|The WHO has identified DM as a global epidemic, mostly affecting low and middle income countries where 80% of all deaths due to DM occur and about 10% of global TB cases are linked to diabetes. Simultaneously, TB continues to be a major cause of death worldwide despite the fact that the epidemic appears to be on the verge of declining. The global burden of disease due to DM and TB is immense. In 2010, there were an estimated 285 million people living with DM. In 2011, the International Diabetes Federation (IDF) estimated that about 366 million people worldwide had DM, a number which is expected to grow to at least 439 million by the year 2030, with approximately 4 million deaths (International Diabetes Federation 2009). Eighty percent (80%) of these people live in low and middle income countries where tuberculosis (TB) is highly prevalent.