Assessment of periodontal status in adults with diabetes mellitus

Background: Diabetes mellitus is a group of chronic metabolic disorders known to exhibit a myriad of complications over a period of time. Periodontal disease is the sixth most common complication in diabetic patients. The aim of the study was to assess the periodontal status of adult diabetic patients.Methods: 100 diabetic patients in the age group of 25-80 years fulfilling the inclusion criteria were examined by a calibrated WHO CPI probe to assess their periodontal status as per the scoring criteria of the community periodontal index. Student t test, Chi square test and ANOVA F were applied for statistical analysis. p>0.05 was considered not significant and p<0.01 was considered highly significant.Results: A prevalence of 73% periodontitis was found in diabetic study population with statistically high significance (p=0.001) found according to age. A total of 52% Shallow pockets and 15% Deep pockets were reported respectively in middle (41-56 years) and older (57-80 years) age groups. Further, 47% male population was found to have statistically significant (p=0.027) more periodontitis (shallow and deep periodontal pockets) compared to female (26%) population.Conclusions: Within limitations of the study it may be safely concluded that assessment of periodontal status of DM patients revealed chronic periodontal destruction particularly in age groups beyond 40 years in majority of study population depicting that age is significantly associated with the increased prevalence and severity of periodontal disease in patients with diabetes.

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GAMBARAN PENYAKIT PERIODONTAL PADA PENDERITA DIABETES MELITUS DI RUMAH SAKIT UMUM PUSAT PROF. DR. R. D KANDOU MANADO

e-GIGI ◽

10.35790/eg.3.2.2015.10399 ◽

2015 ◽

Vol 3 (2) ◽

Author(s):

Ezra G. R. Tambunan ◽

Karel Pandelaki ◽

Christy N. Mintjelungan

Keyword(s):

Diabetes Mellitus ◽

Periodontal Disease ◽

Metabolic Diseases ◽

Age Groups ◽

Evaluation Criteria ◽

Sampling Technique ◽

Oral Health Problem ◽

Result Show ◽

Patients With Diabetes ◽

Diabetes Melitus

Abstract: Diabetes mellitus (DM) is a group of metabolic diseases with characteristic hyperglycemia that occurs due to insulin secretion, insulin action or both. This disease affects many societies and continuously growing in Indonesia. Periodontal disease is an oral health problem which has a relatively high prevalence in the community where periodontal disease in all age groups in Indonesia.The purpose of this study was to determine the periodontal disease in patients with diabetesmellitus in RSUP Prof. dr. R. D. Kandou Manado. This descriptive study has 68 sample taken with total sampling technique. The sample is examined using evaluation criteria gingival index and CPITN index. The result show that subjects with periodontitis with a score of 4 is the highest as many as 18 people (44%) and subject with a score of 2 is that at least as many as 8 people (19.5%). And subjects with bad gingivitis is the highest as many as 10 people (52.6%) and subject with the good gingivitis is the at least as many as 5 people (26.3%). Based on the result of this study, periodontal disease in patients with diabetes mellitus in RSUP Prof. Dr. R. D. Kandou most that periodontitis with the number of 41 people (68.3%) compared to gingivitis which is just as many as 19 people (31.7%)Keywords: diabetes mellitus, periodontitis, gingivitis, periodontalAbstrak:Diabetes Melitus (DM) merupakan suatu kelompok penyakit metabolik dengan karakteristik hiperglikemia yang terjadi karena sekresi insulin, kerja insulin atau kedua-duanya. Penyakit ini merupakan penyakit yang banyak diderita kalangan masyarakat dan terus berkembang di Indonesia. Penyakit periodontal merupakan masalah kesehatan gigi dan mulut yang memiliki prevalensi cukup tinggi di masyarakat dimana penyakit periodontal pada semua kelompok umur di Indonesia.Tujuan penelitian ini adalah untuk mengetahui penyakit periodontal pada penderita diabetes mellitus di RSUP Prof. dr. R. D. Kandou Manado. Jenis penelitian ini adalah penelitian deskriptif dengan jumlah sampel 60 orang yang diambil dengan teknik total sampling. Sampel diperiksa dengan menggunakan kriteria penilaian indeks gingiva dan indeks CPITN. Hasil menunjukkan bahwa yang mengalami periodontitis dengan skor 4 adalah yang paling tinggi yaitu sebanyak 18 orang (44%), dan subjek yang mengalami skor 2 adalah yang yang paling sedikit yaitu sebanyak 8 orang (19.5%). Sedangkan yang mengalami gingivitis yang paling tinggi yaitu gingivitis buruk sebanyak 10 orang (52.6%) dan yang paling sedikit adalah yang mengalami gingivitis ringan yaitu sebanyak 5 orang (26.3%). Berdasarkan hasil penelitian ini dapat disimpulkan bahwa penyakit periodontal yang paling banyak ditemui pada penderita diabetes melitus di RSUP Prof. Dr. R. D. Kandou Manado adalah penyakit periodontitis yaitu sebanyak 41 orang (68.3%) dan yang paling sedikit adalah gingivitis yaitu sebanyak 19 orang (31.7%)Kata kunci: diabetes melitus, periodontitis, gingivitis, periodontal

