SETTING: Diabetes clinics in three hospitals in Western Kenya: Moi
Teaching and Referral Hospital and two associated district hospitals.
OBJECTIVE: To determine the proportion of diabetes patients with a
history of tuberculosis (TB), human immunodeficiency virus (HIV)
infection and tobacco smoking.
DESIGN: A descriptive study using routinely collected data from patient
records in the three diabetes clinics.
RESULTS: Of 1376 patients analyzed, 750 (55%) were female. The mean age
of the patients in the clinics was 53.5 years (95%CI 52.2–54.8), with an
average duration of diabetes of 8.1 years (95%CI 7.6–8.7). Of all
patients, 5.6% reported a history of TB, similar to the frequency about
20 years earlier (1990) in Tanzania. Only 30% of the patients reported
knowing their HIV status; 6% were HIV-positive. A history of tobacco
smoking was reported by 3.8% of the patients.
CONCLUSION: The HIV epidemic does not seem to have significantly changed
the relationship between TB and diabetes mellitus (DM) in this cohort of
diabetes patients. The frequency of HIV and TB in this special
population was comparable to that in the general population, and only a
small proportion of patients reported a history of tobacco smoking.
Kirui, NK.; Pastakia, SD.; Kamano, JH.; , Cheng, S.; Manuthu, E.; Chege, P.; Gardner, A.; Mwangi, A.; Enarson, DA.; Reid ,AJ.; Carter, EJ. Important co-morbidity in patients with diabetes mellitus in three clinics in Western Kenya. Public Health Action (2012) 2 (4) 148-151. [DOI: 10.5588/pha.12.0031]
Important co-morbidity in patients with diabetes mellitus in three clinics in Western Kenya.