The prevalence and management of helminthiasis among HIV/AIDS hospitalized patients in Muhimbili National hospital.

Background. Diabetes Mellitus (DM) is a growing health problem whose treatment is lifelong and expensive. Published report from elsewhere indicate that its incidence is fueled by changes in life style, HIV infection and antiretroviral treatments. Changes from a more active to sedentary life style, HIV infection and hence ART uses are also growing problems in our country. It is therefore important to determine the magnitude of contribution of each of these risk factors as predict ors of diabetes mellitus, we therefore aimed at determining odds of developing DM among HIV patients compared to dietary and life style preference as well as to determine the factors influence time to develop diabetes mellitus. Methods. This was a retrospective case control study where by information were collected from patient files from 2004 to 2012. All patient data were retrieved from patient files and other hospital records available. The information collected from patient files included: Date of birth, weight, height, social history, HIV status, age at diagnosis of HIV status, CD4, age at initiation of ARV, CD4 and ARVS used. Results. Among 342 patients files reviewed, 240(70%) were for female and l02 (30%) were for Male. The odds of developing diabetes mellitus type 2 was 2 times more likely for female compared to male(p=0.001),and 1.8 times more likely for people having jobs compared to those who ha ve no jobs(p=0.026) ,Hazard ratio for diabetes mellitus diagnosis was 2 times higher for HIV+D M compared to DM only at (p=0.001), hazard ratio was 1.5 times higher for female, compared to male at (p=0.048) andl.7 times higher for married group compared to unmarried group. The mean age at diabetes mellitus diagnosis was lower in HIV+DM (43years) compared to DM only (48years) at p=0.001.Conclusion. Odds of developing diabetes was higher in female compared to male