Glucose tolerance studies in hospitalized tuberculous patients
Khanna, K.K and Khanna, B.K. (1963) Glucose tolerance studies in hospitalized tuberculous patients. Indian Journal of Tuberculosis, 10 (2). pp. 64-69.
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150 tuberculous patients admitted to Kasturba T.B. Clinic and Hospital during the year 1959 were subjected to a preliminary screening test for diabetes. 20 cases demonstrated an abnormal pattern. Glycosuria, more than a trace, was obtained in 1.4 per cent cases, blood sugar level above 120 mg. per 100 c.c. in 4.6 per cent cases and both the abnormalities were recorded in 7.4 per cent cases. When these 20 cases were subjected to detailed glucose tolerance studies, 2 cases (10 per cent) had a normal glucose tolerance test; 8 cases (40 per cent) had abnormality in curve but were not diabetic, and 10 cases (50 per cent) demonstrated frank diabetes. Out of 9 cases above 40 years of age showing the abnormal screening test for diabetes, 7 cases had frank diabetes as opposed to that of 3 cases out of a total of 11 cases, in the age group below 40 years. This clearly demonstrated that abnormal screening pattern in elderly age group was mainly due to diabetes itself. All the detected diabetics were males. The extent of lesion in the lung was greater in frank diabetics as compared to that of other groups. The lesion in the lung was mainly exudative in diabetics. Involvement of larger number of zones in patients belonging to Group III (abnormal but not diabetic glucose tolerance pattern) may perhaps be accounted for by the inclusion of some of the mild diabetics, future diabetics and latent diabetics in this group.
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