The cause-effect relation of TB on incidence of DM [TB0121]
1. TB and Blood Glucose Regulation Impaired blood glucose tolerance can be normalized after the successful treatment of tuberculosis (TB), but it likely persists as a risk factor for developing type 2 diabetes mellitus (T2DM) in the future. The incidence of hyperglycemia in TB patients is attributed to stress, prolonged inflammation, changes in glucose and lipid metabolism, and insulin resistance (IR) syndrome. Active TB induces various immunometabolic changes, including increased inflammation, adipose tissue modulation, and elevated free fatty acid levels, leading to IR and potentially T2DM if not clinically managed. The prevalence of hyperglycemia in TB patients varies between 10% and 26%, depending on factors such as age, sex, and fasting blood glucose levels. 2. Lipid Metabolism and Insulin Resistance TB infection causes dysregulation of lipid metabolism, increasing circulating free fatty acid levels. This leads to ectopic lipid deposition in organs critical for glucose homeostasis