Abstract
Hepatitis C virus (HCV) infection is associated with increased rates
of glucose abnormalities, including diabetes #mellitus and insulin
resistance. The presence of glucose abnormalities in HCV infected
patients, including diabetes mellitus and insulin resistance, is
associated with negative liver-related outcomes (i.e., severe liver
fibrosis, decreased response to antivirals, and increased the occurrence
of #hepatocellular carcinoma) [1]. It is suggested that circulating
micro #ribonucleic acid (miRNA) can perform regulatory functions to
modulate gene expression in peripheral tissues leading to insulin
resistance and diabetes. Once miRNA of HCV cleared by treatment, insulin
resistance and glucose metabolism improved [2]. A fixed-dose
combination of the hepatitis C virus NS5B #polymerase inhibitor
#sofosbuvir, the HCV NS5A inhibitor #velpatasvir and the HCV NS3/4A
protease inhibitor voxilaprevir is approved in Europe for the treatment
of chronic HCV infection in adults [3]. Here we present a case of HCV
patient treated with #sofosbuvir/velpatasvir/ voxilaprevir that lead to
improvement of his hemoglobin A1c (HbA1c) in addition to a significant
reduction of his daily insulin dose.
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