HIV and Diabetes
- Diabetes is a disease that develops when levels of glucose in the blood (also called blood sugar) are too high. There are different types of diabetes. Type 2 diabetes is the most common type.
- People with HIV are more likely to have type 2 diabetes than people without HIV. Risk factors for type 2 diabetes include being 45 years of age or older, having a family history of diabetes, and being overweight or obese.
- People with HIV should have their blood glucose levels checked before they start taking HIV medicines. People with higher-than-normal glucose levels may need to avoid taking some HIV medicines.
- A healthy diet and regular physical activity can help prevent, delay, or manage type 2 diabetes. In addition, there are also medicines that can help manage type 2 diabetes.
Over time, diabetes can cause serious health problems, including heart disease, stroke, kidney disease, eye problems, and nerve damage.There are different types of diabetes, including type 1 diabetes, type 2 diabetes, and gestational diabetes. This fact sheet discusses type 2 diabetes, which is the most common type of diabetes.
Risk factors for type 2 diabetes include being 45 years of age or older, having a family history of diabetes, being overweight or obese, and lack of physical activity. People whose family background is African American, Alaska Native, American Indian, Asian American, Hispanic/Latino, Native Hawaiian, or Pacific Islander American are at greater risk of type 2 diabetes.
People with HIV are more likely to have type 2 diabetes than people without HIV. Additionally, some HIV medicines may increase the risk of type 2 diabetes in people with HIV.
- Increased thirst
- Frequent urination
- Increased hunger
- Unusual weight loss
- Blurred vision
- Tingling or numbness in the hands or feet
- Sores that do not heal
People with HIV should have their blood glucose levels checked before starting treatment with HIV medicines. People with higher-than-normal glucose levels may need to avoid taking some HIV medicines.
Blood glucose testing is also important after starting HIV medicines. If testing shows high glucose levels, a change in HIV medicines may be necessary.
- Maintain a healthy weight. If you are overweight, lose weight and keep it off.
- Eat healthy. Eat a variety of healthy foods and limit foods high in fat, sugar, and salt.
- Keep moving. Aim for 30 minutes of physical activity on most days of the week.
People who have type 2 diabetes can also follow these steps to manage the disease. In addition, some people may take medicine to manage their type 2 diabetes. To learn more, visit the Managing Diabetes webpage from the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK).
If you have HIV, talk to your health care provider about your risk for diabetes.
- From HHS: Guidelines for the Use of Antiretroviral Agents in Adults and Adolescents with HIV: Adverse Effects of Antiretroviral Agents, Laboratory Testing, and Poor CD4 Cell Recovery and Persistent Inflammation Despite Viral Suppression
- From the U.S. Department of Veterans Affairs: Primary Care of Veterans with HIV: Diabetes Mellitus
- From NIDDK: Diabetes Overview