The Effect of Glycemic Status on the X-ray Image of Pulmonary Tuberculosis in Patients with Type 2 Diabetes Mellitus

Abstract

The study is devoted to determining the effect of the level of glycemic status, on the X-ray picture in patients with type 2 diabetes mellitus. The X-ray archive of 82 patients with pulmonary tuberculosis and type 2 diabetes mellitus was analyzed. The evaluation of the radiological picture was carried out with the correlation of the level of glucose in the blood. In patients with fasting glucose values of 10 mmol/l and above, the X-ray picture of tuberculosis was characterized by extensive areas of lung tissue consolidation, with a 50 % frequency of localization in the lower sections, with the rapid formation of decay cavities. The course of tuberculosis with severe tuberculous intoxication was observed in patients with sharp jumps in the daily blood glucose index of more than 5 mmol/l, even in patients with an average glucose index of no more than 8 mmol/l. The X-ray picture was characterized by the presence of areas of consolidation in the lungs on both sides with many air cavities and dropout foci; the appearance of new areas of consolidation against the background of anti-tuberculosis therapy.