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Dipstick urinalysis for diabetes screening in TB patients
- Source :
- International health. 5(2)
- Publication Year :
- 2013
-
Abstract
- INTRODUCTION Diabetes knowledge among TB patients can contribute to improved TB treatment outcomes, but lack of diabetes diagnosis awareness is a limitation in developing countries. Given its low cost, the sensitivity of urine glucose dipsticks for diabetes screening in TB patients was assessed. METHODS Glycosuria was assessed in 90 newly diagnosed TB patients (38 with diabetes) in south Texas, USA (n = 20) and northeast Mexico (n = 70) during January 2009-December 2010. RESULTS Glycosuria was detected in 65% of the diabetic patients with chronic hyperglycemia (positive predictive value 91%, negative predictive value 84%). CONCLUSION We propose that TB clinics with limited budgets where portable glucometers may not be available conduct universal screening for diabetes with urine dipsticks. This could be followed by blood glucose or HbA1c testing in the subset of patients requiring confirmation or higher sensitivity assessment, to improve the comanagement of TB and diabetes.
- Subjects :
- Glycosuria
Adult
Blood Glucose
Male
medicine.medical_specialty
Health (social science)
Tuberculosis
Urinalysis
Adolescent
Short Communication
Collaborative Care
Urine
Internal medicine
Diabetes mellitus
medicine
Diabetes Mellitus
Humans
Mass Screening
Mexico
Mass screening
medicine.diagnostic_test
business.industry
Public Health, Environmental and Occupational Health
General Medicine
medicine.disease
Texas
Surgery
Glucose
Diabetes screening
Diabetes Mellitus, Type 2
Hyperglycemia
Female
medicine.symptom
business
Subjects
Details
- ISSN :
- 18763405
- Volume :
- 5
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- International health
- Accession number :
- edsair.doi.dedup.....ccb7eebf37bfe9c06dd92f010e6cbc09