Glossary

combination therapy – using three or more drugs together to treat HIV. It is also called triple therapy, cART (combination antiretroviral therapy)  or HAART (highly active antiretroviral therapy).

intrapartum refers to the last stages of during pregnancy when the baby is born. These are labour and delivery (or chold birth). Intrapartum can refer to both the baby and the mother.

See: antepartum and postpartum.

active – an active drug is a drug that still works to reduce viral load. The virus is still sensitive to that drug.

tropism – the type of coreceptor used by HIV in order to attach to and then infect a cell. If HIV uses the CCR5 coreceptor on the surface of the a CD4 cell it is called R5-tropic. If it uses the CXCR4 co receptor it is called R4-tropic). Early HIV infection is usually R5-tropic but over time, especially in late disease (if CD4 counts drop to less than 50 cells/mm3) the virus shifts to being X4-tropic.  Mixed tropic refers to a having some viruses that use R5 and some that use X4.

diabetes – when the body either does not produce enough insulin (a hormone that helps the body turn sugar into energy) or is not responding to insulin (insulin resistance). There are two main types of diabetes and they have different mechanisms and treatments.

Type-1 is mainly reported in children but can also occur in adults and is linked to genetic risks.

Type-2 is mainly reported in adults (but increasingly in children) and is more commonly related to lifestyle factors including diet, exercise, weight/BMI. Some medications can increase the risk of Type-2 diabetes.

Diabetes can also be a side effect, including from some early HIV drugs, and this is sometimes referred to as a third type. This is because it was primarily caused as a side effect, rather than being driven by either lifestyle factors or genetics.

Other commonly-used drugs that can affect glucose regulation include corticosteroids and some drugs to reduce high blood pressure, or lipids.