diabetes screening in tuberculosis patients hba1c - Screening for diabetes among TB patients urine testing for diabetes along with planning and implementation of preventive and curative strategies for both TB and diabetes are urgently needed A N et al Trends in HbA1c Prevalence of Diabetes Mellitus in Patients with Tuberculosis A Accuracy of diabetes screening methods used for people with Randomized Control Trial Reporting on Blood Glucose Control TBDM Patients with HbA1c of less than 8 at month 6 10 Mugabe F et al Screening tuberculosis patients for diabetes mellitus in a routine program setting in Kampala Uganda a crosssectional study F1000Res 2019 Jun 178872 Internet Accessed 21 March 2020 Trends in HbA1c levels and implications for diabetes screening in Evaluation of pointofcare algorithms to detect diabetes during The WHO and the American Diabetes Association Arlington VA USA recommend confirming a HbA1c test result of 65 within 2 weeks of the initial test 2526 In our study transient hyperglycemia was common despite the long halflife of HbA1c and HbA1c levels declined significantly during antituberculosis treatment in all participants The Interaction of Diabetes and Tuberculosis Translating Research to Trends in HbA1c levels and implications for diabetes screening in Effect of Tuberculosis TB and Diabetes mellitus DM integrated The World Health Organization WHO recommends DM screening for all patients with TB at the start of TB DM was diagnosed using the diagnostic criteria of FPG level of 126 mgdL or HbA1c 65 American Diabetes Association 2020 Clinical characteristics and demographic data were obtained including age sex comorbidity clinical Setting The optimal timing of screening for diabetes mellitus DM among tuberculosis TB cases is unclear due to the possibility of stress hyperglycemia Design We evaluated adult 18 years pulmonary TB cases at treatment initiation as well as at 3 months 6 months and 12 months pencegahan kolesterol DM was identified by selfreport known DM or glycated hemoglobin HbA1c 65 new DM However among patients with TB disease the best performing risk score identified by Grint et al included a twostep combination of RBG followed by POC HbA1c in patients with a glucose level of 110 mgdL 20 similar to the tiered screening strategy in our study Among 150 TBdiabetes patients with a median baseline HbA1c 11 compared to standard care use of a structured clinical algorithm led to much steeper decline of HbA1c with a difference of 182 HbA1c p 0001 and doubling the proportion of patients with an HbA1c 8 at six months Koesoemadinata under review This suggests good Conclusion Random plasma glucose followed by pointofcare HbA1c testing can accurately diagnose diabetes in tuberculosis patients particularly those with substantial hyperglycaemia while reducing the need for more expensive pointofcare HbA1c testing Risk scores with or without biochemical data may be useful but require validation Diabetes screening among active tuberculosis patients in Western Our study showed high prevalence of diabetes among active TB patients Diabetes screening at diagnosis of active TB presents as a good opportunity to detect diabetes even in low prevalence country and has become part of our standard care We measured HbA1c and random plasma glucose in patients with active TB We also collected details on Diabetes among tuberculosis patients and its impact on tuberculosis Diabetes among tuberculosis patients and its impact on tuberculosis Screening for diabetes among TB patients along with planning and implementation of preventive and curative strategies for both TB and diabetes are urgently needed Gupte AN et al Trends in HbA1c levels and implications for diabetes screening in tuberculosis cases undergoing treatment in India Int J cam therapy for diabetes Tuberc Lung Dis 201822800806
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