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Featured Nutrition Research Articles Issues 27-30 |
| Blood Glucose Abnormalities: I |  Blood
Glucose Abnormalities: II |
| Hepatitis
C & HIV Co-infection: I |
Hepatitis
C & HIV Co-infection: II |
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This issue is free in PDF Nutrition in Hepatitis C & HIV Co-infection: Part Two |
| Donna Tinnerello, MS, RD, CDN, Jennifer Muir Bowers, MS, RD, Stefanie Perelman, MS, RD. Refer to Part One of this article for biographies. |
| Editor's Note: Part One of this article highlighted
knowledge of HIV and HCV and discussed macronutrients and the liver. Part
Two presents information on the nutritional management of people living
with HIV and HCV.
This article was published in May 2001. |
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This issue is free in PDF Nutrition in Hepatitis C & HIV Co-infection: Part One |
| Donna Tinnerello, MS, RD, CDN, is an HIV specialist living in New York City. She works full time at Cabrini Medical Center, and is a consultant for A Better Place and Village Center for Care. Donna is the Chair-Elect of the American Dietetic Association's (ADA) HIV/AIDS Dietetic Practice Group (DPG #29) and a past chair of Nutritionists in AIDS Care (NIAC). Besides serving as a Senior Editor for the HIV ReSource Review, she is a member of the Virtual Faculty for Jennifer Jensen's Web Site and the Nutrition Editor at Always Your Choice. Jennifer Muir Bowers, MS, RD, CNSD earned a MS degree in Nutrition from Texas Woman's University. She works in the Department of Nutritional Sciences at the University of Arizona and is a Doctoral Candidate, majoring in Nutritional Sciences and minoring in Microbiology and Immunology. Jennifer worked for 9 years as a Clinical Dietitian, specializing in HIV infection. Stefanie Perelman, MS, RD, holds a BA in journalism from the University of Wisconsin-Madison and a MS in clinical dietetics from New York University. She presently works at New York University Medical Center in Manhattan. |
| Among all HIV infected individuals in the United States
approximately one-third are co-infected with the Hepatitis C virus (HCV).
HIV and HCV are both retroviruses and share a common route of transmission.
The relationships of these two viral infections are interactive. While
the immunosuppression associated with HIV infection exacerbates HCV, HIV
antiretroviral medications are hepatotoxic. Consequently, most of the co-infected
population will develop chronic hepatitis with 20-50%
progressing to cirrhosis and 1-2% developing hepatocellular cancer.
Therefore, there is a growing consensus that HCV should be considered an
AIDS defining opportunistic infection. The liver is critical to the metabolism
of most ingested nutrients, the manufacture of essential proteins and the
elimination of waste products. The goal of medical nutrition therapy (MNT)
in the HIV/HCV co-infected individual is the prevention of further hepatic
deterioration and the maintenance of proper nutrition to provide for hepatic
tissue regeneration and overall physical wellness.
This research article was published in March 2001. |
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This issue is free in PDF Blood Glucose Abnormalities In HIV-Positive People: Part Two |
| Wendy Wittenbrook, MA, RD, LD, Donna Tinnerello, MS, RD, CDN, and Sharon Ann Meyer, AA, AS, DTR, Certified HIV Counselor. Please refer to Part One of this article for biographies. |
| Editors Note: Part One of this article discussed
the incidence of diabetes and glucose abnormalities, insulin resistance,
and clinical trials of intensive treatment for diabetics. Part Two offers
information on dietary measures and supplement use for people living with
HIV (PLWHIV) who have DM.
This article was published in January 2001. |
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This issue is free in PDF Blood Glucose Abnormalities In HIV-Positive People: Part One |
| Wendy Wittenbrook, MA, RD, LD, lives in Plano Texas and works full time at the Texas Scottish Rite Hospital for Children in Dallas, TX. She specialized in HIV/AIDS nutrition for five years at community based AIDS service organizations in San Antonio, TX and Chicago, IL. Wendy is a Senior Editor for the HIV ReSource Review and the Secretary for the American Dietetic Association's (ADA) HIV/AIDS Dietetic Practice Group (DPG #29). Donna Tinnerello, MS, RD, CDN, is an HIV specialist living in New York City. She works full time at Cabrini Medical Center, and is a consultant for A Better Place and Village Center for Care. Donna is the Chair-Elect of DPG #29, a past chairperson of Nutritionists in AIDS Care (NIAC) and is on the board of directors of the AIDS Wasting Foundation. Besides serving as a Senior Editor for the HIV ReSource Review, she is a member of the Virtual Faculty for Jennifer Jensen's Web site and the Nutrition Editor at Always Your Choice. Sharon Ann Meyer, AA, AS, DTR, Certified HIV Counselor is the President of HIV ReSources, Inc. She is the Editor-In-Chief of the HIV ReSource Review, co-author of HIV Medications Food Interactions (And So Much More), and Nutrition Editor for NUMEDX journals. |
| Glucose abnormalities in HIV-positive people are a common
complication of medical treatment. These problems were largely due to medications
used to treat life threatening opportunistic infections and malnutrition
that occurred early in the HIV epidemic. Glucose abnormalities are now
one of the metabolic complications of protease inhibitor (PI) therapy,
the medical breakthrough shown to slow disease progression and lessen deadly
complications of AIDS (progressed HIV disease). Patients already taking
multiple combinations of potent medications several times a day may now
have another type of combination therapy to manage if they are diagnosed
with diabetes. Previous issues of the HIV ReSource Review have discussed
metabolic changes associated with the advent of highly active antiretroviral
therapy (HAART), particularly focusing on lipodystrophy (abnormal body
fat and fat redistribution), blood glucose alterations and cardiovascular
disease.
This two-part article builds upon previous information and reviews current knowledge of diabetes, glucose intolerance and insulin resistance along with treatment for diabetes in both HIV-positive and HIV-negative persons. It was published in November 2000 (Part One) and January 2001 (Part Two). |
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The HIV ReSource Review (issues 1-30) and HIV
Nutrition Update (issues 30-54) are peer-reviewed publications designed
for nutrition professionals and others interested in nutrition and HIV/AIDS.
First published on July 1, 1996, the newsletters still provide important, time-saving, HIV-related nutrition information. Feature articles are the result of original research, scientific literature searches, and searches on the World Wide Web. Article information is supplemented by reviewing conference proceedings and expert recommendations. |
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| Nancy Spaulding Albright, RD, LD, CNSD |
| Wendy Wittenbrook, MA, RD, LD |
| Donna Tinnerello, MS, RD, CDN
Web Site Affiliation(s)
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| In Spirit- Chester Myers, PhD |
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| Kevin Kelly, RD, LD
Web Site Affiliation(s)
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| Jason Stevenson, BS, Medical Researcher |
| Denise Li, BS |
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| Sharon
Ann Meyer, AA, AS, DTR, Certified HIV Counselor About
Sharon
Web Site Affiliation(s)
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