Objective To explore the clinical features and treatment methods of Pulmonary tuberculosis complicated with diabetes. Methods Collected the clinical data 62 cases of patients diagnosed pulmonary tuberculosis with diabetes in our hospital from January 2007 to March 2009 and to do retrospective analysis. Results Mainly in type2 diabetes, X-ray manifestations of violations of more than one pulmonary field, mainly in caseous focus and exudative lesions, and form a multi-hollow, with a high rate of sputum positive TB,lower cure rate, high recurrence rate of clinical features. Conclusion Full supervision of the use of the treatment of antituberculosis treatment, The main program for 2HREZ/10HRE, the course of treatment is one year, retreatment regimen under the TB sputum culture, drug susceptibility testing, With the selection of Levofloxacin, streptomycin, amikacin, p-aminosalicylic, prothionamide, Rifapentine. the course of treatment from 12 to 18 months. At the same time, as soon as early to use insulin to control blood sugar and to let FPG be controlled under 7.0 mmol/L.