Unmasking a silent killer: Prevalence of diagnosed and undiagnosed diabetes mellitus among people living with HIV in rural South Africa

• DOI: 10.1111/tmi.13871
• Publication Date: 2023-03-15T14:44:17Z
• Authors: Annemiek E. M. de...; Zanele Xaba; Sehulong R. Moraba; Luise Goerlitz; Hugo A. Tempelman; Kerstin Klipstein...; Lucas E. Hermans; Karine Scheuermaier; Walter L. J. M. D...; Alinda G. Vos
• Keywords: Cross-sectional study

To document the prevalence of impaired glucose tolerance (IGT) and undiagnosed diabetes mellitus (DM) to identify factors associated with DM in people living HIV (PLWH).Cross-sectional study performed at Ndlovu Medical Center, Limpopo, South Africa including PLWH aged ≥18 years. Between August November 2017, 356 HIV-positive participants were included. Information was collected on socio-demographics, symptoms risk for DM. IGT diagnosed using random plasma and/or HbA1c. Factors assessed by comparing newly without DM.IGT 172 (48.3%) participants. Twenty-nine (8.1%) met definition DM, whom 17 (58.6%) diagnosed. Compared average 5 years older, more likely have a positive family history less physically active had higher systolic blood pressure, body mass index waist circumference. included age ≥45 (odds ratio [OR] = 3.59) physical inactivity (OR 3.17).The among is high than half cases undiagnosed. Regular screening recommended, especially an ageing population additional cardiovascular disease factors.