Evidence map›Paper›PMID 40747677›Full record

ArticleHIV medicine2025

Leukocyte count and new-onset diabetes mellitus in people with HIV: A longitudinal study.

Sophia C Meyer, Zoe Klein, Isabella C Schoepf, Christian W Thorball, Marco Labarile, Neeltje A Kootstra, Peter Reiss, Lene Ryom, Dominique L Braun, Maria C Thurnheer and 11 more

Abstract read
In one paragraph

Article in HIV medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Sophia C MeyerUniversity Center for Internal Medicine and Infectious Diseases Service, Kantonsspital Baselland, Department of Clinical Research, University Hospital Basel, University of Basel, Bruderholz, Switzerland.
Zoe KleinUniversity Center for Internal Medicine and Infectious Diseases Service, Kantonsspital Baselland, Department of Clinical Research, University Hospital Basel, University of Basel, Bruderholz, Switzerland.
Isabella C SchoepfUniversity Center for Internal Medicine and Infectious Diseases Service, Kantonsspital Baselland, Department of Clinical Research, University Hospital Basel, University of Basel, Bruderholz, Switzerland.
Christian W ThorballPrecision Medicine Unit, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Marco LabarileDepartment of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Neeltje A KootstraAmsterdam University Medical Centers, University of Amsterdam, Experimental Immunology, Amsterdam, The Netherlands.
Peter ReissAmsterdam University Medical Centers, University of Amsterdam, Global Health, and Amsterdam Institute for Global Health and Development, Amsterdam, The Netherlands.
Lene RyomCentre of Excellence for Health, Immunity, and Infections, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Dominique L BraunDepartment of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Maria C ThurnheerDepartment of Infectious Diseases, Bern University Hospital, University of Bern, Bern, Switzerland.
Catia MarzoliniDivision of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Basel, Switzerland.ORCID https://orcid.org/0000-0002-2312-7050
Christian R KahlertDivision of Infectious Diseases, Kantonsspital St Gallen, St. Gallen, Switzerland.ORCID https://orcid.org/0000-0002-0784-3276
Enos BernasconiDivision of Infectious Diseases, Ente Ospedaliero Cantonale Lugano, University of Geneva and Università della Svizzera italiana, Lugano, Switzerland.
Matthias CavassiniInfectious Diseases Service, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.
Annalisa MarinosciDivision of Infectious Disease, Geneva University Hospital, Geneva, Switzerland.
Jacques FellayPrecision Medicine Unit, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Huldrych F GünthardDepartment of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Roger D KouyosDepartment of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Bruno LedergerberDepartment of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Philip E TarrUniversity Center for Internal Medicine and Infectious Diseases Service, Kantonsspital Baselland, Department of Clinical Research, University Hospital Basel, University of Basel, Bruderholz, Switzerland.
Swiss HIV Cohort Study

Funding

Swiss HIV Cohort Research Foundation Project 836Wellcome Trust 201369
6 · The paper itself

Abstract

objectivesThe risk of diabetes mellitus (DM) is increased in people with HIV. Chronic inflammation contributes to DM risk. High leukocytes are associated with DM in the general population, but in people with HIV, evidence of a leukocyte-DM association is limited.

methodsWe included participants of the Swiss HIV Cohort Study with new-onset DM (2000-2023) and matched controls. We obtained uni- and multivariable odds ratios (ORs) for DM, based on traditional and HIV-related DM risk factors, leukocyte count and potential confounders for leukocyte count.

resultsAmong 732 DM cases (median age 54 years, 79% male at birth, 86% with suppressed HIV RNA) and 2032 DM-free controls, the latest leukocyte count prior to DM diagnosis was higher in cases than in controls (median [interquartile range], 6200 [5115-7800] vs. 5900/μL [4800-7180]; p < 0.001), but leucocytosis (>11 000/μL) was uncommon (3.8% vs. 2.3%; p = 0.032). DM-OR in the highest vs. lowest leukocyte quintile was 1.91 (95% confidence interval, 1.45-2.52) in univariable analysis and 2.47 (1.71-3.57) in multivariable analysis. For comparison, multivariable DM-OR for dyslipidaemia, overweight, ≥12-month stavudine exposure and ≥12-month integrase inhibitor exposure were 2.23 (1.80-2.75), 2.83 (2.21-3.62), 1.54 (1.16-2.04) and 2.29 (1.13-4.62), respectively. We found no relevant confounders for the leukocyte-DM association. Leukocytes were significantly associated with DM up to 10 years before diagnosis (all p < 0.02).

conclusionsHigh leukocyte count is an independent DM risk factor in people with HIV in Switzerland and increases the risk of DM to a degree similar to traditional and HIV-related risk factors, up to 10 years before DM diagnosis.

Indexed as

Diabetes MellitusHIV InfectionsAdultFemaleHumansLeukocyte CountLongitudinal StudiesMaleMiddle AgedRisk FactorsSwitzerlanddiabetes mellitusHIV infectionleukocytesmultivariable analysiswhite blood cells

Identifiers

PMID40747677
PMCPMC12497936

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