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Home / Public Health Action, Volume 5, Number 2

Open Access Low prevalence of diabetes mellitus in patients with tuberculosis in Cotonou, Benin

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Setting: The three Basic Management Units (BMUs) of the National Tuberculosis Programme (NTP) in Cotonou, Benin.

Objective: To determine the prevalence of diabetes mellitus (DM) among tuberculosis (TB) patients in Cotonou.

Design: A cross-sectional study of consecutively registered TB patients treated for a minimum of 2 weeks between June and July 2014 in the three BMUs, with measurement of their fasting blood glucose (FBG). A patient was considered as having DM if venous FBG was 7 mmol/l or if they reported a known history of DM.

Result: There were 159 patients assessed: 114 with new smear-positive pulmonary tuberculosis (PTB), 5 with new smear-negative PTB, 8 with extra-pulmonary TB, 21 retreatment patients with fully susceptible bacilli and 11 with multidrug-resistant TB. Of these, respectively 31 (19%), 18 (11%) and 10 (6%) were human immunodeficiency virus co-infected, smokers and hypertensive. Eight patients (5%) had impaired fasting glucose and three (1.9%) had DM (FBG  7 mmol/l), of whom two were already known to have the disease and one was newly diagnosed.

Conclusion: DM may not be an important risk factor for TB in Cotonou. A larger study on TB and DM in the whole country is needed.

Keywords: Benin; diabetes mellitus; noncommunicable diseases; operational research; tuberculosis

Document Type: Research Article

Affiliations: 1: National Tuberculosis Programme, Cotonou, Benin, Service de Médecine Interne, Centre National Hospitalier Universitaire Hubert Koutoukou Maga, Cotonou, Benin, International Union Against Tuberculosis and Lung Disease, Paris, France 2: National Tuberculosis Programme, Cotonou, Benin 3: National Tuberculosis Programme, Cotonou, Benin, Service de Médecine Interne, Centre National Hospitalier Universitaire Hubert Koutoukou Maga, Cotonou, Benin 4: International Union Against Tuberculosis and Lung Disease, Paris, France, London School of Hygiene & Tropical Medicine, London, UK

Publication date: 21 June 2015

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  • Public Health Action (PHA), The Union's quarterly Open Access journal, welcomes the submission of articles on operational research. It publishes high-quality scientific research on health services, providing new knowledge on how to improve access, equity, quality and efficiency of health systems and services.

    The Editors will consider any manuscript reporting original research on quality improvements, cost-benefit analysis, legislation, training and capacity building, with a focus on all relevant areas of public health (e.g. infection control, nutrition, TB, HIV, vaccines, smoking, COVID-19, microbial resistance, outbreaks etc).

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