PMID- 30451154 OWN - NLM STAT- MEDLINE DCOM- 20190925 LR - 20221207 IS - 2040-2058 (Electronic) IS - 1359-6535 (Linking) VI - 23 IP - Suppl 2 DP - 2018 TI - Expert opinion on managing chronic HCV infection in patients with type 2 diabetes mellitus. PG - 11-21 LID - 10.3851/IMP3255 [doi] AB - Type 2 diabetes mellitus (T2DM) has been identified as an extrahepatic manifestation of chronic HCV infection. Conversely, in the context of chronic HCV infection, T2DM can accelerate the course of HCV-induced liver disease leading to increased risk of fibrosis, cirrhosis and hepatocellular carcinoma. The presence of T2DM negatively impacts the efficacy of interferon-based antiviral therapy, but real-world data with high-efficacy direct-acting antiviral therapies suggest high viral clearance rates in T2DM patients. In HCV-infected individuals, viral eradication is associated with a reduced risk of de novo T2DM in non-diabetic patients and beneficial metabolic changes in patients with T2DM, highlighting the importance of antiviral treatment and physician awareness of this association. FAU - Adinolfi, Luigi Elio AU - Adinolfi LE AD - Department of Medical, Surgical, Neurological, Metabolic, and Geriatric Sciences, Universita degli Studi della Campania 'Luigi Vanvitelli', Naples, Italy. FAU - Jacobson, Ira AU - Jacobson I AD - NYU Langone Health, New York, NY, USA. FAU - Bondin, Mark AU - Bondin M AD - AbbVie, Inc., Chicago, IL, USA. FAU - Cacoub, Patrice AU - Cacoub P AD - Sorbonne Universites, UPMC Univ Paris 06, UMR 7211, and Inflammation-Immunopathology-Biotherapy Department (DHU i2B), Paris, France. AD - INSERM, UMR_S 959, Paris, France. AD - CNRS, FRE3632, Paris, France. AD - AP-HP, Groupe Hospitalier Pitie-Salpetriere, Department of Internal Medicine and Clinical Immunology, Paris, France. LA - eng PT - Journal Article PT - Review PL - England TA - Antivir Ther JT - Antiviral therapy JID - 9815705 RN - 0 (Antiviral Agents) RN - 0 (Blood Glucose) RN - 0 (Drug Combinations) RN - 0 (Glycated Hemoglobin A) RN - 0 (hemoglobin A1c protein, human) SB - IM CIN - Antivir Ther. 2019;24(2):147-149. PMID: 30835253 MH - Antiviral Agents/*therapeutic use MH - Blood Glucose/drug effects MH - Carcinoma, Hepatocellular/*drug therapy/etiology/pathology/virology MH - Diabetes Mellitus, Type 2/complications/*drug therapy/prevention & control/virology MH - Disease Management MH - Drug Combinations MH - Expert Testimony MH - Glycated Hemoglobin/antagonists & inhibitors/metabolism MH - Hepatitis C, Chronic/complications/*drug therapy/pathology/virology MH - Humans MH - Insulin Resistance MH - Liver/drug effects/metabolism/pathology/virology MH - Liver Cirrhosis/*drug therapy/etiology/pathology/virology MH - Liver Neoplasms/*drug therapy/etiology/pathology/virology MH - Risk Factors MH - Treatment Outcome EDAT- 2018/11/20 06:00 MHDA- 2019/09/26 06:00 CRDT- 2018/11/20 06:00 PHST- 2018/06/27 00:00 [accepted] PHST- 2018/11/20 06:00 [entrez] PHST- 2018/11/20 06:00 [pubmed] PHST- 2019/09/26 06:00 [medline] AID - 10.3851/IMP3255 [doi] PST - ppublish SO - Antivir Ther. 2018;23(Suppl 2):11-21. doi: 10.3851/IMP3255.