July #49 : Sugar on Top - by Lark Lands

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Table of Contents

The Power of One

The Power of One: Senegal

The Power of One: Uganda

The Power of One: Zimbabwe

The Power of One: Zambia

World Weary

South Africa's Moment of Truth

Back to the Roots

Chain Reactions: Medicine Woman

Chain Reactions: Poetic Justice

Chain Reactions: Ray of Hope

Chain Reactions: Reluctant Witness

Guest Editor's Letter

To the Editor

Bath Sides Now

Walk the Talk

Rubber Suit

Memo Demo

Dread Locked

PWAs vs. Y2K

Jail Break

Say What

Gender Agenda

Simon Nkoli


POZarazzi: Spring Sprung

License to Kill

Keep HOPE Alive

POZ Picks

Show & Tell

The Holistic Truth

Get Over It

Sugar on Top

Cheer to Adhere

Gene Pool

Cream Puff

The Protease Prison

Out in Africa

Where to Find It

Grandma’s Recipe

Grace Under Pressure

Most Popular Lessons

The HIV Life Cycle


Herpes Simplex Virus

Syphilis & Neurosyphilis

Treatments for Opportunistic Infections (OIs)

What is AIDS & HIV?

Hepatitis & HIV

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July 1999

Sugar on Top

by Lark Lands

It’s an irony certain to turn your humor a darker shade of black: The oft-heard AIDS description—“may become a manageable disease…” may itself soon read not “…like diabetes” but “…including diabetes.” Glucose intolerance—the reduced ability of cells to properly use glucose for energy, and a potential first step on the road to diabetes—has been shown in multiple studies to occur in from 23 percent to 62 percent of those on HAART. So far, the comparatively low incidence among HAART-takers of full-blown diabetes—consistently too-high blood sugar after the body fails to properly handle glucose—has deflected attention from this alarming stat. But that may be a mistake, according to Michael Dube, MD, associate professor of medicine at the University of Southern California. Comparing the diabetes scare to AIDS docs’ concern about abnormally high blood fats in PWAs, he says: “It’s widely agreed that you shouldn’t wait to worry about elevated cholesterol until it has already resulted in heart disease. Similarly, the level of glucose intolerance seen now is extremely likely to mean a much higher incidence of diabetes—and the heart disease that is a common complication of it—down the line.” Experts advise measuring glucose levels as part of quarterly lab work, to flag potential problems. Talk about diabetic shock. 

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