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Relationship of Malocclusion with Periodontal Status among Adult Population in Chennai - A Case Control Study

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11ispl3.3417 ◽

2020 ◽

Vol 11 (SPL3) ◽

pp. 1378-1384

Author(s):

Sushanthi S ◽

Jayashri P ◽

Arthi B

Keyword(s):

Statistical Analysis ◽

Negative Correlation ◽

Adult Population ◽

Psychosocial Problems ◽

Chi Square ◽

Class Division ◽

Periodontal Status ◽

Periodontal Index ◽

Study Population ◽

Relationship Of

Malocclusion is defined as an irregularity of the teeth or an incorrect placement of the dental arches that is outside the ideal range. Besides this irregularity of the teeth or jaws, malocclusion may cause periodontal problems, disturbances of oral function such as mastication, swallowing, and speech, and psychosocial problems related to impaired dentofacial aesthetics. Hence this study was conducted to find the relationship between orthodontic malocclusion with periodontal status among the adult population visiting private dental college in Chennai. A retrospective study was conducted using case records of patients attending private dental college from July 2019- March 2020. A total of 932 case sheets of patients who had recorded for Russell’s periodontal index were retrieved and used for statistical analysis. Descriptive statistics, chi-square and Pearson’s correlation was used to analyze the data. Out of 932 participants class I malocclusion-96.24%, class 2 Div I - 1.82%, class division 2, class 2 subdivision, class 3 malocclusion, class 3 subdivision was 0.32%, 0.42%, 0.855 and 0.32% respectively.10.73% of the study population have terminal disease which is a surprising finding when compared with other studies. The results of the study were subjected to statistical analysis. Negligible negative correlation was found between malocclusion and periodontal status and were statistically insignificant. No statistically significant association was found between orthodontic malocclusion and periodontal status and a negligible negative correlation was obtained, which shows that there was no relationship between malocclusion and periodontal status in this study population.

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Diabetes mellitus and periodontal diseases: A two way relationship

International Journal of Dentistry Research ◽

10.31254/dentistry.2021.6205 ◽

2021 ◽

Vol 6 (2) ◽

pp. 43-56

Author(s):

Gowhar Nazir ◽

◽

Josee Amin ◽

Keyword(s):

Diabetes Mellitus ◽

Periodontal Disease ◽

Inflammatory Diseases ◽

Periodontal Diseases ◽

Systemic Effect ◽

Diabetic Patients ◽

Periodontal Infection ◽

Bidirectional Relationship ◽

Patients With Diabetes ◽

Global Health Care

Diabetes mellitus and periodontits are both highly prevalent chronic inflammatory diseases. Both diseases share the same risk factors and are a significant global health care burden adversely affecting the quality of life. Evidence from various studies have demonstrated that diabetes is a major risk factor for periodontal disease and is associated with increased incidence, prevalence and severity of periodontal disease. Hyperglycemia associated with diabetes mellitus results in an increased host immunoinflammatory response which adversely affects the periodontal health. Conversely, periodontits is associated with poor metabolic control in patients with diabetes and increased development of diabetic complications suggesting a bidirectional relationship between the two diseases. Periodontal infection via bacteremia exerts a wide systemic effect by contributing to chronic systemic inflammatory burden worsening diabetic state by increasing insulin resistance. Moreover, studies have demonstrated an improvement in glycemic control following periodontal therapy in prediabetic and diabetic patients with periodontitis.

