When diabetes and tuberculosis coexist, the tuberculosis nearly always follows on the diabetes, thus making it evident that diabetes predisposes to tuberculosis.1 The onset of tuberculosis in persons with diabetes is hastened and favored if the diabetes is not properly managed, and it is believed that persons with controlled diabetes are no more liable to have pulmonary tuberculosis than nondiabetic subjects.
The successful treatment of tuberculosis in the diabetic patient is impossible without regulation of the diabetes. We have witnessed the doom of many persons with tuberculosis and diabetes, especially in preinsulin days, when they entered sanatoriums that specialized in the treatment of tuberculosis but scoffed at the necessity for any attention to the diabetes. The satisfactory adjustment of the diabetes makes it possible to achieve the same results with the tuberculosis in the diabetic as in the nondiabetic patient.1 Since the utmost results for the cure of
MOSENTHAL HO, MARK MF. ADVANTAGES OF PROTAMINE ZINC INSULIN: RESULTS IN DIABETES COMPLICATED BY TUBERCULOSIS. JAMA. 1941;116(24):2652–2653. doi:10.1001/jama.1941.02820240012003
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