inPractice® - Metabolic Syndrome and Diabetes

Special Considerations in the Management of HIV-Infected Patients From Minority Communities

Authors: Bisola Ojikutu, MD, MPH; Valerie E. Stone, MD, MPH (More Info)
Section Editor: Judith S. Currier, MD, MSc
Editors in Chief: Daniel R. Kuritzkes, MD; Joseph J. Eron, Jr., MD
Last Reviewed: 7/9/18 (What's New)

Summary

Metabolic Syndrome

Classic risk factors, particularly obesity, age, and race, are understood to be the primary drivers of metabolic syndrome and diabetes in people living with HIV, although HIV and ART may contribute to risk^{[Butt 2008; Mondy 2007]}
Minorities with HIV infection have a high risk for obesity and weight gain, especially those who are uninsured^{[Taylor 2014]}

Prevalence

Metabolic syndrome and resultant diabetes occur at disproportionately high rates in blacks and Latinos^{[McBean 2004]}

Guidelines

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Keywords: Cardiovascular Disease, Diabetes, Dyslipidemia, Endocrine Disorders, Insulin Resistance, Minority-Ethnic Communities, Special Populations