Screening of patients with tuberculosis for diabetes mellitus in China.
Authors
Li, LLin, Y
Mi, F
Tan, S
Liang, B
Guo, C
Shi, L
Liu, L
Gong, F
Li, Y
Chi, J
Zachariah, R
Kapur, A
Lönnroth, K
Harries, A D
Affiliation
Clinical Center on Tuberculosis, China CDC, Beijing, China; China Office, International Union Against Tuberculosis and Lung Disease, Beijing, China; Guangzhou Chest Hospital, Guangzhou, Guangdong Province, China; Xinjiang Chest Hospital, Urumuqi, Xinjiang, China; Shenyang Chest Hospital, Shenyang, Liaoning Province, China; Anding District CDC, Dingxi, Gansu Province, China ;Shandong Chest Hospital, Jinan, Shandong Province, China; Medecins sans Frontieres, Medical Department, Operational Research Unit, Brussels Operational Center, Luxembourg, Luxembourg; World Diabetes Foundation, Gentofte, Denmark; Stop-TB Department, World Health Organization, Geneva, Switzerland; International Union Against Tuberculosis and Lung Diseases, Paris, France; London School of Hygiene and Tropical Medicine, London, UK.Issue Date
2012-07-25
Metadata
Show full item recordAbstract
Objective There is a high burden of both diabetes (DM) and tuberculosis (TB) in China, and this study aimed to assess feasibility and results of screening patients with TB for DM within the routine healthcare setting of six health facilities. Method Agreement on how to screen, monitor and record was reached in May 2011 at a stakeholders' meeting, and training was carried out for staff in the six facilities in July 2011. Implementation started in September 2011, and we report on 7 months of activities up to 31 March 2012. Results There were 8886 registered patients with TB. They were first asked whether they had DM. If the answer was no, they were screened with a random blood glucose (RBG) followed by fasting blood glucose (FBG) in those with RBG ≥ 6.1 mm (one facility) or with an initial FBG (five facilities). Those with FBG ≥ 7.0 mm were referred to DM clinics for diagnostic confirmation with a second FBG. Altogether, 1090 (12.4%) patients with DM were identified, of whom 863 (9.7%) had a known diagnosis of DM. Of 8023 patients who needed screening for DM, 7947 (99%) were screened. This resulted in a new diagnosis of DM in 227 patients (2.9% of screened patients), and of these, 226 were enrolled to DM care. In addition, 575 (7.8%) persons had impaired fasting glucose (FBG 6.1 to <7.0 mm). Prevalence of DM was significantly higher in patients in health facilities serving urban populations (14.0%) than rural populations (10.6%) and higher in hospital patients (13.5%) than those attending TB clinics (8.5%). Conclusion This pilot project shows that it is feasible to screen patients with TB for DM in the routine setting, resulting in a high yield of patients with known and newly diagnosed disease. Free blood tests for glucose measurement and integration of TB and DM services may improve the diagnosis and management of dually affected patients.PubMed ID
22830945Type
ArticleLanguage
enISSN
1365-3156ae974a485f413a2113503eed53cd6c53
10.1111/j.1365-3156.2012.03068.x
Scopus Count
Collections
Related articles
- Screening patients with diabetes mellitus for tuberculosis in China.
- Authors: Lin Y, Li L, Mi F, Du J, Dong Y, Li Z, Qi W, Zhao X, Cui Y, Hou F, Zachariah R, Kapur A, Lönnroth K, Harries AD
- Issue date: 2012 Oct
- Screening of patients with diabetes mellitus for tuberculosis in community health settings in China.
- Authors: Lin Y, Innes A, Xu L, Li L, Chen J, Hou J, Mi F, Kang W, Harries AD
- Issue date: 2015 Aug
- Screening of patients with diabetes mellitus for tuberculosis in India.
- Authors: India Diabetes Mellitus--Tuberculosis Study Group.
- Issue date: 2013 May
- Screening of patients with tuberculosis for diabetes mellitus in India.
- Authors: India Tuberculosis-Diabetes Study Group.
- Issue date: 2013 May
- Screening diabetes in tuberculosis patients in eastern rural China: a community-based cross-sectional study.
- Authors: Zhao Q, Xiao X, Lu W, Qiu LX, Zhou CM, Jiang WL, Xu B, Diwan V
- Issue date: 2016 Oct