TY  - JOUR
TI  - Risk Factors and Outcomes of the Post-Liver  Transplantation Diabetes Mellitus
AB  - Objective: We aimed to identify the risk factors for the development of diabetes mellitus after  transplantation in liver recipients. Methods: Two hundred twenty-seven patients with a follow-up period >8 months after liver trans plantation were included in the study. The clinical and laboratory data of patients with post-liver  transplantation diabetes mellitus and without post-liver transplantation diabetes mellitus were  compared. Results: Of the 227 patients, 61 patients were diagnosed with diabetes mellitus in the pretransplanta tion period. Twelve percent of the patients (20 patients) were diagnosed with post-liver transplanta tion diabetes mellitus and 146 patients were not diagnosed with diabetes mellitus. We found that  post-liver transplantation diabetes mellitus was associated with advanced age (95% CI: 1.002-1.142).  Male liver recipients were diagnosed with a higher rate of post-liver transplantation diabetes mellitus  than female recipients (15.5% and 5.4%, respectively; P = .045). Pretransplantation fasting plasma  glucose levels were higher in patients with post-liver transplantation diabetes mellitus than without  post-liver transplantation diabetes mellitus, which was not statistically significant (P = .097). While  22.2% of patients with post-liver transplantation diabetes mellitus had complications after transplan tation, 14.2% of the patients without post-liver transplantation diabetes mellitus had complications  after transplantation (P = .370). Conclusion: As post-liver transplantation diabetes mellitus is associated with graft failure and  increased mortality and morbididy, candidates for liver transplantation should be screened for risk  factors of diabetes, and blood work for diabetes mellitus should be done regularly in these patients.  Since patients with advanced age, male gender, and higher fasting plasma glucose levels in the pre transplantation period have higher risk for the development of post-liver transplantation diabetes  mellitus, these cases should be screened more carefully.
AU  - Aydemir, Ensar
AU  - ATEŞ, COŞKUN
AU  - Erturk, Erdinc
AU  - GÖKTUĞ, MEHMET REFİK
AU  - Ersoy, Canan
AU  - Cander, Soner
AU  - Ünsal, Oktay
AU  - aydoğan ünsal, yasemin
AU  - Oz Gul, Ozen
AU  - KIYICI, Murat
DO  - 10.5152/tjem.2022.22053
PY  - 2022
JO  - Turkish Journal of Endocrinology and Metabolism
VL  - 26
IS  - 3
SN  - 1301-2193
SP  - 136
EP  - 140
DB  - TRDizin
UR  - http://search/yayin/detay/1124138
ER  -