In addition, we also saw an overall trend in which HbA1c was lower before HIV ascertainment and this could be a possible indicator of undiagnosed HIV ( Fig 5 ).
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Diabetes in a TB and HIV-endemic South African population: Analysis of a virtual cohort using routine health data.
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The sentences
This is a worrying trend which is possibly due to a combination of diabetes disease progression with time, and a lack of compliance and adherence with the treatment and lifestyle changes [ 54 , 56 – 58 ].