Revista Cubana de Medicina
version ISSN 0034-7523
PEREZ RODRIGUEZ, Alexis; MARMOL SONORA, Alexander; DORTA DIAZ, José Ángel and GUTIERREZ GARCIA, Francisco. Behavior of the post-transplantation diabetes mellitus in the "Dr. Abelardo Buch López" Institute of Nephrology. Rev cubana med [online]. 2011, vol.50, n.4, pp. 405-414. ISSN 0034-7523.
A descriptive and observational study was conducted in cases and controls including all patients underwent renal transplantation in the Institute of Nephrology between 1970 and 2008 to know the features of those patients developed post-transplantation diabetes mellitus, the risk factors for this entity and to determine the effectiveness of hypoglycemic treatment used. All placards and medical records of cases and from 99 patients with post-transplantation diabetes mellitus (PTDM) were reviewed, most aged 40 and 59 and this risk factor was associated in a significant way with diabetes, 66 were men and most of cases were of white race, these factors have not statistical significance. The more frequent HLA antigens were the A2, B35, B7 and A3. Most of cases debuted before the 18 months post-transplantation, non obese although compared with the control group, this risk factor had statistical significance, the treatment with cyclosporine as immunosuppressive agent and the family history of diabetes also were risk factors associated with the statistical significance at onset of PTDM, but not the treatment with impulse methylprednisolone like a anti-rejection therapy. The better control of the glycemia was achieved with the diet alone, followed by the use of glibenclamide as oral hypoglycemic agent and finally, the patients treated with insulin were those with the poorer metabolic control.
Keywords : Diabetes mellitus post-renal transplantation.