American Journal of Internal Medicine

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Prevalence of Diabetes Mellitus Among Tuberculosis Patients at Selected TB Centers in Mogadishu-Somalia

Received: 19 September 2023    Accepted: 16 October 2023    Published: 11 December 2023
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Abstract

Introduction: Diabetes mellitus was excessive life threat to those effected which can lead to death. Due to the quickly increasing number of cases diabetes worldwide, in recent years, the association between Diabetes and tuberculosis and its consequence to public health is interesting renewed and exhaustive attention. Diabetes is estimated to tripartite the risk of active tuberculosis cases. A prospective cross sectional study was performed to prevalence of mellitus among tuberculosis patients at selected Tb centers in Mogadishu Somalia. Methods: a prospective cross sectional study design, from 1stJuly 2021 to 30thAugust 2021, The study site was selected TB centers including Banadir, Manhal, Sacid, and Forlilin TB centers, in Mogadishu- Somalia, a sample of 180 TB patients were selected, using systematic random sampling technique, from four main referral public TB centers in Somalia, Data Collection Procedure. The study used both primary (structured questionnaire, anthropometric measurement, and fasting blood glucose test, data statistical analyzer software called statistical package for social science (SPSS) version 24, To control possible confounders, assess factors significantly associated with diabetes and variables associated with p< 0.05 in the Bivariate analysis were entered into the logistic analysis model. Statistical associations were asserted based on 95% CI and two-sided 5% level of significance (α< 0.05). Results: a total of 24 out 180 patients were diabetes comorbidity with tuberculosis, prevalence of 13.3%, according the mean age was 44.5 years with a standard deviation (SD) of 4.7. The findings clearly show that age four (≥61 years) {OR 4.036, 95% CI (1.74, 12.7), gender {OR 6.786, 95% CI (4.4, 19.16) (P-vale < 0.05) family history of diabetes (OR 9.2, 95% CI: (2.23, 37.98) p< 0.05 were found to have a significant association with diabetes mellitus. Conclusion: this study found that about most of the DM patients in this study were diagnosed for the first time during this study. Therefore, the concerned body should give attention to implementing diabetes screening and comprehensive chronic care at TB clinics as it might have a beneficial impact on TB control and management of diabetes mellitus.

DOI 10.11648/j.ajim.20231105.11
Published in American Journal of Internal Medicine (Volume 11, Issue 5, September 2023)
Page(s) 71-76
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Prevalence, Diabetes Mellitus, Tuberculosis, Mogadishu Somalia

References
[1] Kimambo HH. DIABETES MELLITUS AMONG PATIENTS WITH TUBERCULOSIS ATTENDING TB CLINICS IN DAR ES SALAAM MMed (Internal Medicine) Dissertation Muhimbili University of Health and Allied Sciences October, 2017 Muhimbili University of Health and Allied Sciences Departmen. 2017.
[2] Wang Q. A Double Burden of Tuberculosis and Diabetes Mellitus and the Role of Vitamin D Deficiency. 2019. 222 p.
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[4] Atlas IDFD. Idf diabetes atlas. 2019.
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[6] Jiménez-Corona ME, Cruz-Hervert LP, García-García L, Ferreyra-Reyes L, Delgado-Sánchez G, Bobadilla-Del-Valle M, et al. Association of diabetes and tuberculosis: Impact on treatment and post-treatment outcomes. Thorax. 2013; 68 (3): 214–20.
[7] Jeon CY, Murray MB. Diabetes mellitus increases the risk of active tuberculosis: A systematic review of 13 observational studies. PLoS Med. 2008; 5 (7): 1091–101.
[8] Martinez N, Kornfeld H. Diabetes and immunity to tuberculosis. Eur J Immunol. 2014; 44 (3): 617–26.
[9] Balakrishnan S, Vijayan S, Nair S, Subramoniapillai J, Mrithyunjayan S, Wilson N, et al. High Diabetes Prevalence among Tuberculosis Cases in Kerala, India. PLoS One. 2012; 7 (10): 1–7.
[10] Fajans SS, Bell GI, Polonsky KS. Molecular mechanisms and clinical pathophysiology of maturity-onset diabetes of the young. N Engl J Med. 2001; 345 (13): 971-980.
[11] Kautzky-Willer A, Harreiter J, Pacini G. Sex and gender differences in risk, pathophysiology and complications of type 2 diabetes mellitus. Endocr Rev. 2016; 37 (3): 278-316.
[12] Kleinberger JW, Pollin TI, Jellinger PS, et al. Monogenic diabetes in overweight and obese youth diagnosed with type 2 diabetes: the TODAY clinical trial. Genet Med. 2018; 20 (6): 583-590.
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[15] Li Y, Teng D, Shi X, Qin G, Qin Y, Quan H, et al. Prevalence of diabetes recorded in mainland China using 2018 diagnostic criteria from the American Diabetes Association: National cross sectional study. BMJ. 2020; 369.
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  • APA Style

