Table 4.
Monitoring of metabolic disease after liver transplantation
Metabolic disease | Monitoring indicator | Target | Other related examination items |
Diabetes mellitus | FPG, HbA1c, and OGTT | FPG < 6.7 mmol/L, peak value < 8.88 mmol/L or HbA1c < 7% | Urinary protein, ophthalmoscopy, B-mode ultrasonography of the carotid artery, and coronary CT angiography |
Hypertension | Arterial pressure | Arterial pressure < 130/80 mmHg | 24-h ambulatory blood pressure, ECG, coronary CT angiography, urinary protein, ophthalmoscopy |
Dyslipidemia | LDL-C, TC, TG | LDL-C < 100 mg/dL; patients with cardiovascular risk factors, LDL-C < 70 mg/dL | ECG, B-mode ultrasonography of the carotid artery and coronary CT angiography |
Hyperuricemia | SUA | SUA < 360 μmol/L; patients with gout attack, SUA < 300 μmol/L | Urinary protein, serum creatinine, glomerular filtration rate, bilateral renal ultrasound, joint ultrasound, joint X-ray or CT |
Obesity | BMI | BMI < 25 kg/m2 | Coronary CT angiography and B-mode ultrasonography of the carotid artery |
CT: Computed tomography; ECG: Electrocardiogram; SUA: Serum uric acid; BMI: Body mass index; LDL-C: Low density lipoprotein cholesterol; TC: Cholesterol; TG: Triglycerides; FPG: Fasting plasma glucose; HbA1c: Glycated hemoglobin; OGTT: Oral glucose tolerance test.