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ORIGINAL ARTICLE
Year : 2021  |  Volume : 10  |  Issue : 2  |  Page : 94-98

Assessment of risk of type 2 diabetes mellitus in tuberculosis patients using Indian diabetes risk score in rural area of Chittoor district: A cross-sectional study


Department of Community Medicine, Sri Venkateswara Institute of Medical Sciences, Sri Padmavathi Medical College for Women, Tirupati, Andhra Pradesh, India

Correspondence Address:
Dr. Chandrasekhar Vallepalli
Department of Community Medicine, Sri Venkateswara Institute of Medical Sciences, Sri Padmavathi Medical College for Women, Tirupati - 517507, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jdrntruhs.jdrntruhs_139_20

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Background: In India, there was an estimated 2.69 million new tuberculosis (TB) cases with 449,700 deaths in 2018 and it continues to be a major public health problem. Diabetes mellitus (DM) and poor glycemic control triple the risk of TB and adversely affect TB treatment outcomes. This study aimed to determine the risk of type 2 DM among TB patients registered under RNTCP using the Indian Diabetes Risk Score (IDRS). Materials and Methods: This was a community-based cross-sectional study conducted among 60 TB patients of rural field practice area of a medical college. A pretested semi-structured questionnaire with IDRS was used for the data collection. TB patients were categorized into low-risk, medium-risk, and high-risk categories of developing diabetes using the IDRS. Necessary statistical tests like simple proportions and Chi-square test were applied to test for association between categorical variables. Results: Of 60 TB patients, 19 (31.7%) were in high-risk category; 36 (60%) were in the medium risk category and 5 (8.3%) were in low-risk category of developing DM. Conclusion: Routine DM screening of TB patients in the community using IDRS is the most cost-effective tool where there are limited resources and infrastructure and also provides an early opportunity to decrease the twin burden of TB-DM.


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