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LATEST NEWS UPDATES | Alert on diabetes treatment hurdles -GS Mudur

Alert on diabetes treatment hurdles -GS Mudur

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published Published on Oct 8, 2018   modified Modified on Oct 8, 2018
-The Telegraph

Glare on late diagnosis and poor management

New Delhi:
Delayed diagnosis, poor chronic disease management skills and faith in unproven traditional-medicine therapies are barriers to the effective treatment of diabetes in India and other South Asian countries, a group of doctors has cautioned.

A seven-member team from academic institutions and hospitals in India, Britain and Australia has said an improvement in doctors’ skills and the release of updated diabetes management guidelines would be key to better diabetes care in the region.

“Prevention and treatment of diabetes needs to be far more aggressive than it is now. Many patients are likely to develop complications only because of poor management,” said Anoop Misra, director of the Fortis Centre for Diabetes, Obesity and Cholesterol, New Delhi.

Inadequate treatment and defiance of medical advice on lifestyle changes too contribute to complications and premature deaths, Misra and his co-authors have said in a research review in the journal Lancet Diabetes and Endocrinology.

They have cited a study from the National Capital Region that found that only 8 per cent among a sample of 408 diabetes patients had received a detailed eye examination and only 15 per cent had received a foot examination in the previous 12 months. Periodic eye and foot examinations are important to detecting early signs of complications of diabetes.

These low numbers reflect poor chronic disease management skills and contrast with findings from high-income countries, where more than 90 per cent of diabetes patients would receive eye and foot examinations.

The doctors have also expressed concern that many physicians are not well versed in the psychosocial interventions needed to nudge patients into controlling their sugar levels, blood pressure and cholesterol.

They said patients’ use of complementary therapies such as ayurveda, yoga, unani, siddha and homoeopathy, whose efficacy has not been established through rigorous scientific studies, poses another barrier to diabetes management.

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The Telegraph, 8 October, 2018, https://www.telegraphindia.com/india/alert-on-diabetes-treatment-hurdles/cid/1671284?ref=india_india-page


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