Please use this identifier to cite or link to this item: http://ir.mu.ac.ke:8080/jspui/handle/123456789/4995
Title: Diabetes and pre-diabetes in tuberculosis patients in western Kenya using point-of-care glycated haemoglobin
Authors: Owiti, P.
Keter, A.
Harries, A. D.
Pastakia, S.
Wambugu, C.
Kirui, N.
Kasera, G.
Momanyi, R.
Masini, E.
Some, F.
Gardner, A.
Keywords: DCA Vantage
Prevalence
HbA1c
Issue Date: 2017
Publisher: International Union Against Tuberculosis and Lung Disease
Abstract: Setting: The tuberculosis (TB) clinics of five health facilities in western Kenya. Objective: To assess the prevalence and associated determinants of diabetes mellitus (DM) and pre-diabetes hyperglycaemia among adult TB patients using point-of-care DCA Vantage glycated haemoglobin (HbA1c) devices.Design: This was a cross-sectional study. Results: Of 454 patients, 272 (60%) were males, the median age was 34 years, 175 (39%) were co-infected with the human immunodeficiency virus (HIV), and the median duration of anti-tuberculosis treatment was 8 weeks; 180 (40%) patients reported at least one classical symptom suggestive of DM. The prevalence of DM (HbA1c 6.5%) was 5.1% (95%CI 3.2–7.5), while that of pre-diabetes (HbA1c 5.7–6.4%) was 37.5% (95%CI 33.1–42.2). The number needed to screen (NNS) was 19.6 for DM and 2.7 for pre-diabetes. Combined, 42.6% (95%CI 38.0–47.3) of the patients had either pre-diabetes or DM (NNS 2.3). Seven of the 23 patients with DM knew their prior DM status. Higher rates of DM were associated with age 40 years and a family history of DM, but not obesity, type of TB, HIV status or suggestive symptoms. Conclusions: High rates of pre-diabetes and DM were found in adult TB patients. This study supports the need for routine screening of all patients with TB for DM in Kenya
URI: https://doi.org/10.5588/pha.16.0114
http://ir.mu.ac.ke:8080/jspui/handle/123456789/4995
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