European Journal of Biomedical and Pharmaceutical Sciences

TUBERCULOSIS UNMASKED HIDDEN DIABETES MELLITUS TYPE 2 IN A LEAN 48 YEARS MALE

Huma Ashraf*, Hifsa Sajid, Muhammad Furqan and Javed Iqbal

ABSTRACT

Diabetes Mellitus (DM), a highly prevalent disease, needs rigorous screening to improve patient outcomes. The majority of available screening criteria is validated on Caucasian populations where as the Pakistani population has its unique characteristic e.g. presence of DM at a lower BMI and a high prevalence of vitamin D deficiency (predisposing factor of DM). These factors need to be considered in a suspected case of DM. Late diagnosis of DM may result in complications like infections including active tuberculosis. Infectious processes can unmask DM by decreasing insulin levels and increasing insulin resistance, thereby presenting as one of the first manifestation of diabetes mellitus. The authors report a case of DM2 in a thin, lean patient with tuberculosis complicated by bronchiectasis unmasking DM2.

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