6.6 Tuberculosis and diabetes

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Patients with diabetes are more vulnerable to develop TB. Comorbidity with TB and Diabetes tends to worsen the outcomes of both the diseases. Studies have shown that there is increased morbidity and mortality in patients who have TB & diabetes co-morbidity. Therefore, early diagnosis and management of TB in diabetics as well as diagnosis and proper glycaemic control of diabetes in patients with TB is important to improve outcome of TB treatment.

Treatment of TB is the same as for non-diabetics. It is important to assess renal function and patients with renal function impairment should be managed as described above. During the course of anti-TB treatment, blood sugar levels due to diabetes should be strictly controlled, preferably with insulin.