Department of Community Medicine, J J M Medical College, Davangere, Karnataka, India
*Corresponding author: Sarvamangala K, Assistant Professor, Department of Community Medicine, J J M Medical College, Davangere-577004. Karnataka, India. E-mail: mangalask02@gmail.com, Mob: +9449813380
Online published on 9 May, 2014.
India is experiencing a double epidemic of HIV and Diabetes Mellitus (DM), both of which are strongly associated with immune suppression. Although more focus is given on TB HIV co-infection other underlying factors such as Diabetes mellitus can compromise the immune status and is associated with TB. The global burden of DM is increasing and in India it is projected to rise in future which can lead to new tuberculosis cases.
1) To know the occurrence of Type2 DM and HIV among TB patients. 2) To know the Bio social profile of TB patients.
Cross-sectional study done on 182 pulmonary TB and 18 extra-pulmonary TB patients Pulmonary TB diagnosed by sputum smear microscopy. Extra-pulmonary TB diagnosed radiological/culture/PCR. Diabetes from history, previous records and blood examination as per ADA criteria (2010)4
Cross-sectional descriptive
200 Tuberculosis patients
September 2011- December 2011
Percentage and chi-square
Mean age of 200 TB patients was 46.4 years.89% were sputum positive pulmonary TB, 10% were Extra-pulmonary TB. 17% had Type2 Diabetes Mellitus for a mean duration of 6 years, majority diagnosed after TB. Mean GRBS was 143.7 mg/dl 11% were HIV positive. Only 1 (0.05%) had both TB+HIV.
Though more importance is being given to HIV-TB co-infection, this study has shown higher preponderance of DM compared to HIV and this may adversely affect TB control. Integrating TB and diabetes control Programs would facilitate TB prevention among diabetes patients.
Comorbidities, Tuberculosis, Type2diabetes Mellitus