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In Hospital Frequency of Heart Failure in STEMI after Thrombolysis in Patient with Diabetes

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i1131245 ◽

2021 ◽

pp. 66-71

Author(s):

Abdul Mueed ◽

Nandlal Rathi ◽

Shazia Kazi ◽

Raj Kumar Sachdewani ◽

. Shahzad ◽

...

Keyword(s):

Diabetes Mellitus ◽

Heart Failure ◽

Heart Disease ◽

Previous History ◽

P Value ◽

Diabetic Patients ◽

Chi Square ◽

St Segment Elevation ◽

Patients With Diabetes ◽

End Stage

Objective: To determine the frequency of heart failure after thrombolysis in STEMI patients with diabetes mellitus. Methodology: Through a prospective study we have enrolled all the diabetic patients who presented with acute ST-Segment Elevation Myocardial Infarction (STEMI) having age more than 35 years and less than 70 years who underwent pharmacological revascularization both males and females were included in this study. Patients with previous history of revascularization, end stage kidney, liver or heart disease, known advanced valvular heart disease, pregnant women, and those who develop serious complication related to streptokinase were excluded from our study. Echocardiography was done immediately after thrombolysis then after 3 days and then before discharge of the patients to determine the frequency of heart failure. Baseline and clinical data were entered and analysed using SPSS and a chi square test and p-value ≤0.05 was considered as significant. Results: A total of 175 patients were finally analysed and most of them were males as compared to females, 63.42% (N = 111) vs. 36.57% (N = 64), respectively. Mean age and SD of the patients was 55.90±10.49 years and mean duration of DM was 12.95±8.40 years. The overall frequency of heart failure in patients with post-STEMI was 56% (N = 98) and their mean ejection fraction was 38.46±8.20%. Frequency of heart failure in diabetic post-STEMI thrombolysed patients was significantly observed higher with increased age, increased duration of diabetes mellitus, hypertension, and smoking (p≤0.05). Conclusion: High prevalence of heart failure was observed in diabetic patients admitted with acute STEMI and underwent thrombolysis. The burden is even higher in males having age more than 55 years.

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The risk factors of developing diabetic foot ulcers incidence with diabetic patients in Mukalla/Yemen

Sudan Journal of Medical Sciences ◽

10.18502/sjms.v15i2.6750 ◽

2020 ◽

Author(s):

مريم باراس ◽

Eidha A. Bin Hameed

Keyword(s):

Diabetes Mellitus ◽

Risk Factors ◽

Blood Glucose ◽

Bacterial Infection ◽

Diabetic Foot ◽

Age Groups ◽

Foot Ulcer ◽

Diabetic Foot Ulcer ◽

Diabetic Patients ◽

Patients With Diabetes

Background: Diabetes is on the rise worldwide and is already considered as an epidemic by some experts. So, there is a need to raise awareness on the important factors that can help prevent bacterial infection in wounds of patients with diabetes. Objective: To study the risk factors of developing diabetic foot ulcer (DFU) in patients with diabetes. The study is the first in Yemen to investigate the prevalence of bacterial infection in wounds of diabetic patients. Materials and Methods: This is a case-control study carried out from November 2018 to May 2019. Twenty diabetic patients with foot ulcer and twenty without foot ulcer were examined. Risk factors and clinical profile of patients were studied by using a standardized questionnaire that included gender, age groups, past history of diabetes, duration of the disease, type of diabetes, DFU, type of ulcer, smoking, glucose level, and control of blood glucose level. Results: The risk factors that affected significantly the occurrence of DFU were gender (0.038), age groups (0.010), and duration of diabetes mellitus (DM) while hyperglycemic control, smoking, and family history were not. There was no significant difference (0.977) in mean fasting blood glucose (MBG) between the DM and DFU patients. Conclusions: Male diabetic patients aged more than 55 years and suffering from DM for more than 10 years were most likely to have DFU. Key words: diabetic foot ulcer, diabetes mellitus, risk factors, Yemen

