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Challenges in diabetes management with particular reference to India

Diabetes was estimated to be responsible for 109 thousand deaths, 1157 thousand years of life lost and for 2263 thousand disability adjusted life years (DALYs) in India during 2004. However, health systems have not matured to manage diabetes effectively. The limited studies available on diabetes car...

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Detalles Bibliográficos
Autores principales: Venkataraman, Kavita, Kannan, A. T., Mohan, Viswanathan
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2822213/
https://www.ncbi.nlm.nih.gov/pubmed/20165646
http://dx.doi.org/10.4103/0973-3930.54286
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author Venkataraman, Kavita
Kannan, A. T.
Mohan, Viswanathan
author_facet Venkataraman, Kavita
Kannan, A. T.
Mohan, Viswanathan
author_sort Venkataraman, Kavita
collection PubMed
description Diabetes was estimated to be responsible for 109 thousand deaths, 1157 thousand years of life lost and for 2263 thousand disability adjusted life years (DALYs) in India during 2004. However, health systems have not matured to manage diabetes effectively. The limited studies available on diabetes care in India indicate that 50 to 60% of diabetic patients do not achieve the glycemic target of HbA1c below 7%. Awareness about and understanding of the disease is less than satisfactory among patients, leading to delayed recognition of complications. The cost of treatment, need for lifelong medication, coupled with limited availability of anti-diabetic medications in the public sector and cost in the private sector are important issues for treatment compliance. This article attempts to highlight the current constraints in the health system to effectively manage diabetes and the need for developing workable strategies for ensuring timely and appropriate management with extensive linkage and support for enhancing the availability of trained manpower, investigational facilities and drugs.
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spelling pubmed-28222132010-02-17 Challenges in diabetes management with particular reference to India Venkataraman, Kavita Kannan, A. T. Mohan, Viswanathan Int J Diabetes Dev Ctries Review Article Diabetes was estimated to be responsible for 109 thousand deaths, 1157 thousand years of life lost and for 2263 thousand disability adjusted life years (DALYs) in India during 2004. However, health systems have not matured to manage diabetes effectively. The limited studies available on diabetes care in India indicate that 50 to 60% of diabetic patients do not achieve the glycemic target of HbA1c below 7%. Awareness about and understanding of the disease is less than satisfactory among patients, leading to delayed recognition of complications. The cost of treatment, need for lifelong medication, coupled with limited availability of anti-diabetic medications in the public sector and cost in the private sector are important issues for treatment compliance. This article attempts to highlight the current constraints in the health system to effectively manage diabetes and the need for developing workable strategies for ensuring timely and appropriate management with extensive linkage and support for enhancing the availability of trained manpower, investigational facilities and drugs. Medknow Publications 2009 /pmc/articles/PMC2822213/ /pubmed/20165646 http://dx.doi.org/10.4103/0973-3930.54286 Text en © International Journal of Diabetes in Developing Countries http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Venkataraman, Kavita
Kannan, A. T.
Mohan, Viswanathan
Challenges in diabetes management with particular reference to India
title Challenges in diabetes management with particular reference to India
title_full Challenges in diabetes management with particular reference to India
title_fullStr Challenges in diabetes management with particular reference to India
title_full_unstemmed Challenges in diabetes management with particular reference to India
title_short Challenges in diabetes management with particular reference to India
title_sort challenges in diabetes management with particular reference to india
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2822213/
https://www.ncbi.nlm.nih.gov/pubmed/20165646
http://dx.doi.org/10.4103/0973-3930.54286
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