{"presentation":{"slides":[{"elements":[{"x":25.05446623093682,"y":6.451612903225806,"width":70.80610021786492,"height":40.86021505376344,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

As a consequence of social and economic development and changes in lifestyle, there has been a rapidly growing epidemic of Diabetes Mellitus(DM) <\/span><\/strong>in the country.<\/p>\n\n

TB and Diabetes when existing together are associated with worsening of both disease.<\/p>\n\n

Hence it is important appropriate management of Diabetes is included along with management of TB<\/p>\n"},"subContentId":"d3a17202-9c8a-4473-a881-d0fb9dfd599e","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":2.178649237472767,"y":6.451612903225806,"width":19.716775599128542,"height":38.8768898488121,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-64fb302cb6c50.png","mime":"image\/png","copyright":{"license":"U"},"width":512,"height":512},"expandImage":"Expand Image","minimizeImage":"Minimize Image"},"subContentId":"27ca0c5f-7253-4137-b69e-956c5e79cad3","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":18.51851851851852,"y":86.02150537634408,"width":68.62745098039215,"height":10.75268817204301,"action":{"library":"H5P.Shape 1.0","params":{"shape":{"fillColor":"rgb(209, 234, 246)","borderWidth":"2","borderStyle":"dotted","borderColor":"rgb(230, 225, 225)","borderRadius":"0"},"type":"rectangle","line":{"borderColor":"#000000","borderWidth":"1","borderStyle":"solid"}},"subContentId":"3fe11104-7184-49f8-950b-1821d907278b","metadata":{"contentType":"Shapes","license":"U"}},"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false},{"x":28.32244008714597,"y":88.17204301075269,"width":57.734204793028326,"height":6.479481641468682,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

India has the second largest number of diabetic people in the world.<\/p>\n"},"metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"1e87119c-eef4-4e4a-9d2c-0cb9776331ff"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":18.51851851851852,"y":83.87096774193547,"width":7.625272331154684,"height":15.11879049676026,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-64fb30710e7ab.png","mime":"image\/png","copyright":{"license":"U"},"width":128,"height":128},"expandImage":"Expand Image","minimizeImage":"Minimize Image"},"metadata":{"contentType":"Image","license":"U","title":"Untitled Image"},"subContentId":"f3fa8e21-0a71-47c6-8805-cd0635180422"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":3.263714596949891,"y":49.4036559139785,"width":89.32461873638344,"height":32.25806451612903,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

The National Framework for joint TB - Diabetes collaborative activities specify the service delivery integration for TB and Diabetes. Based on the framework the following services are expected<\/p>\n\n

1. bidirectional screening of identified TB and Diabetes for both diseases atleast using 4 Symptom Complex and Random Blood Sugar Test. <\/p>\n\n

2. linkage of patients suffering with TB and diabetes for appropriate diabetes care and management.<\/p>\n"},"metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"dde1ff77-ad25-4558-a047-63352a3812e9"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":22.875816993464053,"y":92.47311827956989,"width":54.46623093681917,"height":6.451612903225806,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Figure: Screening steps for bi-directional TB and Diabetes screening<\/strong><\/span><\/p>\n"},"subContentId":"37ef0b37-5456-4e9a-9ba4-79f7e6af905b","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":4.357298474945534,"y":2.150537634408602,"width":91.28540305010894,"height":88.55291576673866,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-64fb2ebcef836.png","mime":"image\/png","copyright":{"license":"U"},"width":2858,"height":1409},"expandImage":"Expand Image","minimizeImage":"Minimize Image"},"subContentId":"7437fce8-f412-4fd9-af7c-2961429ecad1","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":26.143790849673202,"y":15.053763440860214,"width":19.607843137254903,"height":5.161290322580645,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

In Diabetes patients<\/strong><\/p>\n"},"subContentId":"c2d0f30c-934c-40a7-8b2c-8f6715ca2eab","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":51.19825708061002,"y":83.87096774193547,"width":19.607843137254903,"height":5.161290322580645,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

In Diabetes patients<\/strong><\/p>\n"},"metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"e22e0377-2d83-4eb7-a8b9-9974dd79a7f6"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":61.00217864923747,"y":15.053763440860214,"width":15.250544662309368,"height":5.161290322580645,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

In TB patients<\/strong><\/p>\n"},"metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"bfb3d950-2970-499f-b1f0-bd2b78ad0dfe"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":81.69934640522875,"y":51.55247311827957,"width":13.071895424836601,"height":15.053763440860214,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Preferably through venous blood<\/p>\n"},"metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"b33b94aa-2530-46c3-8c45-f79f182c5723"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":9.803921568627452,"y":12.903225806451612,"width":86.05664488017429,"height":64.79481641468682,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

