The leading cause of mortality and morbidity all over the world is Chronic obstructive pulmonary disease and the major cause for it is its complications. The most prevalent complication being Pulmonary Hypertension. According to WHO data in 2002, COPD was the fifth leading cause of death. The prevalence of disease is rising among males and females equally because of increasing trends of tobacco usage. Deaths will increase by more than 30% in the next 10years as predicted by the data. In 2030, the third leading cause of death will occur due to COPD. (Katiyar) It has also been observed non smoking females in rural population also suffer from COPD due to biomass smoke exposure at the time of cooking. (Sertogullarindan) Definition of Chronic obstructive pulmonary disease (COPD): it is an airflow obstruction resulting from an inflammatory process, which affects the parenchyma of lungs and airways. The presenting features are respiratory symptoms, which are confirmed by spirometry. The changes are not only limited to airways affects pulmonary vessels (Barbera) GOLD and BOLD are the two terms related to COPD. The Global initiative for Chronic Obstructive Lung disease (GOLD) has defined COPD as post-bronchodilator forced expiratory volume in one second (FEV1)/forced vital capacity (FVC) 70.5.

Diabetes is very common predisposing factor for UTI. The fact that asymptomatic bacteriuria is more common in females with diabetes as compared to males with diabetes. Asymptomatic bacteriuria (ASB) is defined as When a bacterial count of same species over10^5 per ml in mild stream clean catch specimen of urine on two occasion is detected without the symptom of urinary infection. Significant bacteriuria detected by urinary culture, without symptoms attributable to urinary tract like burning micturition, frequent micturition, urinary incontinence, urgency, painful micturition, suprapubic pain, flank pain or fever. Asymptomatic and symptomatic bacteriuria are more common in females with diabetes. Asymptomatic bacteriuria may be precursor for symptomatic bacteriuria. The UTI ranges from asymptomatic bacteriuria to lower cystitis, pyelonephritis, xanthogranulomatous pyelonephritis, renal abscess, perinephric abscess, and papillary necrosis. Asymptomatic bacteriuria seems to be non eradicable, recurring in case of diabetic females.