Diabetes is widely reported to be more common in people living with HIV (PLWH). Much of the data supporting this originated during the earlier HIV era. The perceived increased risk of type 2 diabetes is reflected in HIV clinical guidelines that recommend screening for diabetes in PLWH on anti-retroviral therapy (ART). However, international HIV clinical guidelines do not agree on the best marker of glycaemia to screen for diabetes. This stems from studies that suggest HbA1c underestimates glycaemia in PLWH.

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HIV 和 2 型糖尿病：一个不断演变的故事

据广泛报道，糖尿病在艾滋病毒感染者（PLWH）中更为常见。支持这一观点的许多数据都起源于早期的艾滋病毒时代。 HIV 临床指南反映了 2 型糖尿病风险增加的情况，该指南建议在抗逆转录病毒治疗 (ART) 的情况下对 PLWH 进行糖尿病筛查。然而，国际艾滋病毒临床指南并未就筛查糖尿病的最佳血糖标志物达成一致。这源于研究表明 HbA1c 低估了 PLWH 的血糖。