Modeling the Dynamics of Tuberculosis-Diabetes Mellitus Coinfection with an Optimal Control Approach
Abstract
Tuberculosis–Diabetes Mellitus (TB-DM) coinfection poses a significant public health challenge, contributing to increased morbidity, treatment failure, and healthcare costs. This study develops a mathematical model that stratifies TB infection into latent and active classes to examine the dynamics of TB–DM coinfection. The model is analyzed to determine the disease-free and endemic equilibrium points, supported by numerical evaluation using established parameter values. Furthermore, prevention strategies are assessed through an optimal control framework, formulated using Pontryagin’s Minimum Principle and validated through numerical simulations. The findings are expected to provide effective strategies to reduce TB-DM transmission and minimize optimal control costs, thereby supporting the development of improved public health policies.
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van den Driessche, Pauline; Watmough, James (2002).
Reproduction Numbers and Sub-threshold Endemic Equilibria for Compartmental Models of Disease Transmission.
Mathematical Biosciences, 180(1–2), 29–48.
https://doi.org/10.1016/S0025-5564(02)00108-6
Aldila, Dipo; Ndii, Meksianis Z.; Anggriani, Nursanti; Windarto; Tasman, Hengki; Handari, Bevina D. (2023).
Impact of social awareness, case detection, and hospital capacity on dengue eradication in Jakarta: A mathematical model approach.
Alexandria Engineering Journal, 64, 691–707.
https://doi.org/10.1016/j.aej.2022.11.032.
Available at: https://www.sciencedirect.com/science/article/pii/S1110016822007657
Boadu, A.; Yeboah-Manu, M.; Osei-Wusu, S.; Yeboah-Manu, D. (2024, September).
Tuberculosis and Diabetes Mellitus: The Complexity of The Comorbid Interactions.
International Journal of Infectious Diseases, 146, 107140.
https://doi.org/10.1016/j.ijid.2024.107140
Muniroh, Muna Afdi; Trisilowati; Kusumawinahyu, Wuryansari Muharini (2022, May).
Analisis Dinamik Model Hepatitis B dengan Sirosis Hati.
Limits: Journal of Mathematics and Its Applications, 19(1), 101–115.
https://doi.org/10.12962/limits.v19i1.11060
Amelia, R.; Fujiati, I. I.; Lindarto, D.; Yunir, E.; Kusnanto, H. (2023).
Profile of Tuberculosis Patients with Comorbid Diabetes Mellitus in Medan, Indonesia: A Cross-Sectional Study.
PanAfrican Medical Journal, 24, 49–54.
https://doi.org/10.11604/pamj.2024.49.54.36492
Nursamsi; Toaha, S.; Kasbawati (2020).
Stability Analysis of Tuberculosis Spread Model in Diabetes Mellitus Patients with Treatment Factor.
Jurnal Matematika, Statistika, dan Komputasi, 17(1), 50–60.
https://doi.org/10.20956/jmsk.v17i1.10245
Awad, S. F.; Critchley, J. A.; Abu-Raddad, L. J. (2022).
Impact of Diabetes Mellitus on Tuberculosis Epidemiology in Indonesia: A Mathematical Modeling Analysis.
Tuberculosis, 134, 102164.
https://doi.org/10.1016/j.tube.2022.102164
Pratama, J. D.; Permatasari, A. H. (2023).
Dynamic Model of Tuberculosis with Diabetes Mellitus.
Advances in Dynamical Systems and Applications, 18(2), 137–154.
Maulina, D. A.; Imron, C. (2024).
Analysis and Optimal Control of Tuberculosis Disease Spread Model with Vaccination and Case Finding Control (Case Study: Surabaya City).
Barekeng: Jurnal Ilmu Matematika dan Terapan, 18(2), 1189–1200.
Rasheed, S.; Iyiola, O. S.; Oke, S. I.; Wade, B. A. (2024).
Exploring a Mathematical Model with Saturated Treatment for the Co-Dynamics of Tuberculosis and Diabetes.
Mathematics, 12, 3765.
https://doi.org/10.3390/math12233765
Agwu, C. O. (2023).
Mathematical model of the co-dynamics of diabetes and tuberculosis (Unpublished Doctoral Thesis).
Federal University of Technology, Owerri, Nigeria.
Muniroh, Muna Afdi; Trisilowati; Kusumawinahyu, W. M. (2023, June).
Optimal control of hepatitis B virus-induced liver cirrhosis model.
