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Studies About Diabetes In The Philippines

Level Of Awareness And Compliance In Diabetes Mellitus Management Among Adolescents Diagnosed With Type-1 Diabetes

Level Of Awareness And Compliance In Diabetes Mellitus Management Among Adolescents Diagnosed With Type-1 Diabetes

Your browser does not support the NLM PubReader view. Go to this page to see a list of supporting browsers. Level of Awareness and Compliance in Diabetes Mellitus Management Among Adolescents Diagnosed with Type-1 Diabetes Philipp J Nurs. 2014 Jan-Jun;84(1):54-60. Philipp J Nurs. 2014 Jan-Jun;84(1):54-60. English. 2014 Philippine Nurses Association Inc. Level of Awareness and Compliance in Diabetes Mellitus Management Among Adolescents Diagnosed with Type-1 Diabetes Elvira L. Urgel, PhD, RN,1Joylyn L. Mejilla, MAN, RN,1Josephine M. De Leon, PhD, RN, 1Sofia Magdalena N. Robles, PhDNEd, RN,1 and Catherine Mae G. Trinidad, MAN, RN1 1Centro Escolar University, No. 9, Mendiola St., Manila, Philippines. Address Correspondence to: JosephineM.DeLeon, Assistant Professor, Centro Escolar University, No. 9, Mendiola St., Manila, Philippines. Tel. +63-28819147, +63- 29213254, Cell phone number: +63-9058344072, Fax number: +63-27362211 The study aimed to determine the level of awareness and to assess compliance to Diabetes management of adolescents diagnosed with Type-1 Diabetes. A descriptive correlational type of research was utilized to gather information on the level of awareness and compliance of adolescent patients to diet, exercise and drug management suffering from Type-1 diabetes mellitus. The patients (n=20) were recruited from Institute for Studies on Diabetes Foundation Incorporated, Philippines. A purposive sampling was utilized to select twenty adolescents. A researcher-made questionnaire was utilized as the main instrument in gathering data. Focus group discussion was also done to further assess patient's level of awareness and compliance to diabetes management. Results showed that patients have a moderate level of awareness and some extent of compliance to diabetes. Continue reading >>

The Effectiveness Of Text Messages Support For Diabetes Self-management: Protocol Of The Text4dsm Study In The Democratic Republic Of Congo, Cambodia And The Philippines

The Effectiveness Of Text Messages Support For Diabetes Self-management: Protocol Of The Text4dsm Study In The Democratic Republic Of Congo, Cambodia And The Philippines

The effectiveness of text messages support for diabetes self-management: protocol of the TEXT4DSM study in the democratic Republic of Congo, Cambodia and the Philippines van Olmen et al.; licensee BioMed Central Ltd.2013 People with diabetes find it difficult to sustain adequate self-management behaviour. Self-Management Support strategies, including the use of mobile technology, have shown potential benefit. This study evaluates the effectiveness of a mobile phone support intervention on top of an existing strategy in three countries, DR Congo, Cambodia and the Philippines to improve health outcomes, access to care and enablement of people with diabetes, with 480 people with diabetes in each country who are randomised to either standard support or to the intervention. The study consists of three sub-studies with a similar design in three countries to be independently implemented and analysed. The design is a two-arm Randomised Controlled Trial, in which a total of 480 adults with diabetes participating in an existing DSME programme will be randomly allocated to either usual care in the existing programme or to usual care plus a mobile phone self-management support intervention. Participants in both arms complete assessments at baseline, one year and two years after inclusion. Glycosylated haemoglobin blood pressure, height, weight, waist circumference will be measured. Individual interviews will be conducted to determine the patients assessment of chronic illness care, degree of self-enablement, and access to care before implementation of the intervention, at intermediate moments and at the end of the study. Analyses of quantitative data including assessment of differences in changes in outcomes between the intervention and usual care group will be done. A probability Continue reading >>

Type 2 Diabetes In The Filipino: Is It Any Different?

Type 2 Diabetes In The Filipino: Is It Any Different?

