Barriers and solutions to diabetes management: An Indian perspective
| Autor: | Subhash K Wangnoo, Debasish Maji, Ashok Kumar Das, P V Rao, Anand Moses, Bipin Sethi, Ambika Gopalakrishnan Unnikrishnan, Sanjay Kalra, V Balaji, Ganapathi Bantwal, Jothydev Kesavadev, Sunil M Jain, Mala Dharmalingam |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Delivery of health-care
diabetes mellitus health-care disparities insulin life-style medication adherence patient compliance patient-centered care physician-patient relations safety Diseases of the endocrine glands. Clinical endocrinology RC648-665 Diseases of the digestive system. Gastroenterology RC799-869 |
| Zdroj: | Indian Journal of Endocrinology and Metabolism, Vol 17, Iss 4, Pp 594-601 (2013) |
| Druh dokumentu: | article |
| ISSN: | 2230-8210 2230-9500 |
| DOI: | 10.4103/2230-8210.113749 |
| Popis: | India, with one of the largest and most diverse populations of people living with diabetes, experiences significant barriers in successful diabetes care. Limitations in appropriate and timely use of insulin impede the achievement of good glycemic control. The current article aims to identify solutions to barriers in the effective use of insulin therapy viz. its efficacy and safety, impact on convenience and life-style and lack of awareness and education. Therapeutic modalities, which avoid placing an undue burden on patients′ life-style, must be built. These should incorporate patient-centric paradigms of diabetes care, team-based approach for life-style modification and monitoring of patients′ adherence to therapy. To address the issues in efficacy and safety, long-acting, flat profile basal insulin, which mimics physiological insulin and show fewer hypoglycemic events is needed. In addition, therapy must be linked to monitoring of blood glucose to enable effective use of insulin therapy. In conjunction, wide-ranging efforts must be made to remove negative perception of insulin therapy in the community. Patient- and physician - targeted programs to enhance awareness in various aspects of diabetes care must be initiated across all levels of health-care ensuring uniformity of information. To successfully address the challenges in facing diabetes care, partnerships between various stakeholders in the care process must be explored. |
| Databáze: | Directory of Open Access Journals |
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