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Hubungan tingkat pengetahuan kesehatan gigi dan mulut dengan status kesehatan jaringan periodontal pada penyandang diabetes melitus tipe 2 di RSUD Manembo-nembo Bitung

e-GIGI ◽

10.35790/eg.4.2.2016.13926 ◽

2016 ◽

Vol 4 (2) ◽

Author(s):

Dian P. Lestari ◽

Vonny N.S. Wowor ◽

Elita Tambunan

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Periodontal Disease ◽

Dental Health ◽

Chi Square ◽

Periodontal Status ◽

Level Of Knowledge ◽

The Relationship ◽

Diabetes Melitus

Abstract: Oral health is very important because it can influence our daily activities and other parts of the body. Periodontal disease occurs in the supporting structures of teeth that can cause tooth loose as well as tooth loss. The relationship between periodontal disease and some systemic diseases such as type 2 diabetes mellitus (T2DM) is increasing over the past years. Public knowledge of T2DM and the relationship of this disease and periodontal disease is still poor. This study was aimed to obtain the relationship between the level of knowledge of oral and dental health and the status of periodontal tissues in patients of T2DM. This was a descriptive analytical study with a cross-sectional design. This study was conducted at RSUD Manembo-nembo Bitung. Respondents were 65 patients of T2DM who completed the questionnaires and their periodontal status were examined. The results showed that 52.3% of patients had unvaforable category of knowledge of dental and oral health and 83.1% had periodontal status in gingivitis category. The chi-square test showed a p value of 0.001 (p <0.05). Conclusion: There was a significant relationship between the level of knowledge of oral dan dental health and the periodontal status of T2DM patients at RSUD Manembo-nembo Bitung.Keywords: the level of, periodontal status, type 2 diabetes mellitus Abstrak: Kesehatan gigi dan mulut merupakan hal yang sangat penting untuk diperhatikan, karena hal ini bisa menyebabkan gangguan aktifitas sehari-hari, bahkan mengganggu kesehatan tubuh lainnya. Penyakit periodontal mengenai jaringan pendukung gigi yang dapat menyebabkan gigi goyang bahkan tanggal. Hubungan antara penyakit periodontal dan beberapa penyakit sistemik seperti diabetes melitus tipe 2 (DMT2) meningkat beberapa tahun ini, salah satunya akibat rendahnya pengetahuan masyarakat terhadap penyakit tersebut dan hubungan dengan penyakit periodontal. Penelitian ini bertujuan untuk mengetahui hubungan tingkat pengetahuan kesehatan gigi dan mulut dan status jaringan periodontal pada penyandang DMT2. Jenis penelitian yaitu deskriptif analitik dengan desain potong lintang. Penelitian dilaksanakan di RSUD Bitung dengan responden berjumlah 65 penyandang DMT2, yang diperiksa status periodontal dan pengisian kuesioner. Hasil penelitian menunjukkan bahwa pengetahuan responden mengenai kesehatan gigi dan mulut dalam kategori kurang baik sebesar 52,3% dengan status periodontal yaitu kategori gingivitis sebesar 83,1%. Berdasarkan hasil uji chi-square didapatkan nilai p = 0,001 (p<0,05). Simpulan: Terdapat hubungan bermakna antara tingkat pengetahuan kesehatan gigi dan mulut dengan status periodontal pada penyandang DMT2 di RSUD Manembo-nembo Bitung. Kata kunci: tingkat pengetahuan, status periodontal, DMT2

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Self Efficacy in Patients with Diabetes Mellitus Management Healthy Eating In UPTD Sananwetan District of Blitar Town

Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) ◽

10.26699/jnk.v4i3.art.p260-267 ◽

2017 ◽

Vol 4 (3) ◽

pp. 260-267

Author(s):

Rizha Malayanita

Keyword(s):

Diabetes Mellitus ◽

Self Efficacy ◽

Sampling Technique ◽

Food Type ◽

Diabetic Patients ◽

Multiple Choice Questions ◽

District Health ◽

Patients With Diabetes ◽

Collection Data ◽

Study Population

Self -efficacy in meal management of diabetic patients, which is one of the self-regulating ability of individuals in meal management of diabetic patients. The purpose of this research to determine self efficacy in meal management of patients with diabetes mellitus such amount of food, type of food and eating schedules that consumed DM patients in Distict Health Sananwetan, Blitar. This research used a descriptive design. The study population was all of DM patient who check their health at health centers Sananwetan, Blitar, and the sample take of 30 people with accidental sampling technique. The data collection is done by questionnaire closed-ended multiple choice questions. Collection data is done on the date June 6 until 18, 2016. The results showed that self efficacy in meal management of diabetic patients is 50 % (15 people) less , 33.3 % (10 people) enough and 16.7 % (5 people) good. Patients with diabetes mellitus in district health Sananwetan Blitar ,need motivation , guidance and health education to improve self efficacy meal management is good and right.