    Gedi Sheikhow, M., Sheikh Yusuf, A., Gedi Ibrahim, I., Gedi Sheikhow, Y. (2023). Prevalence of Diabetes Mellitus Among Tuberculosis Patients at Selected TB Centers in Mogadishu-Somalia. American Journal of Internal Medicine, 11(5), 71-76. https://doi.org/10.11648/j.ajim.20231105.11

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    ACS Style

    Gedi Sheikhow, M.; Sheikh Yusuf, A.; Gedi Ibrahim, I.; Gedi Sheikhow, Y. Prevalence of Diabetes Mellitus Among Tuberculosis Patients at Selected TB Centers in Mogadishu-Somalia. Am. J. Intern. Med. 2023, 11(5), 71-76. doi: 10.11648/j.ajim.20231105.11

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    AMA Style

    Gedi Sheikhow M, Sheikh Yusuf A, Gedi Ibrahim I, Gedi Sheikhow Y. Prevalence of Diabetes Mellitus Among Tuberculosis Patients at Selected TB Centers in Mogadishu-Somalia. Am J Intern Med. 2023;11(5):71-76. doi: 10.11648/j.ajim.20231105.11

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  • @article{10.11648/j.ajim.20231105.11,
      author = {Mohamed Gedi Sheikhow and Abdisamad Sheikh Yusuf and Ismail Gedi Ibrahim and Yusuf Gedi Sheikhow},
      title = {Prevalence of Diabetes Mellitus Among Tuberculosis Patients at Selected TB Centers in Mogadishu-Somalia},
      journal = {American Journal of Internal Medicine},
      volume = {11},
      number = {5},
      pages = {71-76},
      doi = {10.11648/j.ajim.20231105.11},
      url = {https://doi.org/10.11648/j.ajim.20231105.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20231105.11},
      abstract = {Introduction: Diabetes mellitus was excessive life threat to those effected which can lead to death. Due to the quickly increasing number of cases diabetes worldwide, in recent years, the association between Diabetes and tuberculosis and its consequence to public health is interesting renewed and exhaustive attention. Diabetes is estimated to tripartite the risk of active tuberculosis cases. A prospective cross sectional study was performed to prevalence of mellitus among tuberculosis patients at selected Tb centers in Mogadishu Somalia. Methods: a prospective cross sectional study design, from 1stJuly 2021 to 30thAugust 2021, The study site was selected TB centers including Banadir, Manhal, Sacid, and Forlilin TB centers, in Mogadishu- Somalia, a sample of 180 TB patients were selected, using systematic random sampling technique, from four main referral public TB centers in Somalia, Data Collection Procedure. The study used both primary (structured questionnaire, anthropometric measurement, and fasting blood glucose test, data statistical analyzer software called statistical package for social science (SPSS) version 24, To control possible confounders, assess factors significantly associated with diabetes and variables associated with p Results: a total of 24 out 180 patients were diabetes comorbidity with tuberculosis, prevalence of 13.3%, according the mean age was 44.5 years with a standard deviation (SD) of 4.7. The findings clearly show that age four (≥61 years) {OR 4.036, 95% CI (1.74, 12.7), gender {OR 6.786, 95% CI (4.4, 19.16) (P-vale < 0.05) family history of diabetes (OR 9.2, 95% CI: (2.23, 37.98) p< 0.05 were found to have a significant association with diabetes mellitus. Conclusion: this study found that about most of the DM patients in this study were diagnosed for the first time during this study. Therefore, the concerned body should give attention to implementing diabetes screening and comprehensive chronic care at TB clinics as it might have a beneficial impact on TB control and management of diabetes mellitus.
