Current management strategies to target the increasing incidence of diabetes within Pakistan

Abdul Basit,1 Asher Fawwad,2 Shaista Ali Siddiqui,3,4 Kulsoom Baqa4 1Department of Medicine, Baqai Medical University, Baqai Institute of Diabetology and Endocrinology Karachi, Karachi, Pakistan; 2Department of Biochemistry, Baqai Medical University, Research Departments, Baqai Institute of Diabetol...

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Autores principales:	Basit A, Fawwad A, Siddiqui SA, Baqa K
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Diabetes Pakistan Non- communicable diseases Management. Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/3a6918a732fb4326af8f96216167088d
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spelling	oai:doaj.org-article:3a6918a732fb4326af8f96216167088d2021-12-02T06:27:51ZCurrent management strategies to target the increasing incidence of diabetes within Pakistan1178-7007https://doaj.org/article/3a6918a732fb4326af8f96216167088d2018-12-01T00:00:00Zhttps://www.dovepress.com/current-management-strategies-to-target-the-increasing-incidence-of-di-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Abdul Basit,1 Asher Fawwad,2 Shaista Ali Siddiqui,3,4 Kulsoom Baqa4 1Department of Medicine, Baqai Medical University, Baqai Institute of Diabetology and Endocrinology Karachi, Karachi, Pakistan; 2Department of Biochemistry, Baqai Medical University, Research Departments, Baqai Institute of Diabetology and Endocrinology Karachi, Karachi, Pakistan; 3Kaizen Management Consultancy, Sharjah, United Arab Emirates; 4Research Department, Baqai Institute of Diabetology and Endocrinology, Baqai Medical University Karachi, Karachi, Pakistan Abstract: According to the recently published National Diabetes Survey of Pakistan (NDSP 2016–2017), the prevalence of diabetes is 26.3%. Hence, Pakistan has around 27.4 million people >20 years of age suffering with diabetes. Compared to previous estimation of having around 7 million diabetic patients based on a survey done in 1994–1998, the figures are disturbingly alarming. The four main strategies to tackle the rising incidence of diabetes in Pakistan are as follows: 1) creating multidisciplinary teams through capacity building of the health care professionals (HCPs), including doctors, dieticians, diabetes educators, diabetes foot assistants, and program managers in standardized evidence-based protocols, enhancing their knowledge and skills in managing diabetes and their related comorbidities; 2) promoting primary prevention and awareness all over Pakistan using screening methods such as Risk Assessment of Pakistani Individuals for Diabetes (RAPID); 3) defining strategies for the management and prevention of diabetes and its complication through forums such as the Pakistan Diabetes Leadership Forum (PDLF); and 4) implementing a nationwide diabetes care program including registration, treatment, and referral protocols. The epidemic of diabetes in an under-resourced and overburdened health care system of Pakistan poses a serious challenge not only for the doctors but also for the multiple stakeholders involved in the community systems. There is a need for promoting and screening the population using RAPID and registering people with diabetes through Diabetes Registry of Pakistan (DROP). Future priority areas and interventional strategies shall include the following: implementing a diabetes health care service model in both rural and urban population using evidence-based clinical guidelines along with lifestyle modifications (LSMs) and prevention policies. Current management strategies and proposed future directions may successfully target the increasing incidence of diabetes. Keywords: non-communicable diseases, primary prevention, health care service model, guidelinesBasit AFawwad ASiddiqui SABaqa KDove Medical PressarticleDiabetesPakistanNon- communicable diseasesManagement.Specialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 12, Pp 85-96 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diabetes Pakistan Non- communicable diseases Management. Specialties of internal medicine RC581-951
spellingShingle	Diabetes Pakistan Non- communicable diseases Management. Specialties of internal medicine RC581-951 Basit A Fawwad A Siddiqui SA Baqa K Current management strategies to target the increasing incidence of diabetes within Pakistan
description	Abdul Basit,1 Asher Fawwad,2 Shaista Ali Siddiqui,3,4 Kulsoom Baqa4 1Department of Medicine, Baqai Medical University, Baqai Institute of Diabetology and Endocrinology Karachi, Karachi, Pakistan; 2Department of Biochemistry, Baqai Medical University, Research Departments, Baqai Institute of Diabetology and Endocrinology Karachi, Karachi, Pakistan; 3Kaizen Management Consultancy, Sharjah, United Arab Emirates; 4Research Department, Baqai Institute of Diabetology and Endocrinology, Baqai Medical University Karachi, Karachi, Pakistan Abstract: According to the recently published National Diabetes Survey of Pakistan (NDSP 2016–2017), the prevalence of diabetes is 26.3%. Hence, Pakistan has around 27.4 million people >20 years of age suffering with diabetes. Compared to previous estimation of having around 7 million diabetic patients based on a survey done in 1994–1998, the figures are disturbingly alarming. The four main strategies to tackle the rising incidence of diabetes in Pakistan are as follows: 1) creating multidisciplinary teams through capacity building of the health care professionals (HCPs), including doctors, dieticians, diabetes educators, diabetes foot assistants, and program managers in standardized evidence-based protocols, enhancing their knowledge and skills in managing diabetes and their related comorbidities; 2) promoting primary prevention and awareness all over Pakistan using screening methods such as Risk Assessment of Pakistani Individuals for Diabetes (RAPID); 3) defining strategies for the management and prevention of diabetes and its complication through forums such as the Pakistan Diabetes Leadership Forum (PDLF); and 4) implementing a nationwide diabetes care program including registration, treatment, and referral protocols. The epidemic of diabetes in an under-resourced and overburdened health care system of Pakistan poses a serious challenge not only for the doctors but also for the multiple stakeholders involved in the community systems. There is a need for promoting and screening the population using RAPID and registering people with diabetes through Diabetes Registry of Pakistan (DROP). Future priority areas and interventional strategies shall include the following: implementing a diabetes health care service model in both rural and urban population using evidence-based clinical guidelines along with lifestyle modifications (LSMs) and prevention policies. Current management strategies and proposed future directions may successfully target the increasing incidence of diabetes. Keywords: non-communicable diseases, primary prevention, health care service model, guidelines
format	article
author	Basit A Fawwad A Siddiqui SA Baqa K
author_facet	Basit A Fawwad A Siddiqui SA Baqa K
author_sort	Basit A
title	Current management strategies to target the increasing incidence of diabetes within Pakistan
title_short	Current management strategies to target the increasing incidence of diabetes within Pakistan
title_full	Current management strategies to target the increasing incidence of diabetes within Pakistan
title_fullStr	Current management strategies to target the increasing incidence of diabetes within Pakistan
title_full_unstemmed	Current management strategies to target the increasing incidence of diabetes within Pakistan
title_sort	current management strategies to target the increasing incidence of diabetes within pakistan
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/3a6918a732fb4326af8f96216167088d
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Current management strategies to target the increasing incidence of diabetes within Pakistan

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