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Laporan Kasus: Perawatan Splinting Wire pada Pasien Periodontitis disertai Diabetes Melitus

STOMATOGNATIC - Jurnal Kedokteran Gigi ◽

10.19184/stoma.v18i2.28053 ◽

2021 ◽

Vol 18 (2) ◽

pp. 41

Author(s):

Inneke Cahyani ◽

Ghina Giovani Putri

Keyword(s):

Diabetes Mellitus ◽

Periodontal Disease ◽

Systemic Disease ◽

Gingival Recession ◽

Diabetic Patients ◽

Glucose Levels ◽

Anterior Teeth ◽

Patients With Diabetes ◽

Diagnosed Diabetes ◽

Diabetes Melitus

Periodontitis causes destruction of tooth attachment to bone and may predispose to systemic disease. Diabetes mellitus is a risk factor for periodontal disease, these two diseases are correlated; periodontal disease can be favored by bacterial infection caused by an alteration of the immune system because of diabetes mellitus as well as chronic inflammation caused by periodontal disease leads to poor glycemic control in these patients. Case report: A 56 years old female complaining of mobility at anterior teeth. Intra oral examination was found oral hygiene tends to be poor, 11th grade 2 luxation, 6,5 mm clinical loss attachment, 3,5 mm gingival recession, and 3 mm probing depth. She had been diagnosed diabetes mellitus and 2 years ago and has medical treatment for this diseases. The therapy provided is in the form of education, scaling, and splinting wire. Discussion: Diabetes mellitus is associated with periodontal ligament destruction which subsequently can lead to tooth loss. Gingival crevicular fluids and saliva have higher concentrations of inflammatory mediators including different types of cytokines among diabetic patients with periodontitis as compared to non-diabetic individuals with periodontal disease. Conclusion: Chronic periodontitis in patients with diabetes melitus must be monitored periodically both blood glucose levels and plaque control in the oral cavity.

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HUBUNGAN STATUS PERIODONTAL DAN DERAJAT REGULASI GULA DARAH PASIEN DIABETES MELITUS DI RUMAH SAKIT UMUM PUSAT PROF DR. R. D. KANDOU MANADO

e-GIGI ◽

10.35790/eg.3.1.2015.7664 ◽

2015 ◽

Vol 3 (1) ◽

Author(s):

Stephanie F. Emor ◽

Karel Pandelaki ◽

Aurelia S. R. Supit

Keyword(s):

