Abstract
Yanis Ben Amor and Timothy Sullivan call for more research to examine whether the diagnosis and treatment of diabetes in TB patients may improve TB outcomes and patient survival.
Highlights
Tuberculosis (TB) kills more than 3,500 people each day worldwide, leading to approximately 1.4 million deaths every year [1]
In 2011, the World Health Organization (WHO) and The International Union Against Tuberculosis and Lung Disease released a report acknowledging the association between TB and diabetes and calling for increased collaboration between TB and diabetes control efforts [9]
Should the TB community pursue diabetes primary prevention in patients without active TB, since diabetes is clearly a risk factor for active TB, or should the focus be on treating diabetes in those who develop TB? And, if diabetes treatment is incorporated with TB care, who would fund the long-term management of diabetes in these patients after the TB is treated? Considering the current funding challenges, the co-management of the two diseases could initially be limited to patients with active TB while they are being treated for their TB, which served as reference for our funding estimates
Summary
Tuberculosis (TB) kills more than 3,500 people each day worldwide, leading to approximately 1.4 million deaths every year [1]. Many studies show that diabetes may be associated with an increased risk of developing active TB [4,5,6], and that TB patients who have diabetes may have higher rates of treatment failure and death [7,8]. These findings have led some to wonder if the diagnosis and treatment of diabetes in TB patients may improve TB outcomes. The Policy Forum allows health policy makers around the world to discuss challenges and opportunities for improving health care in their societies
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