How can tuberculosis services better support patients with a diabetes co-morbidity?

Oliveira Hashiguchi, L., Cox, S.E., Edwards, T. et al. How can tuberculosis services better support patients with a diabetes co-morbidity? A mixed methods study in the Philippines. BMC Health Serv Res 23, 1027 (2023). https://doi.org/10.1186/s12913-023-10015-7

  • TB and diabetes are usually treated in separate facilities, which is a significant challenge in low- and middle-income countries (LMICs).
  • Financial constraints, including loss of employment due to TB and the out-of-pocket costs for diabetes medications, pose major barriers to diabetes self-management.
  • Financial incentives, such as participation allowances, are important for encouraging diabetes self-care and improving glycaemic control outcomes.
  • Health education about diabetes management offered through TB programs is beneficial but needs further enhancement with supportive resources.
  • There is a need for culturally appropriate messaging and information about the use of phytotherapies in diabetes management.
  • Often, individuals seek diabetes management information from the internet and community due to inadequate resources available through TB-DOTS (Directly Observed Treatment, Short-course) programs.
  • TB programs should consider monitoring and managing diabetes, especially in patients with previously diagnosed or advanced disease, to reduce the risk of diabetes-related catastrophic health costs during TB treatment.

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