• Med. Clin. North Am. · May 2016

    Review Case Reports

    Diabetes Care After Transplant: Definitions, Risk Factors, and Clinical Management.

    • Amisha Wallia, Vidhya Illuri, and Mark E Molitch.
    • Division of Endocrinology, Metabolism and Molecular Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA.
    • Med. Clin. North Am. 2016 May 1; 100 (3): 535550535-50.

    AbstractPatients who undergo solid organ transplantation may have preexisting diabetes mellitus (DM), develop new-onset DM after transplantation (NODAT), or have postoperative hyperglycemia that resolves shortly after surgery. Although insulin is usually used to control hyperglycemia in the hospital, following discharge most of the usual diabetes oral and parenteral medications can be used in treatment. However, when there are comorbidities such as impaired kidney or hepatic function, or heart disease, special precautions may be necessary. In addition, drug-drug interactions, such as drugs interacting with CYP3A4 enzyme pathway, require additional consideration because of possible interaction with immunosuppressive drug metabolism.Copyright © 2016 Elsevier Inc. All rights reserved.

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