Hepatitis C, Insulin Resistance
Conditions
Keywords
Insulin resistance, Liver fat, Muscle fat, Abdominal fat, Cytokines
Brief summary
Chronic hepatitis C (CHC) is among the commonest chronic infectious disease in Australia with \>200,000 exposed persons. Amongst non-infectious chronic conditions- Type 2 diabetes, obesity and heart disease are extremely common. This study will examine the relationship between insulin resistance, fat deposition in the liver, muscle and abdomen, and liver injury due to CHC
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Caucasian male * Age: 25-55 years * Chronic Hepatitis C (PCR positive) and fibrosis ≤ F2 (if liver biopsy done) * Genotypes 1 or 3 * Due to commence antiviral therapy * BMI \< 30
Exclusion criteria
* Cirrhosis or F3 fibrosis on liver biopsy (if done) * \> 20 g ETOH per day * Type 2 Diabetes (need an OGTT if fasting BGL\> 5.7) * Concurrent HIV * Other cause of liver disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Insulin Resistance by euglycaemic hyperinsulinaemic clamp Liver fat, abdominal fat and muscle fat measures | 2 years |
Secondary
| Measure | Time frame |
|---|---|
| insulin resistance post treatment of Hep C | 2 years |
Countries
Australia