    },
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Prevalence of Diabetes Mellitus Among Tuberculosis Patients at Selected TB Centers in Mogadishu-Somalia
    AU  - Mohamed Gedi Sheikhow
    AU  - Abdisamad Sheikh Yusuf
    AU  - Ismail Gedi Ibrahim
    AU  - Yusuf Gedi Sheikhow
    Y1  - 2023/12/11
    PY  - 2023
    N1  - https://doi.org/10.11648/j.ajim.20231105.11
    DO  - 10.11648/j.ajim.20231105.11
    T2  - American Journal of Internal Medicine
    JF  - American Journal of Internal Medicine
    JO  - American Journal of Internal Medicine
    SP  - 71
    EP  - 76
    PB  - Science Publishing Group
    SN  - 2330-4324
    UR  - https://doi.org/10.11648/j.ajim.20231105.11
    AB  - Introduction: Diabetes mellitus was excessive life threat to those effected which can lead to death. Due to the quickly increasing number of cases diabetes worldwide, in recent years, the association between Diabetes and tuberculosis and its consequence to public health is interesting renewed and exhaustive attention. Diabetes is estimated to tripartite the risk of active tuberculosis cases. A prospective cross sectional study was performed to prevalence of mellitus among tuberculosis patients at selected Tb centers in Mogadishu Somalia. Methods: a prospective cross sectional study design, from 1stJuly 2021 to 30thAugust 2021, The study site was selected TB centers including Banadir, Manhal, Sacid, and Forlilin TB centers, in Mogadishu- Somalia, a sample of 180 TB patients were selected, using systematic random sampling technique, from four main referral public TB centers in Somalia, Data Collection Procedure. The study used both primary (structured questionnaire, anthropometric measurement, and fasting blood glucose test, data statistical analyzer software called statistical package for social science (SPSS) version 24, To control possible confounders, assess factors significantly associated with diabetes and variables associated with p Results: a total of 24 out 180 patients were diabetes comorbidity with tuberculosis, prevalence of 13.3%, according the mean age was 44.5 years with a standard deviation (SD) of 4.7. The findings clearly show that age four (≥61 years) {OR 4.036, 95% CI (1.74, 12.7), gender {OR 6.786, 95% CI (4.4, 19.16) (P-vale < 0.05) family history of diabetes (OR 9.2, 95% CI: (2.23, 37.98) p< 0.05 were found to have a significant association with diabetes mellitus. Conclusion: this study found that about most of the DM patients in this study were diagnosed for the first time during this study. Therefore, the concerned body should give attention to implementing diabetes screening and comprehensive chronic care at TB clinics as it might have a beneficial impact on TB control and management of diabetes mellitus.
    
    VL  - 11
    IS  - 5
    ER  - 

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Author Information
  • School of Medicine and Surgery, Faculty of Health Sciences, Somaville University, Mogadishu, Somalia

  • School of Medicine and Surgery, Faculty of Health Sciences, Somaville University, Mogadishu, Somalia

  • Radiology Department, Somalia Turkish Research and Training Hospital, Mogadishu, Somalia

  • School of Medicine and Surgery, Faculty of Health Sciences, Somaville University, Mogadishu, Somalia

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