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KMID : 0361120110250010008
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Korean Journal of Transplantation
2011 Volume.25 No. 1 p.8 ~ p.14
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Management of Posttransplantation Diabetes Mellitus (PTDM)
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Cha Bong-Soo
Moon Jae-Hoon
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Abstract
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New-onset diabetes after transplantation (NODAT) is a common complication of solid-organ transplantation. As long-term
posttransplant survival continues to improve, increasing attention has been placed on NODAT. Because NODAT is a potent
predictor of graft failure and cardiovascular mortality in the transplant population, early detection and management of NODAT are important issues. The risk factors for NODAT in transplant recipients include older age, obesity, family history, hepatitis C virus infection, and immunosuppressive agents, such as corticosteroids and calcineurin inhibitors. Management of NODAT must be considered at the pretransplantation stage to screen high risk patients and prevent NODAT. Although NODAT management is similar to type 2 diabetes management in the general population, there are some specific considerations in NODAT management, including the immunosuppressive agent. Further studies are needed to suggest optimal management guidelines for NODAT.
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KEYWORD
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Diabetes mellitus, Organ transplantation, Risk factors, Postoperative complications, Diagnosis, Treatment outcome
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