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REVIEW ARTICLE
Year : 2011  |  Volume : 15  |  Issue : 4  |  Page : 242-250

South Asian Consensus Guidelines for the rational management of diabetes in human immunodeficiency virus/acquired immunodeficiency syndrome


1 Department of Endocrinology, Bharti Hospital and BRIDE, Karnal, India
2 Department of Endocrinology, Amrita Institute of Medical Sciences, Kochi, India
3 Department of Endocrinology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan
4 Department of Endocrinology, St. Johns Medical College, Bangalore, India
5 Department of Endocrinology, Excel Center, Guwahati, India
6 Department of Endocrinology University of Medicine 2, Yangon, Myanmar
7 Department of Endocrinology, Norvic International Hospital, Kathmandu, Nepal
8 Department of Endocrinology, Providence Endocrine and Diabetes Specialty Centre, Trivandrum, India
9 Department of Endocrinology, National Hospital of Sri Lanka, Colombo, Sri Lanka
10 Faculty of Medicine, University of Colombo, Colombo, Sri Lanka
11 Department of Endocrinology, Osmania Medical College, Hyderabad, India
12 Department of Endocrinology, BIRDEM Hospital, Dhaka, Bangladesh

Correspondence Address:
Sanjay Kalra
Department of Endocrinology, Bharti Hospital and B.R.I.D.E, Karnal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2230-8210.85573

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As newer methods of management are made available, and accessible, survival rates with human immunodeficiency virus (HIV) are increasing. This means that chronic, metabolic complications of HIV are becoming more frequent in clinical practice, as acute morbidity is controlled. Management of HIV/acquired immunodeficiency syndrome (AIDS) is gradually expanding to include these chronic and metabolic complications of the disease, and the adverse effects associated with its treatments, including diabetes. Unfortunately, no guidelines are available to help the medical practitioners choose appropriate therapy for patients with these conditions. The aim of the South Asian Consensus Guidelines is to provide evidence-based recommendations to assist healthcare providers in the rational management of type 2 diabetes mellitus in patients with HIV. The development of these guidelines used systematic reviews of available evidence to form its key recommendations. These guidelines and associated review of literature represent a compilation of available knowledge regarding rational management of diabetes in HIV. Patients of diabetes with concomitant HIV infection are managed optimally with insulin therapy and judicious use of highly active antiretroviral therapy with suitable alternatives is also recommended. These guidelines should prove helpful to physicians, not only in South Asia, but also across the globe, while managing patients with coexistent HIV and diabetes.


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