Diabetes Mellitus ◽

Blood Sugar ◽

Significant Relationship ◽

Periodontal Pocket ◽

Diabetic Patients ◽

Chi Square ◽

Periodontal Status ◽

Sugar Regulation ◽

Chi Square Test ◽

Diabetes Melitus

Abstract: Diabetes mellitus (DM) is a disorder characterized by hyperglycemia and impaired metabolism of carbohydrates, fats, and proteins. These are caused by insulin deficiency, relative or absolute. Diabetes mellitus is a long-term chronic disease with a risk of the occurence of diabetic complications, such as oral diabetic. The study aimed to analyze the relationship between periodontal status and the degree of blood sugar regulation in diabetic patients in Prof. Dr. R. D. Kandou Hospital Manado. Data were obtained from the Endocrine clinic of Prof. Dr. R. D. Kandou Hospital. This was a descriptive analytical study with a cross sectional approach. Samples consisted of 37 patients (total sampling) aged 20-60 years. The analytic methods used in this study was the chi-square test (univariate and bivariate). Periodontal pocket depths were clinically examined. The results showed that there was no healthy periodontal state among diabetic patients. Uncontrolled diabetic patients with poor HbA1c (17 patients, 46%) had bad periodontal status. The chi-square test showed that there was a significant relationship between periodontal status and the degree of blood sugar regulation in diabetic patients (p < 0.05). Conclusion: There was a significant relationship between periodontal status and the degree of blood sugar regulation in diabetic patients.Keywords: periodontal status, diabetes mellitus, degree of regulation blood sugar.Abstrak: Diabetes melitus (DM) adalah kelainan yang ditandai hiperglikemia dan gangguan metabolisme karbohidrat, lemak, dan protein yang disebabkan oleh kekurangan hormon insulin secara relatif maupun absolut. DM merupakan penyakit kronis yang bila diabaikan dapat terjadi komplikasi diabetic, antara lain oral diabetic. Penelitian ini bertujuan untuk menganalisis hubungan status periodontal dan derajat regulasi gula darah pasien diabetes melitus di RSUP Prof. Dr. R. D. Kandou Manado. Pengumpulan data dilakukan di Poliklinik Endokrin RSUP Prof. Dr. R. D. Kandou. Penelitian ini bersifat deskriptif analitik dengan pendekatan potong lintang. Besar sampel sebanyak 37 orang (total sampling) usia 20-60 tahun. Analisis data secara univariat dan bivariat (uji chi-square). Pemeriksaan kedalaman poket periodontal dilakukan terhadap subjek penelitian. Hasil penelitian menunjukkan tidak adanya status periodontal yang sehat pada pasien DM. Pasien DM dengan HbA1c yang buruk memiliki status periodontal yang buruk pula yaitu sebanyak 17 pasien (46%). Berdasarkan hasil uji chi-square terdapat hubungan bermakna antara status periodontal dan derajat regulasi gula darah (p < 0,05). Simpulan: Terdapat hubungan bermakna antara status periodontal dan derajat regulasi gula darah pasien diabetes melitus.Kata kunci: status periodontal, diabetes melitus, derajat regulasi gula darah

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Laboratory Findings Associated with Pulmonary Tuberculosis in Diabetic Patients

Academia Journal of Medicine ◽

10.47008/ajm.2020.3.1.11 ◽

2020 ◽

Vol 3 (1) ◽

pp. 52-57

Author(s):

P.V.R. Leelamohan ◽

Kiran N

Keyword(s):

Diabetes Mellitus ◽

Pulmonary Tuberculosis ◽

Extrapulmonary Tuberculosis ◽

Age Groups ◽

Diabetic Patients ◽

Current Estimate ◽

Type 2 Diabetic Patients ◽

Laboratory Findings ◽

Study Results ◽

Patients With Diabetes

Background: An epidemic of diabetes is currently, both in developed and developing nations. The seriousness of the association of pulmonary tuberculosis and diabetes mellitus was first noted by the great Arab Physician Avicenna nearly 1000 years ago. The global figure of people with diabetes is projected to rise from the current estimate of 220 million to 300 million in 2025. Subjects and Methods: All type 2 diabetic patients reporting to MVJMC and RH will form the subjects for study. The study conducted over a period of 2 yrs. Adult patients with diabetes mellitus with pulmonary tuberculosis were included while Diabetic patients with extrapulmonary tuberculosis were excluded from the study. Results: LDL- 18% of the patients had an LDL value below 100. 40% of the patients had LDL value between 100 – 120. Only 42% of the patients had LDL values between 120-140. HDL: 22.0% of the patients had an HDL value below 30. 24% of the patients had HDL values between 30 – 40. Only 36.0% of the patients had HDL value between 40-50 and 18% of the patients had an HDL value between 50-60. Triglycerides: 56.0% of the patients had Triglycerides value below 150. 42% of the patients had Triglycerides value between 150 – 199. Only 2.0% of the patients had Triglycerides value between 200-499. Conclusion: Male preponderance of the disease was noted and Peak incidence of the disease was noted in the age groups of 31 – 40 and 41 – 50. The majority of our patients had poorly controlled blood sugars, suggesting that severe hyperglycemia is associated with the development of pulmonary tuberculosis and sputum positivity was more in patients aged ≤ 50 yrs. Early diagnosis and properly monitored treatment regimen is the only time tested answer to this problem.

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