58(5):1836-1846. doi: 10.1002/hep.26338
    [16]
    Saad Y, Awad A, Alakel W, et al. Data mining of routine laboratory tests can predict liver disease progression in Egyptian diabetic patients with hepatitis C virus (G4) infection:a cohort study of 71 806 patients[J]. Eur J Gastroenterol Hepatol,2018,30(2):201-206. doi: 10.1097/MEG.0000000000001008
    [17]
    Aizawa Y, Seki N, Nagano T, et al. Chronic hepatitis C virus infection and lipoprotein metabolism[J]. World J Gastroenterol,2015,21(36):10299-10313. doi: 10.3748/wjg.v21.i36.10299
    [18]
    Dai C Y, Yeh M L, Huang C F, et al. Chronic hepatitis C infection is associated with insulin resistance and lipid profiles[J]. Journal of Gastroenterology and Hepatology,2015,30(5):879-884. doi: 10.1111/jgh.12313
    [19]
    Marzouk D, Sass J, Bakr I, et al. Metabolic and cardiovascular risk profiles and hepatitis C virus infection in rural Egypt[J]. Gut,2007,56(8):1105-1110. doi: 10.1136/gut.2006.091983
    [20]
    郑双, 李异玲. 代谢相关脂肪性肝病和慢性丙型病毒性肝炎的相关性研究进展[J]. 中国综合临床,2021,37(2):180-184. doi: 10.3760/cma.j.cn101721-20201016-00020
    [21]
    欧阳清慧, 王冰, 杨自力等. 四川省绵阳地区慢性丙型肝炎患者继发2型糖尿病危险因素分析[J]. 现代检验医学杂志,2020,35(4):151-153. doi: 10.3969/j.issn.1671-7414.2020.04.038
    [22]
    丁月荷. 慢性丙型肝炎病毒感染者2型糖尿病患病情况及相关因素分析[J]. 山东医药,2017,57(26):54-56. doi: 10.3969/j.issn.1002-266X.2017.26.017
    [23]
    邵辉, 陈华忠, 涂波. 563例慢性丙型肝炎发生2型糖尿病患者流行病学特点及肝功能状况分析[J]. 健康研究,2017,37(5):491-493. doi: 10.3969/j.issn.1674-6449.2017.05.004
    [24]
    Nguyen C T, Pham N M, Lee A H, et al. Prevalence of and risk factors for type 2 diabetes mellitus in vietnam: A systematic review[J]. Asia Pac J Public Health,2015,27(6):588-600. doi: 10.1177/1010539515595860
    [25]
    陈敬群. 丙型肝炎病毒感染患者2型糖尿病的危险因素分析[J]. 实验与检验医学,2015,33(6):778-780. doi: 10.3969/j.issn.1674-1129.2015.06.033
    [26]
    郑彦彦,邵艳艳,王绍金,等. 慢性丙型肝炎与2型糖尿病关系探讨[J]. 糖尿病新世界,2015,35(18):190-192. doi: 10.3969/j.issn.1672-4062.2015.18.071
    [27]
    万学红, 卢雪峰. 诊断学[M]. 第8版. 北京: 人民卫生出版社, 2016: 361-362.
    [28]
    Rao H, Wei L, Li H, et al. Prevalence of abnormal glycometabolism in treatment-naive patients with hepatitis C virus infection in a Chinese Han population[J]. J Gastroenterol Hepatol,2015,30(6):1049-1056. doi: 10.1111/jgh.12901
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