Type 2 diabetes in the Filipino: Is it any different? Philippine Daily Inquirer / 01:57 AM August 15, 2015 Anyone can get diabetesyoung or old, rich or poor, male or female, Filipino or not. In the Philippines, according to the Food and Nutrition Research Institute-Department of Science and Technology 8th National Nutrition Survey, diabetes prevalence based on fasting blood sugar has risen from 3.4 percent in 2003 to 5.4 percent in 2013. The greatest numbers of Filipinos with diabetes are 50 to 69 years of age and wealthy, and live in urban areas. Not surprising since type 2 diabetes mellitus (T2DM) is both a genetic and a lifestyle disease linked to aging, unhealthy diets, physical inactivity, obesity and urbanization. About 90 to 95 percent of people with diabetes have T2DM. Risk factors include: age at or above 30 years, family history of diabetes, high blood pressure, abnormal cholesterol levels, polycystic ovary syndrome, gestational or pregnancy-related diabetes, intake of certain drugs, and sleep deprivation. People who were born premature, too heavy (>/= 8 pounds) or too small are also at risk for T2DM. Type 2 diabetes is characterized by impairment in insulin secretion or action, which can lead to high blood sugar. High blood sugar can wreak havoc in the bodys circulation and immune system leading to infections, blindness, kidney failure, leg amputation, heart attacks and strokes. Race and ethnicity can also confer higher risk for diabetes. Filipinos are especially prone to T2DM compared to other races. In fact, Filipinos get diabetes and problems like hypertension, high cholesterol and heart disease at a lower body mass index (BMI) compared to Caucasians. A persons BMI is calculated by dividing ones body weight in kilograms by the square of ones height in met Continue reading >>

Diabetes - Philippines | Statista Market Forecast

Diabetes - Philippines | Statista Market Forecast

Connected medical devices designed for diabetes patients to use at home (e.g. connected glucose meters) Diabetes apps that assist in self-management (e.g. diabetes diaries) Service-oriented diabetes apps which make recommendations based on collected data Telemedical services for diabetes patients Hardware and software solutions for healthcare professionals, e.g. medical equipment for hospitals Revenue in the segment "eHealth solutions for Diabetes" amounts to US$3m in 2018. Revenue is expected to show an annual growth rate (CAGR 2018-2020) of 35.9% resulting in a market volume of US$6m in 2020. User penetration (as a share out of all ill people) is at 2.2% in 2018 and is expected to hit 2.9% in 2020. The average revenue per user (ARPU) currently amounts to US$41.40. From a global comparison perspective it is shown that most revenue is generated in the United States (US$465m in 2018). in the Diabetes market in million US$ in percent Reading Support Revenue in the segment "eHealth solutions for Diabetes" amounts to US$3m in 2018. Reading Support The segment "eHealth solutions for Diabetes" is expected to show a revenue growth of 36.1% in 2019. The Revenue box shows the forecasted revenue development of the selected market (market segment, region) in million US dollars for each year. The Revenue Growth box shows the year-over-year revenue development of the selected market (market segment, region) in percentage terms. A definition and detailed explanation of the displayed markets can be found here. in the Diabetes market in millions in percent Reading Support In the segment "eHealth solutions for Diabetes", the number of users is expected to amount to 0.1m by 2020. Reading Support User penetration in the segment "eHealth solutions for Diabetes" is at 2.2% in 2018. The Use Continue reading >>

Review Diabetes Care In The Philippines

Review Diabetes Care In The Philippines

Abstract Diabetes is increasing at an alarming rate in Asian countries including the Philippines. Both the prevalence and incidence of type 2 diabetes (T2D) continue to increase with a commensurate upward trend in the prevalence of prediabetes. The aim of this study was to review the prevalence of diabetes in the Philippines and to describe extensively the characteristics of diabetes care in the Philippines from availability of diagnostics tests to the procurement of medications. A literature search was performed using the search words diabetes care and Philippines. Articles that were retrieved were reviewed for relevance and then synthesized to highlight key features. The prevalence of diabetes in the Philippines is increasing. Rapid urbanization with increasing dependence on electronic gadgets and sedentary lifestyle contribute significantly to this epidemic. Diabetes care in the Philippines is disadvantaged and challenged with respect to resources, government support, and economics. The national insurance system does not cover comprehensive diabetes care in a preventive model and private insurance companies only offer limited diabetes coverage. Thus, most patients rely on “out-of-pocket” expenses, namely, laboratory procedures and daily medications. Consequently, poor pharmacotherapy adherence impairs prevention of complications. Moreover, behavioral modifications are difficult due to cultural preferences for a traditional diet of refined sugar, including white rice and bread. Translating clinical data into practice in the Philippines will require fundamental and transformative changes that increase diabetes awareness, emphasize lifestyle change while respecting cultural preferences, and promote public policy especially regarding the health insurance system to im Continue reading >>

