Promoting a healthy lifestyle, managing hyperlipidemia, diabetes mellitus, hypertension, and immunizations in patients with cirrhosis

David P. Nunes, Surakit Pungpapong

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Maximizing the general well-being of the patient with cirrhosis is an ongoing challenge, with limited information about the optimal approach. In this chapter, we discuss the management of some common comorbid conditions, including diabetes mellitus (DM), hypertension, and hyperlipidemia. We also review the approach to weight loss and exercise, as obesity and decreased physical fitness are significant concerns in this population and can have major negative consequences, including increased operative risk, higher rates of decompensation, and hepatocellular cancer. Finally, we summarize the current recommendations for vaccinations, an important component in the primary care of the patient with cirrhosis.

Original languageEnglish (US)
Title of host publicationComplications of Cirrhosis
Subtitle of host publicationEvaluation and Management
PublisherSpringer International Publishing
Pages281-288
Number of pages8
ISBN (Electronic)9783319136141
ISBN (Print)9783319136134
DOIs
StatePublished - Jan 1 2015

Keywords

  • Beta-blockers
  • Coffee
  • Diet
  • Exercise
  • Insulin
  • Metformin
  • Sulfonylureas

ASJC Scopus subject areas

  • Medicine(all)

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