DOI: 10.14260/jemds/2014/3026 ORIGINAL ARTICLE J of Evolution of Med and Dent Sci/ eISSN- 2278-4802, pISSN- 2278-4748/ Vol. 3/ Issue 29/July 21, 2014 Page 8155 PREVALENCE OF DIABETES MELLITUS IN TUBERCULOSIS PATIENT: A TERTIARY CARE CENTRE STUDY FROM CENTRAL INDIA Bhupendra Kumar Ratre 1 , Arun Kumar Shrivastava 2 , Narmada Prasad Patel 3 , Roopesh Jain 4 , Pranav Raghuvanshi 5 , D. P. Singh 6 , Umesh Patel 7 HOW TO CITE THIS ARTICLE: Bhupendra Kumar Ratre, Arun Kumar Shrivastava, Narmada Prasad Patel, Roopesh Jain, Pranav Raghuvanshi, D. P. Singh, Umesh Patel. “Prevalence of Diabetes Mellitus in Tuberculosis Patient: A Tertiary Care Centre Study from Central India”. Journal of Evolution of Medical and Dental Sciences 2014; Vol. 3, Issue 29, July 21; Page: 8155-8161, DOI: 10.14260/jemds/2014/3026 ABSTRACT: INTRODUCTION: The coexistence of diabetes and tuberculosis is common and challenge to the community. Diabetes predisposes to tuberculosis and treatment often become complicated. Though the prevalence of tuberculosis is decreasing due to success of combination chemotherapy but coexistence of diabetes with tuberculosis poses a threat to success of anti-tubercular program. India has huge burden of the both diabetes and tuberculosis. We did a prospective study to know the prevalence of diabetes in tuberculosis patients in a tertiary care hospital. MATERIAL AND METHOD: We recruited the patient with tuberculosis in department of general medicine and department of TB and Chest. We screened them for diabetes with fasting blood sugar. RESULTS: Out of total 419 patients who were included in the study 135 patients were found to be diabetic. A prevalence of 32.2% was found in the study. CONCLUSION: The prevalence of diabetes in tuberculosis is very high as compared to that of general population. We recommend that the entire tubercular patients should be screened for diabetes and vice versa at the time of diagnosis, and effective management of both diseases will leads to improve treatment outcome. KEYWORDS: Diabetes Mellitus, Tuberculosis, Fasting Blood Sugar (FBS), Anti-Tubercular Treatment (ATT), Sputum. INTRODUCTION: The association of diabetes mellitus and tuberculosis is known since ages. Both the disease present challenge to community due to associated morbidity and mortality. Indian subcontinent contribute big share to the total prevalence of both the diseases globally. The tuberculosis control program has been able to achieve good cure rates in tuberculosis patients without any co morbid conditions. Diabetes mellitus in tuberculosis present tough challenge to the success of anti-tubercular therapy and overall cure rates. The incidence and prevalence of diabetes is increasing explosively in Southeast Asian countries. So it is expected that population with diabetes and tuberculosis will increase. Approximately 95% of tubercular patients and 70% of diabetic patients are living in low and middle socio-economic population all over the world 1, 2 . India is currently hosting huge disease burden of tuberculosis and diabetes mellitus both. Worldwide 33% of population is infected with tubercular bacteria, 8.6 million peoples developed tuberculosis, and 1.3 million people die annually because of this. 3 In India 3.1 million persons are diagnosed to have tuberculosis with mortality rate of 0.32 million per year. 4 Globally India constitute 20 -25 % cases of all tubercular patients. 4 India is having the second large population of diabetic patients in the world.