New Diabetes Treatment Option For Pinoy Patients

New Diabetes Treatment Option For Pinoy Patients

New diabetes treatment option for Pinoy patients MANILA, Philippines - An estimated three million people in the country have type 2 diabetes. Controlling blood sugar levels is difficult even among patients receiving treatment and only less than 30 percent of Filipino patients are meeting their recommended blood sugar goals. When left untreated or inadequately controlled, type 2 diabetes can lead to heart and kidney disease, blindness, and vascular or neurologic problems. Current therapies for type 2 diabetes such as sulfonylurea, metformin and diet are unable to prevent or delay the progressive loss of beta-cell function. A drug like vildagliptin that improves beta-cell mass and insulin sensitivity will enhance blood sugar control in patients with type 2 diabetes. With good blood sugar control, patients are protected from cardiovascular disease and other diabetes complications, said Dr. Wolfgang Schmidt, chairman and professor of Internal Medicine at the Ruhr-University of Bochum School of Medicine in Germany, and speaker at the Philippine Society of Endocrinology meeting. Vildagliptin is a member of a new class of anti-diabetes medicine called DPP-4 inhibitors. It targets islet dysfunction in the pancreatic alpha and beta cells by blocking the enzyme DPP-4. This increases the ability of the cells to appropriately sense and respond to sugar in the blood, thus improving blood sugar control. Clinical studies in over 20,000 patients have shown that vildagliptin is effective in producing significant blood sugar reductions with a good tolerability profile including no weight gain. We welcome the availability of novel therapeutic options such as vildagliptin that have the potential to address gaps in type 2 diabetes management. Type 2 diabetes remains among the 10 leading ca Continue reading >>

Diabetes Care In The Philippines | Paz-pacheco | Journal Of The Asean Federation Of Endocrine Societies

Diabetes Care In The Philippines | Paz-pacheco | Journal Of The Asean Federation Of Endocrine Societies

Journal of the ASEAN Federation of Endocrine Societies University of the Philippines-Philippine General Hospital University of the Philippines-Philippine General Hospital Philippine Society of Endocrinology, Diabetes and Metabolism Section of Endocrinology, Diabetes and Metabolism Unviersity of the Philippines-Philippine General Hospital Taft Avenue, Ermita 1000 Manila, Philippines Received August 30, 2015. Accepted October 15, 2015. Published online first: November 30, 2015. The global burden of diabetes and its accompanying risk factors is upon us. Asia is the focus of this burden, owing to huge population numbers and increasing prevalence rates. The Philippines National Health and Nutrition Survey (NNHeS) of 2013, has provided the latest health and disease score with prevalence rates of the major risk factors among adults 20 years of age: diabetes (5.4%), hypertension (22.3%), dyslipidemia, low HDL (71.3%), obesity, BMI >25 kg/m2 (31.1%), and smoking (25.4%). Metabolic syndrome as of the 2008 survey reports a 27% prevalence rate (unpublished data). Efforts have to be directed to achieve improvement in prevention, survival, and quality of life for all diabetics. The health infrastructure under the leadership of the Department of Health, in partnership with governmental and non-governmental organizations has to provide a cohesive plan engaging all partners in various aspects of care. Strategies to enhance outcomes include: 1) a national screening program, 2) implementation of practice guidelines that will elevate the quality of care for all, 3) access to healthcare, medications, 4) development of an environment for research in institutions to allow a better understanding of these conditions among Filipino patients and 5) enhancement of training, education and service Continue reading >>

Insulin Resistance Among Adults With Type 1 Diabetes Mellitus At The Philippine General Hospital

Insulin Resistance Among Adults With Type 1 Diabetes Mellitus At The Philippine General Hospital

Jerome R Barrera1*, Cecilia A Jimeno2 and Elizabeth Paz-Pacheco2 1Department of Internal Medicine, Zamboanga City Medical Center, Philippines 2Section of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of the Philippines-Philippine General Hospital, Philippines Citation: Barrera JR, Jimeno CA, Paz-Pacheco E (2013) Insulin Resistance among Adults with Type 1 Diabetes Mellitus at the Philippine General Hospital. J Diabetes Metab 4:315. doi:10.4172/2155-6156.1000315 Copyright: © 2013 Barrera JR, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Visit for more related articles at Journal of Diabetes & Metabolism Abstract Background: Insulin resistance has been proven to increase the risks for cardiovascular complications in type 2 diabetes mellitus. Recently, insulin resistance has also been shown to play a bigger role in the natural history of type 1 diabetes mellitus (T1DM) disease process than is commonly recognized. Limitations and difficulties in assessing insulin resistance in patients with T1DM have been addressed by the creation of clinical scoring known as estimated glucose disposal rate (eGDR). Given the clear association of insulin resistance and cardiovascular complications in diabetic patients, detecting the prevalence of insulin resistance in T1DM population, will probably clarify the welldocumented gaps in the management of this type of diabetes. Objectives: The main objective of this study is to determine the prevalence of insulin resistance among Filipino adults with established type 1 diabetes mellitus at the Philippine General Hospital. T Continue reading >>

