Doctor would rather have HIV than diabetes

[hotguyinTX]

Not sure if this is appropriate thread but the point of the story is that HIV has gotten to the point where POZ people are living virtually normal lifespans while people with diabetes die ten years younger. This doctor wrote saying if he had a choice - he'd rather have HIV than diabetes.

http://www.spectator.co.uk/features/9185591/why-id-rather-have-hiv-than-diabetes/

[elf]

I'd rather have diabetes.
People with diabetes can date and marry with no problems, have a family, like my father did.

[wolfter]

We've already been hotly debating this. 

http://forums.poz.com/index.php?topic=53585.0

[Mishma]

I don't want either one.

[xinyuan]

I answered before. It's like picking your poison. Most of us would rather neither.

Unfortunately with HIV, you can get both. There is an association.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3025836/

I didn't mention it in the other thread, but I will do so here.

Protease inhibitors (PI) have been implicated in the development of insulin resistance, which eventually leads to diabetes. Some of the older nucleoside reverse transcriptase inhibitors (NRTI), too. Early signs of these effects are detected in cholesterol profile patterns.

The effects of newer agents on cholesterol profiles have been for more benign.


The real question is "Which is the worse disease?" If you asked me a few years ago, I would have said HIV. Because HIV -> cART -> Metabolic disorders -> Diabetes (a two-for-one deal). The alternative was dying with AIDS. Now, the treatment landscape has changed, and we don't fully know long-term consequences of the newer agents. Still, they already show promise over older ones.