Using data from Korea's National Health Insurance Service, a study examined the link between diabetes, fasting plasma glucose levels, and TB incidence among 4.4 million adults. Key findings include:[1]
- TB Risk Linked to Diabetes: TB incidence significantly varies with diabetes status, with a 48% higher risk in diabetic individuals. See also: https://tbreadingnotes.blogspot.com/2024/08/a-modelling-framework-to-support.html
- Duration Matters: The risk of TB increases with the duration of diabetes, with a 57% higher risk for those diabetic for 5 years or more.
- Demographic Variations: The association between diabetes duration and TB is stronger in men and younger adults. See also: https://tbreadingnotes.blogspot.com/2024/08/assessing-spatiotemporal-patterns-of.html
- FPG Levels in New Diabetics: Among new-onset diabetes patients, those with the highest FPG levels face a 79% increased risk of TB.
The study from the Taiwan NHIRD (2002-2013) showed:[2]
- Post-TB treatment, adults are at a higher risk for diabetes, AMI, and stroke, especially if treatment lasts 7-12 months.
- Age, gender, and pre-existing NCDs significantly predict these outcomes.
- Vigilant monitoring for NCDs is crucial following TB treatment.
References:
1. Yoo JE, Kim D, Han K, Rhee SY, Shin DW, Lee H. Diabetes status and association with risk of tuberculosis among Korean adults. JAMA network open. 2021 Sep 1;4(9):e2126099.
2. Salindri, A.D., Wang, J.Y., Lin, H.H. and Magee, M.J., 2019. Post-tuberculosis incidence of diabetes, myocardial infarction, and stroke: retrospective cohort analysis of patients formerly treated for tuberculosis in Taiwan, 2002–2013. International Journal of Infectious Diseases, 84, pp.127-130.
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