The Philippines Is Now A Diabetes Hotspot

The Philippines Is Now A Diabetes Hotspot

The Philippines is now a diabetes hotspot Simple ruleslike the Three As and proper platingcan help keep the disease in check Philippine Daily Inquirer / 03:00 AM March 29, 2016 Simple guidelines can help diabetics avoid the dire, costlier complications of their affliction. They just have to memorize fractions, small numbers, letters and hand gestures. One such example is the Three As. The rule lists general qualities in food and beverages that can compromise a diabetics health: apat ang paa, asin, asukal. It instructs diabetics to avoid meat from four-legged animals, and opt for chicken or fish. They should also cut back on salty and sweet items. Food is a major concern for people diagnosed with diabetes, said Dr. Danilo Baldemor at a press conference of The Diabetes Store (TDS)the countrys first one-stop-shop for diabetes-related matters. The first thing they would ask, Baldemor noted, is ano ang bawal? The Three As is a tough checklist, but its not a starvation diet. Baldemor clarified that diabetics can still consume pork or flavored drinks but only in moderation. They can still drink one can of soda per day or indulge in desserts sometimes, keeping in mind that abstinence is best to dodge more difficult complications. These complications include blindness and kidney failure, whose leading cause is diabetes. Diabetes also doubles or quadruples the chance of heart disease, and can cause nerve damage and stroke. Simplified measures such as the Three As should teach people that diabetes management can be more practical for them, said Baldemor. The diabetologist also discussed the plate method, a classic measurement for food groups. Imagine the plate as quartered: fill half with veggies, a fourth with protein, and a fourth with carbohydrates like rice. On the side, you Continue reading >>

Diabetes Care In The Philippines

Diabetes Care In The Philippines

BACKGROUND Diabetes is increasing at an alarming rate in Asian countries including the Philip- pines. Both the prevalence and incidence of type 2 diabetes (T2D) continue to increase with a com- mensurate upward trend in the prevalence of prediabetes. OBJECTIVES The aim of this study was to review the prevalence of diabetes in the Philippines and to describe extensively the characteristics of diabetes care in the Philippines from availability of diag- nostics tests to the procurement of medications. METHODS A literature search was performed using the search words diabetes care and Philippines. Articles that were retrieved were reviewed for relevance and then synthesized to highlight key features. FINDINGS The prevalence of diabetes in the Philippines is increasing. Rapid urbanization with increasing dependence on electronic gadgets and sedentary lifestyle contribute signicantly to this epidemic. Diabetes care in the Philippines is disadvantaged and challenged with respect to resources, government support, and economics. The national insurance system does not cover comprehensive diabetes care in a preventive model and private insurance companies only offer limited diabetes cov- erage. Thus, most patients rely on out-of-pocketexpenses, namely, laboratory procedures and daily medications. Consequently, poor pharmacotherapy adherence impairs prevention of complications. Moreover, behavioral modications are difcult due to cultural preferences for a traditional diet of rened sugar, including white rice and bread. CONCLUSIONS Translating clinical data into practice in the Philippines will require fundamental and transformative changes that increase diabetes awareness, emphasize lifestyle change while respecting cultural preferences, and promote public policy especially regardi Continue reading >>

Prevalence Of Diabetes Type-2 & Pulmonary Tuberculosis Among Filipino And Treatment Outcomes: A Surveillance Study In The Eastern Saudi Arabia Chaudhry La, Essa Eb, Al-solaiman S, Al-sindi K - Int J Mycobacteriol

Prevalence Of Diabetes Type-2 & Pulmonary Tuberculosis Among Filipino And Treatment Outcomes: A Surveillance Study In The Eastern Saudi Arabia Chaudhry La, Essa Eb, Al-solaiman S, Al-sindi K - Int J Mycobacteriol

