Abstract

BORROTO DIAZ, Gerardo; BATISTA BARBAN, Francisco; BARCELO ACOSTA, Malicela  and  GUERRERO DIAZ, Carlos. Frecuencia y factores de riesgo de la diabetes mellitus postrasplante renal. Rev cubana med [online]. 2002, vol.41, n.4, pp. 207-211. ISSN 1561-302X.

A study of 274 patients with kidney transplants from "Hermanos Ameijeiras" Clinical and Surgical Hospital was conducted. Post-transplant diabetes was diagnosed when there were 3 determinations of glycemia during fasting over 7.8 mmol/L. It was found a frequency of post-transplant diabetes mellitus of 12.78 % (39/274) and the probability of acquiring it increased with the time. The male sex, the oldest patient, the kidney damage produced by polycystic kidneys and glumerolopathies, hyperglycemia on the TI (first day of transplant), obesity and the use of high doses of steroids and cyclosporin-A (CsA) were more frequently observed in the group with PTDM and were statistically significant on comparing them with the control group.

Keywords : KIDNEY TRASNPLANTATION [adverse effects]; DIABETES MELLITUS [drug therapy]; IMMUNOSUPPRESSION; IMMUNOSUPPRESSIVE AGENTS; INSULIN RESISTANCE; RISK FACTORS; POSTOPERATIVE COMPLICATIONS.