Screening of patients with tuberculosis for diabetes mellitus in China
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 m
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.
Document Type: Research Article
Affiliations: 1: Clinical Center on Tuberculosis, China CDC, Beijing, China 2: China Office, International Union Against Tuberculosis and Lung Disease, Beijing, China 3: Guangzhou Chest Hospital, Guangzhou, Guangdong Province, China 4: Xinjiang Chest Hospital, Urumuqi, Xinjiang, China 5: Shenyang Chest Hospital, Shenyang, Liaoning Province, China 6: Anding District CDC, Dingxi, Gansu Province, China 7: Shandong Chest Hospital, Jinan, Shandong Province, China 8: Medecins sans Frontieres, Medical Department, Operational Research Unit, Brussels Operational Center, Luxembourg, Luxembourg 9: World Diabetes Foundation, Gentofte, Denmark 10: Stop-TB Department, World Health Organization, Geneva, Switzerland
Publication date: 2012-10-01