The double burden of tuberculosis and diabetes prevalance of diabetes melitus in tuberculosis

dc.contributor.authorKhare, Rajesh Kumaren_US
dc.contributor.authorKatiyar, Viveken_US
dc.date.accessioned2020-04-09T07:39:12Z
dc.date.available2020-04-09T07:39:12Z
dc.date.issued2018-01
dc.description.abstractBackground: The burden of diabetes mellitus is increasing worldwide. The prevalence of TB has been rising in recent years globally. Aging, changes in life style, socioeconomic factors, and population growth have lead to an increased prevalence of DM, particularly, type 2 DM. Diabetes Mellitus (DM) almost triples the risk of developing tuberculosis (TB). India, the nation with the highest number of TB cases in the world, is also undergoing epidemic growth in DM rates. With the demographic transition underway globally, increase in life expectancy, improvements in provision of health services and a subsequent increase in the elderly population, the absolute numbers of cases of diabetes will increase exponentially. As a result, DM and TB are increasingly present together, and this calls for renewed interest in this topic. Various studies done in different parts of India and in other parts of globe where TB is endemic have shown a higher prevalence of DM among PT infected with tuberculosis. We in our study undertaken in Department of medicine in IIMS&R Lucknow UP found a high prevalence of DM amongst TB patients. Routine screening of TB patients for DM will help detect cases of diabetes and pre-diabetes early, so that primary prevention methods may be initiated early and effectively.Methods: This hospital-based cross-sectional study was undertaken in Department of medicine in IIMS and R Lucknow UP. All TB cases more than 18 years of age, including new and re-treatment cases, sputum positive, sputum negative and extra-pulmonary cases currently on treatment in the were included in the study.Results: Using the diagnostic criteria, as mentioned in the methodology, the prevalence of diabetes among TB patients in this study was found to be 24.5% of which 18.5% were known DM cases and 5.9% were newly diagnosed.Conclusions: The burden of diabetes mellitus is increasing worldwide. The association between diabetes and tuberculosis is the next challenge for global tuberculosis control. Improved understanding of the bidirectional relationship of the two diseases is necessary for proper planning and collaboration to reduce the dual burden of diabetes and TB. In people with TB, it may be appropriate to actively screen for DM. Prevention, screening, and treatment of both diseases together is more effective.en_US
dc.identifier.affiliationsDepartment of Medicine, Integral Institute of Medical Sciences and Research, Lucknow, Uttar Pradesh, Indiaen_US
dc.identifier.citationKhare Rajesh Kumar, Katiyar Vivek. The double burden of tuberculosis and diabetes prevalance of diabetes melitus in tuberculosis. International Journal of Advances in Medicine. 2018 Jan; 5(1): 115-119en_US
dc.identifier.issn2349-3925
dc.identifier.issn2349-3933
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/193873
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber1en_US
dc.relation.volume5en_US
dc.source.urihttps://dx.doi.org/10.18203/2349-3933.ijam20180068en_US
dc.subjectDiabetesen_US
dc.subjectPrevalenceen_US
dc.subjectRisk factorsen_US
dc.subjectTuberculosisen_US
dc.titleThe double burden of tuberculosis and diabetes prevalance of diabetes melitus in tuberculosisen_US
dc.typeJournal Articleen_US
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