Diabetes Care in India

Diabetes 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. The rising burden of diabetes has greatly affected the health care sector and economy in India. The goal of health...

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Published inAnnals of global health Vol. 81; no. 6; pp. 830 - 838
Main Author Joshi, Shashank R.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.11.2015
Ubiquity Press
Subjects
Blood Glucose
diabetes
diabetes care
Diabetes Complications - epidemiology
Diabetes Mellitus - economics
Diabetes Mellitus - epidemiology
Diabetes Mellitus - prevention & control
Diabetes Mellitus - therapy
Glycated Hemoglobin A - analysis
Health Care Costs
Humans
India
India - epidemiology
Mortality
obesity
Obesity - complications
Obesity - epidemiology
Prevalence
prevention
Risk
screening
thin-fat Indian
type 1
type 2
type 2
diabetes care
screening
type 2
type 1
thin-fat Indian
diabetes
obesity
prevention
India
Online AccessGet full text
ISSN2214-9996
2214-9996
DOI10.1016/j.aogh.2016.01.002

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Abstract Diabetes 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. 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. An expert detailed review of the medical literature with an Asian Indian context was performed. Recent epidemiologic studies from India point to a great burden from diabetes. Diabetes control in India is far from ideal with a mean hemoglobin A1c 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 glycemic 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 combination therapy. Regular exercise, yoga, mindful eating, and stress management form a cornerstone in the management of diabetes. 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.
AbstractList Background: Diabetes  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  Asian Indian  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  hemoglobin A1c  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  glycemic  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  combination therapy . Regular  exercise, yoga , 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.
Diabetes 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. 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. An expert detailed review of the medical literature with an Asian Indian context was performed. Recent epidemiologic studies from India point to a great burden from diabetes. Diabetes control in India is far from ideal with a mean hemoglobin A1c 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 glycemic 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 combination therapy. Regular exercise, yoga, mindful eating, and stress management form a cornerstone in the management of diabetes. 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.
Diabetes 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.BACKGROUNDDiabetes 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.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.OBJECTIVEThe 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.An expert detailed review of the medical literature with an Asian Indian context was performed.METHODSAn expert detailed review of the medical literature with an Asian Indian context was performed.Recent epidemiologic studies from India point to a great burden from diabetes. Diabetes control in India is far from ideal with a mean hemoglobin A1c 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 glycemic 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 combination therapy. Regular exercise, yoga, mindful eating, and stress management form a cornerstone in the management of diabetes.FINDINGSRecent epidemiologic studies from India point to a great burden from diabetes. Diabetes control in India is far from ideal with a mean hemoglobin A1c 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 glycemic 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 combination therapy. Regular exercise, yoga, mindful eating, and stress management form a cornerstone in the management of diabetes.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.CONCLUSIONSConsidering 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.
Author Joshi, Shashank R.
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  surname: Joshi
  fullname: Joshi, Shashank R.
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  organization: Joshi Clinic, Lilavati & Bhatia Hospital, Mumbai, India
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Issue 6
Keywords diabetes care
screening
type 2
type 1
thin-fat Indian
diabetes
obesity
prevention
India
Language English
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Snippet Diabetes 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...
Background: Diabetes  has become a major health care problem in India with an estimated 66.8 million people suffering from the condition, representing the...
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SubjectTerms Blood Glucose
diabetes
diabetes care
Diabetes Complications - epidemiology
Diabetes Mellitus - economics
Diabetes Mellitus - epidemiology
Diabetes Mellitus - prevention & control
Diabetes Mellitus - therapy
Glycated Hemoglobin A - analysis
Health Care Costs
Humans
India
India - epidemiology
Mortality
obesity
Obesity - complications
Obesity - epidemiology
Prevalence
prevention
Risk
screening
thin-fat Indian
type 1
type 2
type 2
Title Diabetes Care in India
URI https://dx.doi.org/10.1016/j.aogh.2016.01.002
https://www.ncbi.nlm.nih.gov/pubmed/27108150
https://www.proquest.com/docview/1784463069
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Volume 81
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