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Metabolic clinic for individuals with HIV/AIDS: a commitment and vision to the future of HIV services

Mohamed H Ahmed1, Clare Woodward2, Dushyant Mital2

  • 1Departments of Medicine and HIV Metabolic Clinic.

Cardiovascular Endocrinology
|October 25, 2019
PubMed

Insights

Managing metabolic complications like dyslipidaemia and diabetes in aging individuals with HIV is crucial. Establishing specialized metabolic clinics integrated with HIV services improves care for complex cases.

Area of Science:

  • Internal Medicine
  • Infectious Diseases
  • Metabolic Disorders

Background:

  • Aging HIV cohort presents significant challenges with metabolic diseases including dyslipidaemia, diabetes, metabolic syndrome, and nonalcoholic fatty liver disease.
  • Combination antiretroviral therapy (cART) improves HIV patient outcomes but increases risks of insulin resistance, dyslipidaemia, abnormal fat distribution, and cardiovascular disease.

Purpose of the Study:

  • To review the importance of establishing a dedicated metabolic clinic for individuals living with HIV.
  • To highlight the role of such clinics in audit, research, teaching, and interdisciplinary knowledge exchange for managing complex metabolic cases.

Main Methods:

  • This is a review article focusing on the challenges and proposed solutions for metabolic health in the aging HIV population.
  • The review discusses the establishment and benefits of a metabolic clinic within a hospital setting.

Main Results:

  • Metabolic clinics address a high demand from service users, indicating their potential popularity and necessity.
  • Integration of metabolic clinics into HIV services is vital for comprehensive patient care.

Conclusions:

  • Metabolic clinics are essential for the effective management of metabolic comorbidities in the growing population of older adults living with HIV.
  • These clinics facilitate audit, research, education, and collaboration between HIV specialists and metabolic teams, improving care for complex cases.

Keywords:
dyslipidaemiahuman immunodeficiency virusinsulin resistancemetabolic clinic

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