AIP Conference Proceedings, 2733(1), 030005.
https://doi.org/10.1063/5.0140637.
PDF: https://pubs.aip.org/aip/acp/article-pdf/doi/10.1063/5.0140637/18020697/030005_1_5.0140637.pdf
Park, J.; Yoon, J. H.; Ki, H. K.; Han, K.; Kim, H. (2022).
Lifestyle Changes and Risk of Tuberculosis in Patients with Type 2 Diabetes Mellitus: A Nationwide Cohort Study.
Frontiers in Endocrinology, 13, 1009493.
https://doi.org/10.3389/fendo.2022.1009493.
PMID: 36339423; PMCID: PMC9627208
World Health Organization (2025).
Preventing Tuberculosis.
World Health Organization.
Available at: https://www.who.int/activities/preventing-tb
Dhara, Merina; Baths, Veeky; Danumjaya, P. (2018).
Mathematical modeling and dynamics of tuberculosis infection among diabetic patients in India.
The Journal of Analysis, 27(2), 451–463.
https://doi.org/10.1007/s41478-018-0086-5
Beltrand, J.; Busiah, K.; Vaivre-Douret, L.; Fauret, A. L.; Berdugo, M.; Cavé, H.; Polak, M. (2020).
Neonatal Diabetes Mellitus.
Frontiers in Pediatrics, 8, 540718.
https://doi.org/10.3389/fped.2020.540718
Bisht, M.; Dahiya, P.; Ghosh, S.; Mukhopadhyay, S. (2023).
The cause--effect relation of tuberculosis on incidence of diabetes mellitus.
Frontiers in Cellular and Infection Microbiology, 13.
https://doi.org/10.3389/fcimb.2023.1134036
Mave, Vijay; Gaikwad, Snehal; Barthwal, Madhura; Chandanwale, Amit; Lokhande, Rajesh; Kadam, Dnyaneshwar; Dharmshale, Sagar; Bharadwaj, Renu;
Kagal, Ashish; Pradhan, Nivedita; Deshmukh, Suvarna; Atre, Sneha; Sahasrabudhe, Trupti; Meshram, Sheetal; Kakrani, Ashwini; Kulkarni, Vinayak;
Raskar, Shubhangi; Suryavanshi, Niraj; Kornfeld, Hardy; Dooley, Kelly; Chon, Sharon; Gupte, Anand; Gupta, Anju; Gupte, Nikhil; Golub, Jonathan (2021).
Diabetes Mellitus and Tuberculosis Treatment Outcomes in Pune, India.
Open Forum Infectious Diseases, 8.
https://doi.org/10.1093/ofid/ofab097
World Health Organization (2024).
Global Tuberculosis Report 2024.
Available at: https://www.who.int/publications/i/item/9789240101531
Thong, P. M.; Wong, Yi Hao; Kornfeld, Hardy; Goletti, Delia; Ong, Catherine W. M. (2025).
Immune dysregulation of diabetes in tuberculosis.
Seminars in Immunology, 78, 101959.
https://doi.org/10.1016/j.smim.2025.101959
Lin, Yan; Harries, Anthony D.; Kumar, A. M. V.; Critchley, Julia A.; van Crevel, Reinout; Owiti, Philip; Dlodlo, Riitta A.; Dejgaard, Anders (2019).
Management of Diabetes Mellitus–Tuberculosis: A Guide to the Essential Practice.
The Union & World Diabetes Foundation, Paris, France / Bagsværd, Denmark.
ISBN: 979-10-91287-23-4.
Available at: https://theunion.org/sites/default/files/2020-11/TheUnion_DMTB_Guide.pdf
Centers for Disease Control and Prevention (2025).
About Diabetes.
Available at: https://www.cdc.gov/diabetes/about/index.html
Centers for Disease Control and Prevention (2024).
Preventing Tuberculosis.
Available at: https://www.cdc.gov/tb/prevention/index.html
Pietersen, E.; Anderson, K.; Cox, H.; Dheda, K.; Bian, A.; Shepherd, B. E.; Sterling, T. R.; Warren, R. M.; van der Heijden, Y. F. (2023).
Variation in Missed Doses and Reasons for Discontinuation of Anti-Tuberculosis Drugs During Hospital Treatment for Drug-Resistant Tuberculosis in South Africa.
PLoS One.
DOI: https://doi.org/10.18860/cauchy.v11i1.37539
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