Overcoming the Challenges Posed by Diabetes in India

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Overcoming the challenges posed by diabetes in
India
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• Lifestyle changes have had a profound impact on
  the number of cases of diabetes in India and
  around the world. The prevalence and increase in
  the number of type 2 diabetes cases globally is a
  major cause for concern. Where does the solution
  to this looming crisis lie? Can education and
  awareness building lead the way? Or will it not
  have a lasting impact?
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• The case for awareness and education
• The effects of globalization are there for all to
  see. Whether its the clothes we wear, the shows
  we watch, or even the food we eat, the impact is
  long-lasting. The sheer number of sweets and fast
  foods available, incredible marketing tactics and
  ease of access to them make focusing on a healthy
  diet a very difficult proposition. This makes
  early detection critical. The more people are
  aware of the severity of the issues they face,
  the more likely they are to take a positive
  action to address the situation. Altering dietary
  behavior might seem challenging, but when faced
  with the looming threat of diabetes, it is
  something that can be adapted to.
• The ethnic susceptibility of Indians for
  developing diabetes is a cause for concern. This
  makes a regular screening program for the disease
  both a vital and cost-effective solution towards
  lowering the impact of the disease. By preventing
  diabetes in high-risk individuals in India, the
  costs associated with treatment of the disease
  can be lowered in the short and long term.
• Secondary prevention (treatment of diabetes
  complications) can also be an effective tool in
  tackling the economic effects of the disease
  while improving patient quality of life. It
  allows a reduction in major expenditures
  associated with advanced diabetes. In fact,
  several studies show that cost savings of up to
  75 may be possible just by switching the
  goalposts and providing primary resolutions to
  diabetes-related complaints via outpatient
  consultations.

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• Ground-level interventions are needed
• The severity of diabetes and its associated
  complications may not be evident across the
  country. Shared care responsibilities, between
  GPs, primary healthcare workers, and ASHA
  (accredited social health activist) workers may
  be more suitable to the diverse patient
  environment in India. This is an especially
  strong mechanism that can be leveraged towards
  awareness-building and education.
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• Education and infrastructure must improve
  together
• The lack of knowledge and awareness about the
  disease can have far-reaching effects. 25 of the
  population in India is currently unaware of
  diabetes. Only 22.2 of the population and 41 of
  known diabetics feel that diabetes can be
  prevented. While awareness levels tend to
  increase with better education, only 42.6
  postgraduates, medical professionals and lawyers
  felt that diabetes was preventable. The
  dependence of the average Indian diabetic on a GP
  is also high, with over 92.3 cases being treated
  by them rather than a diabetic specialist. The
  need for improving awareness is pressing, as,
  with it, patients can manage their diabetes
  better.
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• Where does the solution lie?
• There are many areas that will need to be
  addressed for proper care and management of
  diabetes. Enhancing infrastructural capabilities,
  and skills for health personnel must be the key
  focus areas. Access to knowledge, the right
  medications and healthcare facilities, and
  addressing economic disparity in the healthcare
  system is also essential. By alleviating the
  socio-economic burden on diabetics, educating
  them on healthy lifestyle changes, and
  formulating policies that procure healthy yet
  low-cost food items, a few steps can be taken in
  the right direction.
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•  
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