RSSDI clinical practice recommendations for diagnosis, prevention, and control of the diabetes mellitus-tuberculosis double burden

  • Vijay ViswanathanEmail author
  • Sarita Bajaj
  • Sanjay Kalra
  • Sameer Aggarwal
  • Atulya Atreja
  • Dhruva Chaudhry
  • D. J. Christopher
  • A. K. Das
  • Sujoy Ghosh
  • Jubbin Jacob
  • Anil Kapur
  • M. V. Ajay Kumar
  • Satyavani Kumpatla
  • S. V. Madhu
  • B. M. Makkar
  • Salam Ranabir
  • Rakesh Sahay
  • P. K. Thomas
  • Mangesh Tiwaskar
  • Srikanth Tripathy
  • Zarir Udwadia
  • Sunny Virdi
  • Nevin Wilson


The International Diabetes Federation (IDF) estimates for 2015 revealed that 8.8% of the world’s population had diabetes mellitus (DM) and with 69.2 million people with DM, India ranked second in the world [1]. Globally, 10.4 million new cases of tuberculosis (TB) were estimated to have occurred in 2015 with India, Indonesia, China, Nigeria, Pakistan, and South Africa accounting for 60% of them [2]. There exists a strong epidemiological evidence base demonstrating the coexistence of DM and TB [3, 4, 5, 6, 7, 8]. This association between a globally prevalent non-communicable disease such as DM and a serious infectious disease (TB), endemic in developing nations is known to adversely impact the course of progression and treatment outcome for both diseases and is transforming into a “syndemic” necessitating synergistic management [4, 5, 9, 10]. A recently published systematic review identified several risk factors associated with the DM-TB comorbidity that included older age,...



The authors thank Priya Ganpathy, ISMPP CMPP™, for medical writing assistance and Sangita Patil, PhD, ISMPP CMPP™ (both SIRO Clinpharm Pvt. Ltd., India), for additional editorial support.


The preparation of this clinical practice recommendation was supported by Mankind Pharma Ltd., India.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Research Society for Study of Diabetes in India 2017

Authors and Affiliations

  • Vijay Viswanathan
    • 1
    Email author
  • Sarita Bajaj
    • 2
  • Sanjay Kalra
    • 3
  • Sameer Aggarwal
    • 4
  • Atulya Atreja
    • 5
  • Dhruva Chaudhry
    • 4
  • D. J. Christopher
    • 6
  • A. K. Das
    • 7
  • Sujoy Ghosh
    • 8
  • Jubbin Jacob
    • 9
  • Anil Kapur
    • 10
  • M. V. Ajay Kumar
    • 11
  • Satyavani Kumpatla
    • 1
  • S. V. Madhu
    • 12
  • B. M. Makkar
    • 13
  • Salam Ranabir
    • 14
  • Rakesh Sahay
    • 15
  • P. K. Thomas
    • 16
  • Mangesh Tiwaskar
    • 17
  • Srikanth Tripathy
    • 18
  • Zarir Udwadia
    • 19
  • Sunny Virdi
    • 20
  • Nevin Wilson
    • 11
  1. 1.M.V. Hospital for Diabetes and Prof. M. Viswanathan Diabetes Research Centre (WHO Collaborating Centre for Research, Education and Training in Diabetes)ChennaiIndia
  2. 2.MLN Medical CollegeAllahabadIndia
  3. 3.Bharti HospitalKarnalIndia
  4. 4.Pt Bhagwat Dayal Sharma Post Graduate Institute of Medical SciencesRohtakIndia
  5. 5.Maharishi Markandeshwar Institute of Medical Sciences and ResearchMullanaIndia
  6. 6.Christian Medical CollegeVelloreIndia
  7. 7.Jawaharlal Institute of Postgraduate Medical Education and ResearchPuducherryIndia
  8. 8.The Institute of Post-Graduate Medical Education and ResearchKolkataIndia
  9. 9.Christian Medical College and HospitalLudhianaIndia
  10. 10.World Diabetes FoundationGentofteDenmark
  11. 11.International Union Against Tuberculosis and Lung Disease, South-East Asia Regional OfficeNew DelhiIndia
  12. 12.University College of Medical Sciences and GTB HospitalNew DelhiIndia
  13. 13.Diabetes & Obesity CenterNew DelhiIndia
  14. 14.Regional Institute of Medical SciencesImphalIndia
  15. 15.Osmania Medical CollegeOsmania General HospitalHyderabadIndia
  16. 16.Apollo HospitalChennaiIndia
  17. 17.Shilpa Medical Research CentreMumbaiIndia
  18. 18.National Institute for Research in Tuberculosis (ICMR)ChennaiIndia
  19. 19.P.D. Hinduja National Hospital and Medical Research CenterMumbaiIndia
  20. 20.Ivy HospitalMohaliIndia

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