Predictive factors associated with the reversibility of post-transplantation diabetes mellitus following liver transplantation

J Korean Med Sci. 2009 Aug;24(4):567-70. doi: 10.3346/jkms.2009.24.4.567. Epub 2009 Jul 29.

Abstract

Post-transplantation diabetes mellitus (PTDM) is reversible in a considerable number of patients. We examined the prevalence and predictive factors of transient PTDM following liver transplantation. Forty-two of 74 PTDM patients showed the clinical features of transient PTDM. Compared with the persistent PTDM patients, they were characterized by younger age at the time of transplantation (49+/-7 vs. 53+/-8 yr, P<0.05), longer time before the development of PTDM (44+/-59 vs. 13+/-20 days, P<0.05), lower rate of hepatitis c virus seropositivity (0.0 vs. 9.4%, P<0.05), and use of mycophenolate mofetil (59.5 vs. 28.1%, P<0.05). Among these risk factors, age at the time of transplantation is the single independent predictive factor associated with the reversibility of PTDM.

Keywords: Diabetes Mellitus; Liver Transplantation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Diabetes Mellitus / diagnosis
  • Diabetes Mellitus / epidemiology*
  • Female
  • Hepacivirus / isolation & purification
  • Humans
  • Liver Transplantation*
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Mycophenolic Acid / analogs & derivatives
  • Mycophenolic Acid / metabolism
  • Predictive Value of Tests
  • Prevalence
  • Risk Factors

Substances

  • Mycophenolic Acid