Synopsis:
There is an increased burden of diabetes mellitus (DM) in resource poor setting, coupled with the susceptibility to co-infection with tuberculosis (TB) especially in a high endemic tuberculosis area. Programmatic re-engineering of screening for TB amongst DM patients is needed to ensure a control of an ongoing silent co-epidemic of DM and TB. These case studies highlight the risk of the acquisition of TB among DM patients in line with the current clinical guidelines. The case series showed the importance of incorporating TB screening among DM patients into clinical practice needs to be intensified in order to improve the outcomes of both tuberculosis and control the epidemics.