\u200bTB-Diabetes Management<\/span><\/span><\/p>\n\n

\n\t
All persons affected by TB will be referred for diabetes screening.<\/span><\/strong><\/li>\n\t
Referral of persons affected by TB for DM screening and its recording is the responsibility of the Current PHI<\/span><\/strong> where the patient is currently taking treatment from.<\/li>\n\t
Persons affected by TB and diagnosed with diabetes will receive the same duration of TB treatment with daily regimen<\/span><\/strong> as non-diabetic TB patients.<\/li>\n\t
Persons with diabetes and TB need close monitoring <\/strong><\/span>for strict glycemic control.<\/li>\n\t
Regular monitoring of blood sugar levels and titration of anti diabetic medications <\/span><\/strong>are required.<\/li>\n<\/ul>\n"},"subContentId":"447da0b3-a769-4f91-aec2-a86e7138383e","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":3.2679738562091503,"y":58.31533477321815,"width":5.446623093681917,"height":10.799136069114471,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-641d3fe0752e7.png","mime":"image\/png","copyright":{"license":"U"},"width":512,"height":512},"alt":"Screening for diabetes","expandImage":"Expand Image","minimizeImage":"Minimize Image"},"subContentId":"71be1847-1642-4cdf-9e4a-fd4161a4e5ce","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":3.2679738562091503,"y":12.958963282937365,"width":5.446623093681917,"height":10.799136069114471,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-641d4088c1299.png","mime":"image\/png","copyright":{"license":"U"},"width":512,"height":512},"alt":"screening","expandImage":"Expand Image","minimizeImage":"Minimize Image"},"subContentId":"dc008188-b839-4c02-a762-a5fa85af6599","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":3.2679738562091503,"y":28.077753779697623,"width":5.446623093681917,"height":10.799136069114471,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-641d40b7700d2.png","mime":"image\/png","copyright":{"license":"U"},"width":512,"height":512},"expandImage":"Expand Image","minimizeImage":"Minimize Image"},"subContentId":"68a4bdca-6964-4a88-9928-61605e465636","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":3.2679738562091503,"y":43.196544276457885,"width":5.446623093681917,"height":10.799136069114471,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-641d40e95efb3.png","mime":"image\/png","copyright":{"license":"U"},"width":512,"height":512},"alt":"doctor","expandImage":"Expand Image","minimizeImage":"Minimize Image"},"subContentId":"05c6ae91-889a-4458-a30f-e67e7fa56657","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}}],"keywordListEnabled":true,"globalBackgroundSelector":{},"keywordListAlwaysShow":false,"keywordListAutoHide":false,"keywordListOpacity":90},"override":{"activeSurface":false,"hideSummarySlide":false,"summarySlideSolutionButton":true,"summarySlideRetryButton":true,"enablePrintButton":true,"social":{"showFacebookShare":false,"facebookShare":{"url":"@currentpageurl","quote":"I scored @score out of @maxScore on a task at @currentpageurl."},"showTwitterShare":false,"twitterShare":{"statement":"I scored @score out of @maxScore on a task at @currentpageurl.","url":"@currentpageurl","hashtags":"h5p, course"},"showGoogleShare":false,"googleShareUrl":"@currentpageurl"}},"l10n":{"slide":"Slide","score":"Score","yourScore":"Your Score","maxScore":"Max Score","total":"Total","totalScore":"Total Score","showSolutions":"Show solutions","retry":"Retry","exportAnswers":"Export text","hideKeywords":"Hide sidebar navigation menu","showKeywords":"Show sidebar navigation menu","fullscreen":"Fullscreen","exitFullscreen":"Exit fullscreen","prevSlide":"Previous slide","nextSlide":"Next slide","currentSlide":"Current slide","lastSlide":"Last slide","solutionModeTitle":"Exit solution mode","solutionModeText":"Solution Mode","summaryMultipleTaskText":"Multiple tasks","scoreMessage":"You achieved:","shareFacebook":"Share on Facebook","shareTwitter":"Share on Twitter","shareGoogle":"Share on Google+","summary":"Summary","solutionsButtonTitle":"Show comments","printTitle":"Print","printIngress":"How would you like to print this presentation?","printAllSlides":"Print all slides","printCurrentSlide":"Print current slide","noTitle":"No title","accessibilitySlideNavigationExplanation":"Use left and right arrow to change slide in that direction whenever canvas is selected.","accessibilityCanvasLabel":"Presentation canvas. 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MCC: TB and Diabetes

TB and Diabetes comorbidity

Diabetes among people with TB