Objective: To study prevalence of diabetes type-2 and pulmonary tuberculosis among Filipino patients and treatment out comes. Tuberculosis centre of Dammam medical complex (MOH) is a referral centre for the Eastern Saudi Arabia where patients from all government and private hospitals having open pulmonary tuberculosis are admitted for isolation till they are rendered noninfectious. All patients are treated for 6 months under DOTS strategy with 4 drugs (2HRZE) for 2 months as initial intensive phase and 2 drugs (HR) for 4 months as continuation phase. Methods and materials: We retrospectively reviewed clinical records of 1388 patients admitted with open pulmonary tuberculosis between Jan- 2003 and June-2010. Results: Among 1388 patients, 39% (n = 542) were Saudis and 61% (n = 846) were non-Saudis. Among these 12.39% (n = 172) were Filipinos,153 males and 19 females respectively. Out of 1388 patients, 114 (7.17%) were found to have diabetes type-2. Among these diabetics, majority n = 91 (79.82%) were Filipinos. Sputum conversion was late in diabetic patients resulting in relatively longer hospital stay compared to fellow patients having only tuberculosis. Conclusion: Our study has shown that one possible risk factor for tuberculosis is diabetes. Majority of TB patients having diabetes type-2, n = 91 (79.82%) were Filipinos. Their sputum conversion was relatively late and their hospital stay was longer than their fellow patients having only tuberculosis. Our findings are in agreement with the current literature on the correlation of diabetes and tuberculosis. Keywords:Diabetes mellitus, FBS-fasting blood sugar, HbA1c-glycated haemoglobin, Tuberculosis, Direct smear AFB sputum conversion, DOTS-directly observed treatment short course Chaudhry LA, Essa EB, Al-Solaiman S, Al Continue reading >>

Hyperglycemia And Type 2 Diabetes Among Filipino Women In The Philippines, Hawaii, And San Diego

Hyperglycemia And Type 2 Diabetes Among Filipino Women In The Philippines, Hawaii, And San Diego

Hyperglycemia and type 2 diabetes among Filipino women in the Philippines, Hawaii, and San Diego Maria Rosario G. Araneta ,a,* Deborah J. Morton ,a Lina Lantion-Ang ,b Andrew Grandinetti ,c Mary Anne Lim-Abrahan ,b Healani Chang ,c Elizabeth Barrett-Connor ,a Beatrice L. Rodriguez ,d and Deborah L. Wingard a aUniversity of California San Diego, Department of Family and Preventive Medicine, 9500 Gilman Drive, MC-0607, La Jolla, CA 92093-0607, USA Find articles by Maria Rosario G. Araneta aUniversity of California San Diego, Department of Family and Preventive Medicine, 9500 Gilman Drive, MC-0607, La Jolla, CA 92093-0607, USA aUniversity of California San Diego, Department of Family and Preventive Medicine, 9500 Gilman Drive, MC-0607, La Jolla, CA 92093-0607, USA Find articles by Elizabeth Barrett-Connor aUniversity of California San Diego, Department of Family and Preventive Medicine, 9500 Gilman Drive, MC-0607, La Jolla, CA 92093-0607, USA aUniversity of California San Diego, Department of Family and Preventive Medicine, 9500 Gilman Drive, MC-0607, La Jolla, CA 92093-0607, USA bUniversity of the Philippines Manila, Department of Medicine, Section of Diabetes and Endocrinology, Manila, Philippines cUniversity of Hawaii at Manoa, Pacific Biosciences Research Center, Honolulu, Hawaii dUniversity of Hawaii at Manoa, Geriatric Medicine, John A. Burns School of Medicine, Honolulu, Hawaii * Corresponding author. Tel.: +1 858 822 3559; fax: +1 858 534 8625., E-mail address: [email protected] (M.R.G. Araneta). The publisher's final edited version of this article is available at Diabetes Res Clin Pract See other articles in PMC that cite the published article. Diabetes risk increases as immigrant populations adopt western lifestyles. We compared the prevalence of fasting hypergl Continue reading >>

