ASSESSMENT OF DOTS THERAPY IN PATIENTS WITH PULMONARY TUBERCULOSIS HAVING WELL CONTROLLED TYPE 2 DIABETES MELLITUS AND POORLY CONTROLLED TYPE 2 DIABETES MELLITUS
Journal Title: PARIPEX-Indian Journal of Research - Year 2017, Vol 6, Issue 12
Abstract
Diabetic persons are more susceptible to develop tuberculosis than non diabetics. What makes the diagnosis of combination difficult, is the fact that symptoms of complicating disease being masked by coexisting disease. Poor glycemic control helps in proliferation of tuberculosis and tuberculosis itself leads to poor glucose control. Thus both deteriorate each other. Directly Observed Treatment Short course has been found to be equally effective in patients with poorly controlled and well controlled type 2 DM. Method: The patients of either sex with pulmonary tuberculosis and associated diabetes mellitus admitted in medical ward. Pulmonary tuberculosis was diagnosed by examination of sputum for AFB and by clinical and radiological assessment. Diabetes mellitus was diagnosed from history, previous records and blood examination as per ADA criteria. Results: The cure rate was 80.30% in PTB with poorly controlled diabetic group and 85.29% in PTB with well controlled -diabetic group with failure rate of 19.70% and 14.71% in PTB with poorly controlled and with well controlled diabetic group respectively. Conclusion: Poorly controlled diabetic have an increased risk of developing tuberculosis as compared to well controlled diabetic and also they have relatively higher failure rate with DOTS. Both the disease affect each other and effective control of each affects the control of the other condition.
Authors and Affiliations
Dr Beerbhan Singh, Dr Pradeep Dwivedi, Dr Manoj Indurkar
Keywords
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