•Tuberculosis and Diabetes – Dec. 10, 2009 •Richard Brostrom, M.D. •1 of 9 Integrating Diabetes and TB Programs National Web‐based Seminar ‐ Dec 10, 2009 Richard Brostrom, M.D.‐M.S.P.H. Commonwealth of the Northern Mariana Islands (CNMI) Division of Public Health Department of Public Health Diabetes and Tuberculosis: Double Trouble Overview Diabetes in the CNMI Tuberculosis in the CNMI Integrating Diabetes Mellitus (DM) and Tuberculosis (TB) Programs Diagnosing DM in TB Cases Treating TB Cases with DM Managing DM during TB Treatment Opportunities for TB Prevention R.Brostrom – DPH Department of Public Health Mainland US To Scale
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•Tuberculosis and Diabetes – Dec. 10, 2009
•Richard Brostrom, M.D. •1 of 9
Integrating Diabetes and TB ProgramsNational Web‐based Seminar ‐ Dec 10, 2009
Richard Brostrom, M.D.‐M.S.P.H.Commonwealth of the Northern Mariana Islands (CNMI)
Division of Public Health
Department of Public Health DDiabetes and TTuberculosis: DDouble TTrouble
Overview Diabetes in the CNMI
Tuberculosis in the CNMI
Integrating Diabetes Mellitus (DM) and g g ( )Tuberculosis (TB) Programs Diagnosing DM in TB Cases
Treating TB Cases with DM
Managing DM during TB Treatment
Opportunities for TB Prevention
R.Brostrom – DPH
Department of Public Health
Mainland US To Scale
•Tuberculosis and Diabetes – Dec. 10, 2009
•Richard Brostrom, M.D. •2 of 9
Department of Public Health Carolinian in Saipan, 1905
R.Brostrom – DPH
Department of Public Health Dietary Change After 1944
R.Brostrom – DPH
Department of Public Health Diabetes Around the World
Saipan - Carolinians
Saipan - Chamorros
Nauru
Pima Indians
0 10 20 30 40 50
World Average
U.S.
Cook Islands
Kirabati
New Caledonia
Percent of Adults with DiabetesR.Brostrom – DPH
•Tuberculosis and Diabetes – Dec. 10, 2009
•Richard Brostrom, M.D. •3 of 9
Department of Public Health Global Rising Tide of Diabetes
•Millions of Cases in 2000 and Projected Cases for 2030