Saturday, November 26, 2022

Poorly controlled diabetes may be related to liver C and not actively treated “raises liver cancer risk 6-fold”

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diabetesPoor control is actually related to liver c. A 55-year-old business owner, his diabetes control is generally not ideal, and his glycosylated hemoglobin is over 7 points.screeningI found out that I was suffering from hepatitis C, and the value dropped by more than 6 points after treatment.Physicians remember that hepatitis C virus affects insulin resistance in the body, makesblood sugarControl is not good, and people with diabetes should be screened as soon as possible.

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The prevalence of diabetes in Taiwan is approximately 11.2%, and there are approximately 2.3 million diabetics. Pu Ruofang, director of the National Hepatitis C Elimination Office of the Ministry of Health and Welfare, said that diabetes is one of the main comorbidities of liver C. However, the latest data shows that only 60% of diabetic patients get liver C test done. If we look at the 2.3 million people with diabetes, about one million people with diabetes “don’t know if they are at risk for hepatitis C virus.”

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According to data from the National Health Insurance Database, about 6.8% of the 2.3 million diabetics, or 156,000 people, are associated with chronic hepatitis C virus infection. Compared with health insurance data and actual screening data, the prevalence rate of liver C is 3.31% and 6.8%, respectively, which means that the actual screening of patients with diabetes has twice the prevalence rate of liver C.

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Wang Zhiyuan, president of the Diabetes Health Education Association of the Republic of China, said that people with diabetes are generally concerned about the relationship between blood sugar control and heart and kidney diseases. Hepatitis C virus can be eliminated early, insulin sensitivity can be improved, patients’ blood sugar control can be more stable, and subsequent complications can be avoided.

Studies have shown that removal of the hepatitis C virus will reduce glycated hemoglobin by an average of 0.45% and blood sugar by 22 mg/dL. Preliminary local studies have shown that if diabetics are not actively treated, the risk of liver cancer in the future is 6 times higher than that of the general diabetics.

Gao Jiahong, president of the Taiwan Liver Disease Medical Policy Association, explained that although hepatitis C primarily infects liver cells, it can also cause systemic and chronic inflammation of blood vessels. Studies have found that hepatitis C virus can cause insulin resistance, increased blood sugar, blood pressure, blood lipids, and abnormal endothelial cells, which can ultimately lead to heart disease and stroke. If active oral antiviral drug treatment is taken, the cure rate for liver C is as high as 99% within 3 months.

The World Health Organization (WHO) has set a target of eliminating viral hepatitis by 2030, and the Ministry of Health and Welfare has also prepared “National Policy Guidelines for Eliminating Hepatitis C”, aiming to eliminate hepatitis C by 2025. expected to complete. advance. To help more people with early detection and treatment, the National Health Service has expanded the subsidy for BC liver screening for adult preventive health care. People aged 45 to 79 (natives aged 40 to 79) can have the opportunity of a free checkup during their lifetime.

The Diabetes Health Education Association of the Republic of China also launched the “Diabetes Friends Sea Liver Clearing” project, including treatment guidelines, liver sea screening for 10,000 people, and launched a health education video “Diabetes Friends Sea Liver Care”, In which actor Wang was invited. Zhonghuang, Lin Jiali, Ma Guoxian and Dong Zhicheng acted as publicity ambassadors to encourage diabetic patients to actively accept liver C screening and treatment through a series of creative local drama videos and health education activities. Worked in


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