PMID- 36418528 OWN - NLM STAT- MEDLINE DCOM- 20230203 LR - 20240202 IS - 1548-3576 (Electronic) IS - 1548-3568 (Print) IS - 1548-3568 (Linking) VI - 20 IP - 1 DP - 2023 Feb TI - Diabetes in HIV: the Link to Weight Gain. PG - 9-18 LID - 10.1007/s11904-022-00642-w [doi] AB - PURPOSE OF REVIEW: The burden of metabolic diseases, including type 2 diabetes mellitus (T2DM), is rising among persons with HIV (PWH) on antiretroviral therapy (ART). This increase coincides with an aging population and a greater proportion who are overweight/obese. This review summarizes the changing epidemic of T2DM on contemporary ART, the role of weight gain, and therapeutic options. RECENT FINDINGS: Recent studies confirm that PWH face an epidemic of obesity and T2DM, similar to the general population. Contemporary ART is associated with greater weight gain and may contribute to the risk of T2DM. Recent advances in medical weight loss therapy offer a way forward in the prevention and treatment of weight-associated T2DM. Weight gain is one of the biggest contributors to T2DM in PWH. Future studies on the role of adipose tissue distribution, adipose tissue function and clinical use of effective weight loss medications may change the paradigm of care for PWH. CI - (c) 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. FAU - Bailin, Samuel S AU - Bailin SS AUID- ORCID: 0000-0003-4990-1013 AD - Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, 37232, USA. samuel.bailin@vumc.org. FAU - Koethe, John R AU - Koethe JR AD - Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, 37232, USA. AD - Department of Veterans Affairs, Tennessee Valley Health System, Nashville, TN, 37212, USA. LA - eng GR - K12 HL143956/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20221123 PL - United States TA - Curr HIV/AIDS Rep JT - Current HIV/AIDS reports JID - 101235661 SB - IM MH - Humans MH - Aged MH - *Diabetes Mellitus, Type 2/complications/epidemiology MH - *HIV Infections/complications/drug therapy/epidemiology MH - Weight Gain MH - Obesity/complications/epidemiology MH - Weight Loss PMC - PMC10184162 MID - NIHMS1892486 OTO - NOTNLM OT - Human immunodeficiency virus OT - Obesity OT - Type 2 diabetes OT - Weight gain COIS- Conflict of Interest S.B. has no competing interests to declare. J.K. has served as a consultant to Gilead Sciences, Merck & Co., ViiV Healthcare, Theratechnologies and Janssen Pharmaceuticals. He has also received research support from Gilead Sciences and Merck & Co. EDAT- 2022/11/24 06:00 MHDA- 2023/02/04 06:00 PMCR- 2024/02/01 CRDT- 2022/11/23 23:39 PHST- 2022/10/05 00:00 [accepted] PHST- 2022/11/24 06:00 [pubmed] PHST- 2023/02/04 06:00 [medline] PHST- 2022/11/23 23:39 [entrez] PHST- 2024/02/01 00:00 [pmc-release] AID - 10.1007/s11904-022-00642-w [pii] AID - 10.1007/s11904-022-00642-w [doi] PST - ppublish SO - Curr HIV/AIDS Rep. 2023 Feb;20(1):9-18. doi: 10.1007/s11904-022-00642-w. Epub 2022 Nov 23.