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Diabetes: Status of disease in India and its Treatment policy

Chawla Amit, Kumar Vishal, Hajam Manzoor Majid, Rohit ., Sanjay ., Mangilal ., Hudda Kumar Sanjay, Kaur Manjot, Rani Payal, Arsh chanana, Bilandi Ajay

Abstract


The incidence of diabetes is increasing globally due to factors such as population growth, an aging demographic, urbanization, and rising levels of obesity and physical inactivity. In contrast to Western nations, where the disease predominantly affects older individuals, Asian countries are seeing a troubling trend of diabetes occurring more frequently among young and middle-aged adults. This situation poses significant risks for the health and economic stability of these nations, particularly in developing regions. According to the International Diabetes Federation (IDF), the number of diabetes cases in India was approximately 50.8 million in 2010, and 74.2 million in 2021   and it is projected to escalate to around 87.0 million by 2030.

Foot complications are a significant concern for individuals with diabetes mellitus, representing a serious health and economic challenge. Understanding the scope of this issue, along with its risk factors, is essential for healthcare providers to develop more effective prevention strategies. The Saudi National Diabetes Registry (SNDR), as a comprehensive database, stands out as an invaluable resource for assessing this challenge.

The main objective in managing diabetes mellitus is to achieve near-normal blood sugar levels. In India, over half of the patients struggle with inadequate glycemic control, leading to vascular complications. This highlights the pressing need for innovative diabetes treatments that not only prevent complications but also prioritize patient safety.

Glucagon-like peptide-1 (GLP-1) analogues and dipeptidyl peptidase-4 (DPP-4) inhibitors are emerging as exciting new options for diabetes management. Exenatide, the first drug in the incretions mimetic class, and liraglutide, a human GLP-1 analogue taken once a day, have shown significant potential. Clinical studies indicate that once-daily liraglutide is effective and well tolerated, whether used alone or alongside oral ant diabetic drugs (OADs) in individuals with type 2 diabetes. This positions liraglutide as a promising addition to treatment strategies for managing type 2 diabetes effectively.


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References


Hsiao CJ, Cherry DK, Beatty PC, Rechtsteiner EA. National Ambulatory Medical Care Survey: 2007 Summary. Natl Health Stat Report 2010; 3:1-32.

Wong, E. et al. Diabetes and risk of physical disability in adults: a systematic review and meta-analysis. Lancet Diabetes Endocrinol. 1, 106–114 (2013).

Mutyambizi, C., Pavlova, M., Chola, L., Hongoro, C. & Groot, W. Cost of diabetes mellitus in Africa: A systematic review of existing literature. Global Health 14, 1–13 (2018).

Dal Canto, E. et al. Diabetes as a cardiovascular risk factor: An overview of global trends of macro and micro vascular complications. Eur. J. Prev. Cardiol. 26, 25–32 (2019).

Federation, I. D. IDF Diabetes Atlas 10th Edition. Preprint at (2021)

Chan JC, Malik V, Jia W, et al. Diabetes in Asia: Epidemiology, risk factors, and pathophysiology. JAMA 2009; 301:2129–40.

Ramachandran A, Wan Ma RC, Snehalatha C. Diabetes in Asia. Lancet 2010;375:408–18.

Piwernetz K. DIABCARE Quality Network in Europe--A model for quality management in chronic diseases. Int Clin Psychopharmacol 2001; 16:S5-13.

Chuang LM, Tsai ST, Huang BY, Tai TY; DiabCare-Asia 1998 Study Group. The status of diabetes control in Asia--a cross-sectional survey of 24 317 patients with diabetes mellitus in 1998. Diabet Med 2002; 19:978-85.

Raheja BS, Kapur A, Bhoraskar A, Sathe SR, Jorgensen LN, Moorthi SR, et al. DiabCare Asia--India Study: diabetes care in India--current status. J Assoc Physicians India 2001; 49:717-22.


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