The Association Between Tuberculosis and the Development of Insulin Resistance in Adults with Pulmonary Tuberculosis in the Western Sub-District of the Cape Metropole Region, South Africa: a Combined Cross-Sectional, Cohort Study

The existence of a bi-directional relationship between tuberculosis (TB) and insulin resistance (IR)/diabetes has been alluded to in literature. Although diabetes has been linked to increased tuberculosis risk, the relationship between tuberculosis as a causative factor for IR remains unclear. The study aimed to determine if an association existed between tuberculosis and IR development in adults with newly diagnosed pulmonary tuberculosis at baseline. It was additionally aimed to document changes in IR status during TB follow-up periods.