Management of diabetes mellitus in patients with cirrhosis: an overview and joint statement.
Fiche publication
Date publication
août 2021
Journal
Diabetes & metabolism
Auteurs
Membres identifiés du Cancéropôle Est :
Dr MINELLO Anne, Pr PETIT Jean-Michel, Pr VERGES Bruno
Tous les auteurs :
Boursier J, Anty R, Carette C, Cariou B, Castera L, Caussy C, Fontaine H, Garioud A, Gourdy P, Guerci B, Guillaume M, Michot N, Minello A, Ouizeman DJ, Serfaty L, Bonnet F, Vergès B, Petit JM,
Lien Pubmed
Résumé
Type 2 diabetes mellitus (T2DM) is a frequent comorbidity in patients with cirrhosis that is projected to rise in prevalence due to the worldwide burden of obesity, insulin-resistance and non-alcoholic fatty liver disease. The management of T2DM in patients with cirrhosis is complex given the requirement for accurate adaptation according to the level of liver function impairment, with lack of summary of the little evidence available in the literature. Here, we summarise the data available with respect to the epidemiology and the impact of T2DM in patients with cirrhosis, as well as those on the management of T2DM in these patients. We provide guidance for the diagnosis of T2DM and the monitoring of glycaemic control in patients with cirrhosis, and for the management of nutrition and pharmacological treatments in relation to the level of liver dysfunction.
Mots clés
Cirrhosis, Diagnosis, Epidemiology, Monitoring, Pharmacological treatment, Type 2 diabetes mellitus
Référence
Diabetes Metab. 2021 Aug 4;:101272