J Korean Diabetes Assoc.  2000 Dec;24(6):689-698.

The Serial Changes of Blood Glucose and Lipid Levels Following Allogeneic Bone Marrow Transplantation and Related Clinical Factors

• Lee WY
• Kang MI
• Oh ES
• Oh KW
• Son HS
• Yoon KH
• Cha BY
• Lee KW
• Son HY
• Kang SK
• Shin WS
• Min WS
• Kim CC

Abstract

BACKGROUND: In bone marrow transplantation (BMT), recipients are usually younger and immunosuppressants are open used in shorter period than in solid organ transplantation. Therefore, there might be a difference in glucose and lipid metabolism between BMT and solid organ transplantation. However, the serial changes of metabolic parameters following BMT have not been studied. There fore, the aim of this study is to investigate the serial changes of blood glucose, lipids and the putative factors that are related with these changes after BMT.
METHODS
We have prospectively investigated 43 patients who underwent allogeneic BMT . Fasting plasma glucose (FPG), total cholesterol, triglyceride and high-density lipoprotein (HDL) were measured before BMT, and at 1, 2, 3, 4, 12 weeks and 6 months after BMT. The serial changes of these metabolic parameters according to clinical factors including type of BMT, mean daily steroid dosage, and occurrence of graft versus host disease (GVHD) were examined.
RESULTS
1. Mean FPG level increased during 4 weeks after BMT and remained above basal value at post-transplant 6 months. Total Cholesterol level was increased during initial 4 weeks after BMT and was above basal value at post-BMT of 3 and 6 months. Triglyceride level was progressively increased during initial 4 weeks after BMT, but returned to basal value thereafter. HDL-cholesterol level was significantly decreased during initial 4 weeks after BMT, but returned to basal value thereafter. 2. Patients with FPG above 126 mg/dL at post-transplant 6 months were 7 out of 43 patients (16%). Comparing patients with FPG above 126 mg/dL and the other patients, the former received larger amounts of daily steroid and had lower HDL-cholesterol level. 3. The changes of metabolic parameters were different according to type of BMT, steroid dose, and occurrence of GVHD.
CONCLUSION
Although there was increase of FPG, TC, TG and decrease of HDL-C during initial 4 weeks after BMT, these metabolic changes recovered slowly thereafter. Immunosuppressants are thought to be associated with these changes. Further observation will be needed for the long-term effect of BMT on metabolic changes.

Keyword

Bone marrow transplantation; Metabolic parameters; Immunosuppressant

MeSH Terms

Blood Glucose*
Bone Marrow Transplantation*
Bone Marrow*
Cholesterol
Fasting
Glucose
Graft vs Host Disease
Humans
Immunosuppressive Agents
Lipid Metabolism
Lipoproteins
Organ Transplantation
Prospective Studies
Transplants
Triglycerides
Blood Glucose
Cholesterol
Glucose
Immunosuppressive Agents
Lipoproteins