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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Is Tuberculosis Curable For A Diabetic Patient?

My mother is 63 years old. She has diabetes. Three years back she had TB. Now again she has relapse of TB. She is on medicatiion AKT-4 and other medicines for both TB and Diabetes. Please tell me how much time it will take to get cured from TB and what should be her diet plan and after how much duration. Thankyou. Preeti
Thu, 17 Jul 2014
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  User's Response
Thanks for posting your concern here. As per RNTCP guideline a TB relapse case needs 8 months treatment under DOTS plus strategy. 2 HRZES, 1 HRZE, 5 HRE thrice weekly. H-INH, R-Rifampicin, Z- Pyrazinamide, E-Ethambutol, S -Streptomycin. 2+1+5=8 months . All these medicines are provided free of cost by Govt. Of India fro DOTS clinic However, AKT4 contains all of them except Streptomycin. Now, regarding the cure, I would say TB is a curable disease. Only MDR and XDR TB patients and TB in HIV patients are difficult to treat. I don't know in which country you reside. If you live in India, I would suggest you to visit a DOTS centre at the earliest. However, Rifampicin have several drug interaction and all the first four drugs can cause liver problem including hepatitis Furthermore, diabetes patients are more prone to have superinfection. So, maintain strict sugar control, have LFT done regularly, visit a DOTS clinic if you are in India, and be optimistic that the disease can definitely be cured. Best Wishes . For any further query, please write back.
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Diabetologist,  Dr. M. Vamsi Krishna's  Response
Dear preeti I can understand your concern
TB is very curable even in diabetic individuals
good control of diabetes is very important and use of insulin is advisable
regarding diet it's advisable to take opinion from a good Dietician
a general rule is good amount of protein should be taken
treatment of TB should be monitored by chest physician usually treatment will take 6 months to 1 yr depending on sensitivity of bacteria
regards
Dr vamsi
Diabetologist
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Is Tuberculosis Curable For A Diabetic Patient?

Thanks for posting your concern here. As per RNTCP guideline a TB relapse case needs 8 months treatment under DOTS plus strategy. 2 HRZES, 1 HRZE, 5 HRE thrice weekly. H-INH, R-Rifampicin, Z- Pyrazinamide, E-Ethambutol, S -Streptomycin. 2+1+5=8 months . All these medicines are provided free of cost by Govt. Of India fro DOTS clinic However, AKT4 contains all of them except Streptomycin. Now, regarding the cure, I would say TB is a curable disease. Only MDR and XDR TB patients and TB in HIV patients are difficult to treat. I don t know in which country you reside. If you live in India, I would suggest you to visit a DOTS centre at the earliest. However, Rifampicin have several drug interaction and all the first four drugs can cause liver problem including hepatitis Furthermore, diabetes patients are more prone to have superinfection. So, maintain strict sugar control, have LFT done regularly, visit a DOTS clinic if you are in India, and be optimistic that the disease can definitely be cured. Best Wishes . For any further query, please write back.