1Associate Professor, Department of Community Medicine, The Oxford Medical College and Research Centre, Yadavahalli, Attibele, Bangalore
2Assistant Professor, Department of Community Medicine, ESIC-MC & PGIMSR, Rajajinagar, Bangalore
3State TB Officer, Tamil Nadu
*Corresponding author Shivaramakrishna HR, Associate Professor, Department of Community Medicine, The Oxford Medical College and Research Centre, Yadavahalli, Attibele, Bangalore E MAIL ID-srkholur 1979@gmail.com Phone-919900682426
Online published on 14 October, 2016.
An increased co morbidity of Tuberculosis (TB) and Diabetes (DM) has been observed in recent times globally. India too is likely to face the full impact of these growing co-epidemics.
The objective of this study was 1. To estimate the prevalence of DM among TB patients.
2. To find out the risk factors existing among TB-DM cases.
A facility-based cross-sectional study was done in 4 randomly selected Government Medical Colleges in Tamil Nadu, India from January to June 2014. Data was collected using the WHO-STEPS Questionnaire from 728 TB patients who were on DOTS treatment. For screening Diabetes, a fasting glucose level of >126mg/dl was considered. Analysis of data was done using SPSS version 16.0
Out of the 728 patients studied 244 (33.5%) were found to be diabetic. Majority of the cases were males (516, 70.9%). There were 161 (22.1%) who were known diabetics and 83 (11.4%) were newly diagnosed diabetics. There were 117(48.7%) of DM with TB patients who had family history of DM. Risk factors for occurrence of Diabetes in TB cases was found to be family history of Diabetes (p<0.001), older age group (p=0.003) and sputum positive cases on Cat I treatment (p<0.001).
High prevalence of DM (33.5%) in TB patients. There is an urgent need to include screening of DM among TB patients. The National Non Communicable Disease Control Programme and RNTCP should work together to tackle this co-epidemic.
Tuberculosis, Diabetes Mellitus, Prevalence, Risk Factors, Medical Colleges
