Association between Diabetes Mellitus and Tuberculosis as a Global Issue

Diabetes mellitus and tuberculosis are chronic diseases and their association is existing for thousands of years, although association is not causal, but precipitating to each other. As systemic reviews of many global databases suggest that diabetes mellitus increases the risk of tuberculosis three times & tuberculosis impaires the glucose tolerance levels (GTT), which in turn can lead to prediabetic stage & then diabetes mellitus. as per WHO report of 2014 there were 422 millions of diabetes mellitus cases in the world. It's likely to reach 624 millions by 2040 . There are 14.6 millions of tuberculosis cases & around 1.6 millions tuberculosis patients die each yr. Global databases suggests that there are 15% diabetics are associated with tuberculosis & 80-90%diabetic and tuberculosis patients are found in developing countries due to poverty, malnutrition, poor health & sanitation, political instability & govt's lackadaisical attitude. present strategy for screening, diagnosis & management of TB and diabetes mellitus is not halting the progression of Tuberculosis &diabetes, so we have to devise new strategy based on research and latest technology to deal with combo challenges, we have to make it compulsory for bidirectional screening, proper diagnosis & treatment & complete follow up of all the cases