Diabetes Care in India
Background: <a title="Learn more about Diabetes" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/diabetes">Diabetes</a> has become a major health care problem in India with an estimated 66.8 million people suffering from the condition, representing t...
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Ubiquity Press
2016
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oai:doaj.org-article:e995f56b38904cc2b1821376c8c0e36c2021-12-02T07:40:43ZDiabetes Care in India2214-999610.1016/j.aogh.2016.01.002https://doaj.org/article/e995f56b38904cc2b1821376c8c0e36c2016-04-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/1450https://doaj.org/toc/2214-9996Background: <a title="Learn more about Diabetes" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/diabetes">Diabetes</a> has become a major health care problem in India with an estimated 66.8 million people suffering from the condition, representing the largest number of any country in the world. Objective: The rising burden of diabetes has greatly affected the health care sector and economy in India. The goal of health care experts in India is to transform India into a diabetes care capital in the world. Methods: An expert detailed review of the medical literature with an <a title="Learn more about Asian Indians" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/asian-indians">Asian Indian</a> context was performed. Findings: Recent epidemiologic studies from India point to a great burden from diabetes. Diabetes control in India is far from ideal with a mean <a title="Learn more about Glycated hemoglobin" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/glycated-hemoglobin">hemoglobin A1c</a> of 9.0%—at least 2.0% higher than suggested by international bodies. Nearly half of people with diabetes remain undetected, accounting for complications at the time of diagnosis. Screening can differentiate an asymptomatic individual at high risk from one at low risk for diabetes. Despite the large number of people with diabetes in India, awareness is low and needs to be addressed. Other challenges include balancing the need for <a title="Learn more about Glycemic" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/glycemic">glycemic</a> control with risk reduction due to overly tight control, especially in high-risk groups and taking into account health care professional expertise, attitudes, and perceptions. Pharmacologic care should be individualized with early consideration of <a title="Learn more about Combination therapy" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/combination-therapy">combination therapy</a>. Regular <a title="Learn more about Yoga as exercise or alternative medicine" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/yoga-as-exercise-or-alternative-medicine">exercise, yoga</a>, mindful eating, and stress management form a cornerstone in the management of diabetes. Conclusions: Considering the high cost incurred at various steps of screening, diagnosis, monitoring, and management, it is important to realize the cost-effective measures of diabetes care that are necessary to implement. Result-oriented organized programs involving patient education, as well as updating the medical fraternity on various developments in the management of diabetes, are required to combat the current diabetes epidemic in India.Shashank R. JoshiUbiquity Pressarticlediabetesdiabetes careIndiaobesitypreventionscreeningthin-fat Indiantype 1type 2Infectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 81, Iss 6, Pp 830-838 (2016) |
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diabetes diabetes care India obesity prevention screening thin-fat Indian type 1 type 2 Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 |
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diabetes diabetes care India obesity prevention screening thin-fat Indian type 1 type 2 Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Shashank R. Joshi Diabetes Care in India |
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Background: <a title="Learn more about Diabetes" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/diabetes">Diabetes</a> has become a major health care problem in India with an estimated 66.8 million people suffering from the condition, representing the largest number of any country in the world. Objective: The rising burden of diabetes has greatly affected the health care sector and economy in India. The goal of health care experts in India is to transform India into a diabetes care capital in the world. Methods: An expert detailed review of the medical literature with an <a title="Learn more about Asian Indians" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/asian-indians">Asian Indian</a> context was performed. Findings: Recent epidemiologic studies from India point to a great burden from diabetes. Diabetes control in India is far from ideal with a mean <a title="Learn more about Glycated hemoglobin" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/glycated-hemoglobin">hemoglobin A1c</a> of 9.0%—at least 2.0% higher than suggested by international bodies. Nearly half of people with diabetes remain undetected, accounting for complications at the time of diagnosis. Screening can differentiate an asymptomatic individual at high risk from one at low risk for diabetes. Despite the large number of people with diabetes in India, awareness is low and needs to be addressed. Other challenges include balancing the need for <a title="Learn more about Glycemic" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/glycemic">glycemic</a> control with risk reduction due to overly tight control, especially in high-risk groups and taking into account health care professional expertise, attitudes, and perceptions. Pharmacologic care should be individualized with early consideration of <a title="Learn more about Combination therapy" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/combination-therapy">combination therapy</a>. Regular <a title="Learn more about Yoga as exercise or alternative medicine" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/yoga-as-exercise-or-alternative-medicine">exercise, yoga</a>, mindful eating, and stress management form a cornerstone in the management of diabetes. Conclusions: Considering the high cost incurred at various steps of screening, diagnosis, monitoring, and management, it is important to realize the cost-effective measures of diabetes care that are necessary to implement. Result-oriented organized programs involving patient education, as well as updating the medical fraternity on various developments in the management of diabetes, are required to combat the current diabetes epidemic in India. |
| format |
article |
| author |
Shashank R. Joshi |
| author_facet |
Shashank R. Joshi |
| author_sort |
Shashank R. Joshi |
| title |
Diabetes Care in India |
| title_short |
Diabetes Care in India |
| title_full |
Diabetes Care in India |
| title_fullStr |
Diabetes Care in India |
| title_full_unstemmed |
Diabetes Care in India |
| title_sort |
diabetes care in india |
| publisher |
Ubiquity Press |
| publishDate |
2016 |
| url |
https://doaj.org/article/e995f56b38904cc2b1821376c8c0e36c |
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AT shashankrjoshi diabetescareinindia |
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