Brighton and Sussex Medical School, Brighton.
Clin Med (Lond). 2011 Aug;11(4):344-7. doi: 10.7861/clinmedicine.11-4-344.
The incidence and prevalence of diabetes mellitus (DM) is rapidly increasing across the globe. Tuberculosis (TB), meanwhile, remains a significant problem in low and middle income countries fuelled by high rates of HIV/AIDS. This article explores the long recognised but underappreciated connection between the two, revealing that DM makes a substantial contribution to the burden of incident TB around the world and may also worsen TB severity and treatment outcome. The dual management of the diseases may be challenging but must be addressed, both in low and high income settings, because the rising worldwide diabetes burden poses a threat to global TB control.
糖尿病（DM）的发病率和患病率在全球范围内迅速上升。与此同时，结核病（TB）仍然是中低收入国家的一个重大问题，其原因是艾滋病毒/艾滋病的高发病率。本文探讨了长期以来被认识到但却被低估的两者之间的联系，结果表明，DM 对全球新发病例 TB 的负担有很大贡献，而且可能使 TB 的严重程度和治疗结果恶化。两种疾病的双重管理可能具有挑战性，但必须加以解决，无论是在低收入还是高收入环境中，因为全球糖尿病负担的增加对全球结核病控制构成了威胁。
