Correlation of viral load of Hepatitis B with the gestation period and the development of diabetes mellitus

摘要

Objective To elaborate how the viral load of HBV affects the gestational diabetes mellitus (GDM). Methods We enrolled 196 chronic HBV-infected pregnant patients in this hospital between January 2012 and December 2017 for delivery in this study. According to the viral load of HBV-DNA, these patients were divided into the HBV-DNA negative group (n?=?107, 1?×?10sup3/sup?copies/mL) and HBV-DNA positive group (n?=?89, ≥1?×?10sup3/sup?copies/mL). Simultaneously, 100 HBV-free pregnant women who were admitted to the hospital for delivery were included in the control group. Before delivery, fasting venous blood was drawn from the pregnant women to perform the HBV-DNA quantification through qRT-PCR; from the 24th to 28th gestation week, all pregnant women underwent OGTT, with the third-trimester-of-pregnancy as the endpoint. Besides, we also measured the FBG, 2hPG and hemoglobin A1c (HbAIc). Results Among 168 pregnant patients carrying chronic HBV, viral load of 107 patients was less than 1?×?10sup3/sup copies/mL (54.6%), and 89 not less than 1?×?10sup3/sup copies/mL (45.4%). The incidence rates of GDM in the HBV-DNA negative group and HBV-DNA positive group were 18.7% and 19.1%, respectively, significantly higher than that in the control group ( p ??0.05), while the difference of the incidence rates of GDM between two HBV-DNA groups were not significant ( p ??0.05). In HBV-DNA negative group and HBV-DNA positive group, FBGs, 2hPGs and HbAIcs were respectively (6.96?±?0.36) mmol/L and (7.04?±?0.37) mmol/L, (10.26?±?1.29) mmol/L and (10.16?±?1.12) mmol/L, and (8.66?±?0.97) % and (8.91?±?0.90) %, significantly higher than (4.57?±?0.34) mmol/L, (6.16?±?0.86) mmol/L and (5.13?±?0.57) % ( p ??0.05); however, between two HBV-DNA groups, comparisons of the FBG, 2hPG and HbAIc suggested no significant differences ( p ??0.05). In 196 patients carrying chronic HBV, positive correlations were identified between the viral load of HBV-DNA, and FBG, 2hPG and HbAIc ( p ??0.01). Conclusion HBV infection can increase the incidence rate of GDM, and the viral load of HBV-DNA is correlated with the glucose level of pregnant patients.