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Article Dans Une Revue Diabetes & Metabolism Année : 2021

Management of diabetes mellitus in patients with cirrhosis: An overview and joint statement

Claire Carette
Bertrand Cariou
Armand Garioud
  • Fonction : Auteur
Pierre Gourdy
Niasha Michot
Anne Minello
  • Fonction : Auteur
Dann J Ouizeman
  • Fonction : Auteur
Lawrence Serfaty
Bruno Verges

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.
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Dates et versions

hal-03336710 , version 1 (22-08-2023)

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Paternité - Pas d'utilisation commerciale

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Etienne Boursier, Rodolphe Anty, Claire Carette, Bertrand Cariou, Laurent Castera, et al.. Management of diabetes mellitus in patients with cirrhosis: An overview and joint statement. Diabetes & Metabolism, 2021, 47 (5), pp.101272. ⟨10.1016/j.diabet.2021.101272⟩. ⟨hal-03336710⟩
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