Detrimental association between diabetes and tuberculosis: An unresolved double trouble

Diabetes Metab Syndr. 2018 Nov;12(6):1101-1107. doi: 10.1016/j.dsx.2018.05.009. Epub 2018 May 23.

Abstract

Despite significant efforts made to control tuberculosis (TB) through DOTS program, the increasing burden of diabetes mellitus (DM) threatens the progress in reducing TB-related mortality, particularly in developing countries. In recent years, TB-DM comorbidity continues to remain high in countries where DM is on rampant. DM increases the risk of TB, reactivates the dormant TB and worsens the TB treatment outcome. The present review highlights the current findings regarding the prevalence and association of TB-DM comorbidity along with their public health implications. This review will increase the awareness among researchers, policymakers and clinicians, regarding the current scenario of TB-DM association.

Keywords: Clinical outcome; Diabetes; India; Prevalence; Tuberculosis.

Publication types

  • Review

MeSH terms

  • Antitubercular Agents / therapeutic use
  • Comorbidity
  • Diabetes Complications / drug therapy
  • Diabetes Complications / epidemiology
  • Diabetes Complications / etiology*
  • Disease Management
  • Humans
  • Hypoglycemic Agents / therapeutic use
  • Prevalence
  • Risk Factors
  • Tuberculosis / complications*
  • Tuberculosis / drug therapy
  • Tuberculosis / epidemiology

Substances

  • Antitubercular Agents
  • Hypoglycemic Agents