Een Ika Syah Putri, Een Ika Syah Putri and Dwi Wahyu Indriati, Dwi Wahyu Indriati and Manik Retno Wahyunitisari, Manik Retno Wahyunitisari The prevalence of diabetes mellitus among hospitalized tuberculosis positive case admitted in Hajj Hospital, Surabaya, Indonesia. Malaysian Journal of Medicine and Health Science, 16 (1). pp. 235-239. ISSN 1675-8544

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Abstract

Introduction: Tuberculosis (TB) is the cause of significant health and death problems worldwide. Indonesia is known as the second highest country with TB burden in the world after India. The incident of TB is further increasing in diabetes mellitus patients. Diabetes mellitus disrupts the body’s immune function; thus, patients are more susceptible to infection, including TB. The purpose of this study was to determine the prevalence of diabetes mellitus history (DM) among newly diagnosed TB patients in Surabaya. Methods: 160 patients were grouped into two groups; the first group (67 patients) was positive for TB and diabetes mellitus, and the second group (93 patients) was positive for TB only. Data were collected from TB patients based on acid-fast bacilli stain (AFB) and positive Xpert MTB/RIFF. Blood glucose level was collected from 2hrPPG, and glycated hemoglobin (HbA1c). Results: The prevalence of TB related with DM history was 42% from 55 ± 9.52 years old. Patients with TB-DM showed poor glucose blood level, their 2hrPPG was 301.43 ± 126.80 mg/dl, and the HbA1c result (> 6.5%) was 82%. The rifampicin resistant level result was not significantly different between TB and TB-DM (4.4% and 3% respectively). Conclusions: Our results highlight the incidence of DM history in TB positive patient that was hospitalized in Hajj Hospital. Therefore, it is important to monitor the prevalence of DM in TB newly diagnosed cases to assist practitioner to choose better treatment while considering the risk of DM interference.

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