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Improvement of glycemic state among responders to Sofosbuvir‐based treatment regimens: Single center experience
Author(s) -
Abdel Alem Shereen,
Elsharkawy Aisha,
Fouad Rabab,
Adel Eman,
Abdellatif Zeinab,
Musa Sherief,
Nagy Ahmed,
Hussein Muhammad S.,
Yosry Ayman,
Esmat Gamal
Publication year - 2017
Publication title -
journal of medical virology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.782
H-Index - 121
eISSN - 1096-9071
pISSN - 0146-6615
DOI - 10.1002/jmv.24897
Subject(s) - sofosbuvir , medicine , glycemic , hemoglobin , gastroenterology , transient elastography , diabetes mellitus , type 2 diabetes , glycated hemoglobin , hepatitis c virus , insulin , ribavirin , endocrinology , fibrosis , virology , liver fibrosis , virus
Chronic HCV infection has emerged as a complex multifaceted disease with manifestations extending beyond the liver. HCV plays a direct role in glucose metabolism leading to both insulin resistance and type 2 diabetes. To evaluate the changes in the glycemic state following Sofosbuvir‐based treatment regimens in diabetic HCV patients. Four hundred chronic hepatitis C patients who underwent Sofosbuvir‐based treatment regimens were retrospectively screened. Sixty‐five diabetic HCV patients only enrolled in our analysis. Baseline demographic and laboratory data were recorded. Pretreatment Transient elastography was performed. At 24‐week post EOT (SVR24), Fasting Plasma glucose, and Hemoglobin A1c were re‐evaluated and compared with baseline. All enrolled diabetic patients were responders. They showed statistically significant decline in Fasting Plasma glucose and Hemoglobin A1c values at SVR24. Whatever the degree of hepatic fibrosis, the level of Fasting Plasma glucose and Hemoglobin A1c decreased at SVR24 in comparison to baseline level. Fifty‐one patients showed improvement in their Hemoglobin A1c values at SVR24 and this improvement was more likely to occur among patients with low Body mass index. The reduction in Fasting Plasma glucose >20 mg/dL (>1.1 mmol/L) and Hemoglobin A1c ≥ 0.5% was not associated with age, gender or hepatic fibrosis stage. Sofosbuvir‐based regimens are a highly efficient antiviral therapy for diabetic chronic HCV patients resulted in improvement in Fasting Plasma glucose and Hemoglobin A1c.