Objective: To determine the prevalence of diabetes and the
level of cardiovascular risk in tuberculosis patients treated in Conakry and
surrounding towns. Method: This was a cross-sectional study carried out
at tuberculosis treatment centers in Conakry and surrounding towns (Coyah and
Dubréka) on World TB Day, November 14, 2022, among 350 tuberculosis patients.
We determined the proportion of TB patients with diabetes and high
hyperglycemia. We determined the Chi-square to identify the factors associated
with the occurrence of diabetes in tuberculosis patients, and a significance
threshold with p < 0.05 was considered. Results: The average age of
participants was 33.5±14.5 years, and they were predominantly male
(59.7%). The majority of participants lived in Conakry (96.3%). 5.7% were known
diabetics and 4.6% were known hypertensives. We found a prevalence of diabetes
of 9.4%. Among diabetics, 39% were diabetes discoveries. 30% were hypertensive
or had high blood pressure. Of these hypertensive patients, 26.4% were
unrecognized hypertensives. Age and hypertension were statistically
significantly associated with the onset of diabetes in tuberculosis patients.
Medium, high and very high levels of cardiovascular risk were present in 23.4%,
8.9% and 3.4% respectively.Conclusion: Diabetes is common in tuberculosis patients.
Cardiovascular risk factors, notably hypertension and cardiovascular risk
level, are frequently associated with tuberculosis. Tuberculosis patients with
cardiovascular risk factors should be screened for diabetes.
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