16.09.2017 | Guidelines
RSSDI clinical practice recommendations for diagnosis, prevention, and control of the diabetes mellitus-tuberculosis double burden
Erschienen in: International Journal of Diabetes in Developing Countries | Ausgabe 4/2017
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The International Diabetes Federation (IDF) estimates for 2015 revealed that 8.8% of the world’s population had diabetes mellitus (DM) and with 69.2 million people with DM, India ranked second in the world [1]. Globally, 10.4 million new cases of tuberculosis (TB) were estimated to have occurred in 2015 with India, Indonesia, China, Nigeria, Pakistan, and South Africa accounting for 60% of them [2]. There exists a strong epidemiological evidence base demonstrating the coexistence of DM and TB [3‐8]. This association between a globally prevalent non-communicable disease such as DM and a serious infectious disease (TB), endemic in developing nations is known to adversely impact the course of progression and treatment outcome for both diseases and is transforming into a “syndemic” necessitating synergistic management [4, 5, 9, 10]. A recently published systematic review identified several risk factors associated with the DM-TB comorbidity that included older age, sedentary occupation, cigarette smoking, alcohol consumption, both lower and higher body mass index (BMI), human immunodeficiency virus (HIV) co-infection, weight loss, hypertension, and familial history of DM or TB [11]. …Anzeige