Organ Transplant and Diabetes | Medical Algorithm

Patients who have received an organ transplant are at increased risk for developing new-onset diabetes mellitus.

Risk factors for new-onset diabetes mellitus after receiving an organ transplant:

(1) ethnic group (Black or Hispanic)

(2) family history of diabetes mellitus, in first degree relatives

(3) obesity

(4) history of glucose intolerance or gestational diabetes

(5) viral hepatitis C infection

(6) age > 40 years

(7) if renal transplant, a cadaver kidney

(8) type of immunosuppressive therapy (tacrolimus > cyclosporine, high dose corticosteroid therapy)

(9) dyslipidemia

Parameter	Finding	Points
ethnic group	Black	1
	Hispanic	1
	other	0
family history of diabetes	absent	0
	present	1
body weight	not obese	0
	obese	1
history of glucose intolerance or gestational diabetes	absent	0
	present	1
viral hepatitis C	absent	0
	present	1
age	<= 40 years of age	0
	> 40 years of age	1
immunosuppressive therapy	tacrolimus	1
	other	0
high dose corticosteroid therapy	no	0
	yes	1
dysplipidemia	absent	0
	present	1
source of organ (if renal transplant)	cadaver	1
	other	0

total number of risk factors =

= SUM(points for all of the parameters)

The risk for new-onset diabetes increases as the number of risk factors increase.

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Risk Factors for New-Onset Diabetes Mellitus After Organ Transplantation