Evidence map›Paper›PMID 42787810›Full record

ArticleMedical research archives2026

Exploring the Relationship Between Dolutegravir and Diabetes Using Routine Data of Patients on Anti-Retroviral Treatment in a High HIV Prevalence Setting.

Samson Haumba, Thokozani Maseko, Fezokuhle Khumalo, Nakekelo Mndzebele, Clara Nyapokoto, Sylvia Ojoo

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Article in Medical research archives, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Samson HaumbaCenter for Global Health Practice and Impact, Georgetown University, Mbabane, Eswatini.ORCID 0000-0001-5194-1247
Thokozani MasekoCenter for Global Health Practice and Impact, Georgetown University, Mbabane, Eswatini.ORCID 0000-0001-9547-4222
Fezokuhle KhumaloCenter for Global Health Practice and Impact, Georgetown University, Mbabane, Eswatini.ORCID 0000-0001-9835-0065
Nakekelo MndzebeleCenter for Global Health Practice and Impact, Georgetown University, Mbabane, Eswatini.ORCID 0000-0002-8698-7947
Clara NyapokotoMinistry of Health, Mbabane, Eswatini.ORCID 0009-0003-7812-8952
Sylvia OjooCenter for Global Health Practice and Impact, Georgetown University Medical Center, Washington DC, USA.ORCID 0000-0003-1967-1042

Funding

CGH CDC HHS U2G GH001399
6 · The paper itself

Abstract

Background: Dolutegravir has been associated with excessive weight gain and type 2 diabetes mellitus (T2DM) The study aimed to describe the incidence and prevalence of type 2 diabetes mellitus in a cohort of patients exposed and non-exposed to dolutegravir containing antiretroviral therapy in Eswatini. Methods: We conducted a retrospective observational study using routinely collected data from electronic medical records for adults aged ≥25years active on antiretroviral therapy in two of the country's regions between 01 October 2018 and 31 August 2025. Included patients were adults (≥25 years) active on antiretroviral therapy with no prior diagnosis of diabetes mellitus. The primary outcome was a documented diagnosis of type 2 diabetes mellitus among dolutegravir initiators- patients who started antiretroviral therapy on a dolutegravir-based regimen; dolutegravir transitioners- patients previously on a non-dolutegravir regimen who transitioned to a dolutegravir-based regimen; and non- dolutegravir users- patients that were never exposed to dolutegravir. Multiple imputation was used to handle missing data in body mass index and antiretroviral therapy duration. Descriptive statistics were used to describe patient characteristics, and Poisson log link regression was used to compute incidence risk ratios. Results: A total of 102330 patients were analyzed (21938 in dolutegravir initiators group, 73967 in dolutegravir transitioners group and 6425 in non-dolutegravir users group). The participant mean age was 43.7±11.7years, the mean duration on antiretroviral therapy was 9.4±3.9years and mean body mass index (BMI) was 27.5±6.2 kg/m Conclusion: There was a protective relationship for developing type 2 diabetes mellitus for patients on dolutegravir-based regimens in comparison to non-dolutegravir regimens. All patients commencing antiretroviral therapy should have baseline and ongoing blood glucose monitoring as a critical component in the management of HIV.

Indexed as

antiretroviral treatmentdolutegravir-based regimenshigh HIV prevalence settingPeople living with HIVType 2 Diabetes Mellitus

Identifiers

PMID42787810
PMCPMC13606507

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.