A study to assess the blood glucose level amonguddiagnosed cases of tuberculosis registered at audtuberculosis unit of Bhopal city, Madhya Pradesh, India

摘要

Background: The incidence of diabetes mellitus (DM) is increasing worldwide, especially in developing countries whereudtuberculosis (TB) is most prevalent. Nearly one-third of world’s population is infected with Mycobacterium tuberculosis.udDiabetes and TB may complicate each other at many levels. Systematic review of screening conducted in multiple settingsudshowed that screening of patients with TB for DM also yielded high prevalence of diabetes ranging from 1.9% to 35%.udObjective: This study aimed to assess the blood glucose level among diagnosed cases of TB registered at a DistrictudTuberculosis Center in Bhopal.udMaterials and Methods: This study is a cross-sectional study carried out in a TB unit (District Tuberculosis Center),udBhopal, on all registered cases of TB above 18 years. All patients who gave their consent during the study period ofudOctober 2013 to March 2014 were includedudResults: Out of 260 subjects enrolled for this study, complete details and blood glucose values were available for 220udsubjects. Of the 220 subjects, 34 (15.4%) were found to have DM and 25 (11.3%) had previous diagnosis of DM; 9 (4.09%)udwere newly diagnosed. The prevalence of DM among patients with TB was significantly higher among males aged 450udyears and with pulmonary TB.udConclusion: Results of this study re-echo the need to raise awareness of screening for DM in persons with TB. Studyudfinding shows the high prevalence of DM in patients with TB in Bhopal, and that a significant proportion of patients with DMudmay not be aware of their glucose status. Screening of patients with TB for DM is feasible, effective, and comprehensiveudapproach that could lead to improved care and better patient outcomes.