African Health Sciences
Makerere University Medical School
Vol. 18, No. 4, 2018, pp. 884-890
Bioline Code: hs18108
Full paper language: English
Document type: Study
Document available free of charge
African Health Sciences, Vol. 18, No. 4, 2018, pp. 884-890
© Copyright 2018 - Gadallah et al.
Screening for diabetes among tuberculosis patients: a nationwide population-based study in Egypt|
Gadallah, Mohsen; Amin, Wagdy; Fawzy, Magdy; Mokhtar, Alaa & Mohsen, Amira
Background: The prevalence of type 2 diabetes mellitus (DM) is increasing rapidly in Egypt and considered one of the major
health problems in the Eastern Mediterranean region.
Objectives: To measure the prevalence of diabetes and detect the undiagnosed cases of diabetes mellitus among patient with
Methods: Study Design: Nationwide population-based study. To diagnose DM among TB patients, we used a fasting blood
sugar level of ≥ 126 mg/dl and a post-prandial blood glucose test result of ≥ 200 mg/dl.
Results: Screening for DM among 1435 TB patients' with no history of DM detected 30 new cases of DM, with a case detection
rate of 2.09%. The highest screening yields were among TB patients aged ≥ 40 years, females and those with pulmonary TB. The
number needed to screen (NNS) TB patients for detecting one new case of DM was 48 while the lowest values were for older
age (NNS=27) and females (NNS=29).
Conclusion: Older age and being females and those with pulmonary type of TB were more prone to the double burden of TB
and DM. Identifying cases with double burden of diseases will improve the proper management of both diseases and prevent
Screening test; diabetes mellitus; tuberculosis.