Posttransplant Diabetes Mellitus (PTDM) Following Solid Organ Transplantation - Systematic Analysis of Prevalence and Total Mortality and Meta-Analysis of Randomized Interventional Studies Aimed at Lowering Blood Glucose
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OBJECTIVE: A systematic review of the prevalence and prognosis of posttransplant diabetes mellitus (PTDM) following transplantation of heart, lung, liver and kidney and a meta-analysis of randomised studies of glucose-lowering treatment is reported.
METHODS: We searched for publications on solid organs transplantation and PTDM in relation to risk and total mortality of PTDM and randomized controlled trials aiming at reducing glucose levels.
RESULTS: PTDM prevalence one year after transplantation was reported to 9-40 %. Ten years after transplantation, 60-85% of people without PTDM and 30-76% of people with PTDM were alive. We identified six randomized controlled trials on the treatment of PTDM, all following kidney transplantation. Intervention ranged from 3 to 12 months. Four studies used intervention with oral glucose-lowering drugs, one used dietician appointment and exercise, and one used insulin treatment. Among the intermediate results reported, a reduction in HbA1c of 2.7 mmol/mol, and an increase in the odds ratio of serious adverse events of 3.0 was significant.
CONCLUSION: In conclusion, information on the prevalence and effect on survival of PTDM is heterogeneous, and the randomized studies on the effect of treatment available are either short and/or lack information on clinically important endpoints, as mortality or morbidity.
Original language | English |
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Article number | e071122210692 |
Journal | Current Diabetes Reviews |
Volume | 19 |
Issue number | 7 |
ISSN | 1573-3998 |
DOIs | |
Publication status | Published - 2023 |
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