Diabetes: A Taste For Sweets That’s So Deadly

Diabetes: A Taste For Sweets That’s So Deadly

With an infected toe, Rommel Barro went to see a doctor in one of the largest hospitals in Davao City. He was totally unprepared for what he heard. The doctor told him that his foot had to be amputated. He went home and refused to see any other healthcare provider. As expected, the wound got worse. Even neighbors could smell its foul odor. They complained to their barangay captain, who approached Dr. Isagani Braganza for help. Dr. Braganza is a physician who is involved in an innovative project initiated by Handicap International. The project is implemented in collaboration with local health authorities and supported by the World Diabetes Foundation, which eventually featured Rommel’s story on its website. Upon the prodding of his neighbors, Rommel went to see Dr. Braganza at the Jacinto Health Center. The doctor welcomed him. After removing Rommel’s tennis shoe and sock, the doctor saw a swollen ankle and a foot with a missing second toe. NO CURE In the Philippines, diabetes is becoming an enormous health problem. Reports say over seven million Filipinos are expected to have diabetes by 2030. Unfortunately, most of those having the disease don’t know they have it. To quote the words of the late doctor Ricardo Fernando, founder of the Institute for Studies and the Diabetes Foundation: “Many diabetics die because it is already too late to remedy the situation.” But what is alarming is that Filipinos diagnosed with diabetes are getting younger. “Children as young as five-years old have been diagnosed with diabetes,” reported the Philippine Diabetes Association (PDA), an umbrella organization of all associations involved in the care of the diabetic patients. “A doctor cannot tell that a child is diabetic until he starts to complain and usually that is alrea Continue reading >>

Assessment Of Health Care Needs Of Older Persons With Type 2 Diabetes Mellitus Pna-philippine Journal Of Nursing

Assessment Of Health Care Needs Of Older Persons With Type 2 Diabetes Mellitus Pna-philippine Journal Of Nursing

The global prevalence of diabetes by 2030 estimated an increase in number of people with diabetes. People who are 64 years of age will be 82 million in developing countries and 48 million in developed countries. The study aimed to assess the health care needs of older persons physical, cognitive, functional and self-care abilities and determine relationship of these to their profiles. These assessments are the bases in designing modules for Diabetes Self-Management Education training module for Diabetes Educators. A descriptive correlational design was utilized to assess the health care needs of 100 young older persons. The Filipino Activities of Daily Living (Fil-ADL) and the Filipino Instrumental Activities of Daily living were utilized to assess the functional status of the older persons. The Montreal Cognitive Assessment (MOCA-P) and cognitive function exams were used to assess cognitive status while Mini- Nutritional Assessment (MNA) was used to assess nutritional status of the older persons. The Self-Care Inventory Revised (Sci-R) was used to assess self-care behaviors of older persons to diabetes management. Frequency and percentage were used to describe the health care needs of older persons, while mean and standard deviation were used in assessing knowledge and self-care abilities. Chi-square test for Association was utilized to determine relationship of the health care needs and the profile of the respondents. Study shows that most of the older persons are female, 66-70 years old, married and had primary education. The older persons knowledge in diabetes is satisfactory, had a normal nutritional status, was functional in daily living activities (ADL), was functional in their instrumental activities of daily living (IADL), was normal of their cognitive status, Continue reading >>

Isrctn - Isrctn12506117: Malnutrition And Diabetes In Tuberculosis Treatment Programs In The Philippines

Isrctn - Isrctn12506117: Malnutrition And Diabetes In Tuberculosis Treatment Programs In The Philippines

Malnutrition and diabetes in tuberculosis treatment programs in the Philippines Tuberculosis (TB) is a bacterial infection that affects mainly the lungs and is spread through tiny droplets from coughs or sneezes. Wasting and malnutrition are common in patients infected with TB and are associated with mortality (death) and adverse outcomes. Under-nutrition is a risk factor and complication of active TB disease. Diabetes mellitus (a lifelong condition that causes a persons blood sugar level to become too high) is another risk factor for TB. Patients with diabetes are three times more likely to develop TB, while TB causes glucose (sugar) intolerance and can worsen glycemic (blood sugar) control among diabetics. However, there is little known about the prevalence of wasting and diabetes among TB outpatients in the Philippines. It is likely that nutritional programmes may improve TB outcomes for malnourished patients however there are no international or Filipino guidelines for nutritional support during TB treatment. There is a need for data on the prevalence of malnutrition, TB treatment outcome related to wasting and on malnutrition and diabetes prevalence in order to inform more research. The aim of this study is to evaluate the prevalence of wasting and diabetes among TB outpatients in the Philippines in order to improve the nutrition outcomes for malnourished patients and create guidelines for nutritional support during TB treatment. Adults aged 18 and older who are registered TB DOTS patients at certain clinics. Participants are randomly invited to join the study while they attend a health clinic for treatment for their TB or other co-morbidities (illnesses). During this visit, participants complete questionnaires on health and social factors including TB diagnosis, Continue reading >>

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