The white paper drafted with support from Population Services International is based on the recommendations that emerged from thematic round table discussions held in various cities across India
In light of the growing incidence of diabetes, Confederation of Indian Industry (CII), in collaboration with Eli Lilly and Company (Lilly) recently released a National White Paper on ‘Synergizing Efforts in Diabetes Care at the Tertiary Level’ at the 3rd edition of the National NCD Summit. Dr Jagdish Prasad, Director General of Health Services, Ministry of Health and Family Welfare, Government of India was present to release the white paper. NCD Summit 2015 is aimed at creating a national level platform to strengthen public health strategies for comprehensive diabetes management specifically at tertiary level.
Prasad highlighted the fact that India is at risk of becoming the diabetes capital of the world by 2025.“Rapid globalisation and lack of precautionary measures is the leading cause of diabetes in the country. Education and preventive screening would be key to avoid the burden of diabetes,” said Prasad. He stressed on the importance of leading a healthy lifestyle and its impact on diabetes. Our focus should be to avoid becoming the diabetes capital of the world.
This year’s white paper drafted with support from Population Services International (PSI) is based on the recommendations that emerged from thematic round table discussions held in Hyderabad, Delhi, Chennai, Kolkata, Mumbai and Guwahati, around diabetic complications such as retinopathy, neuropathy, gestational diabetes mellitus, cardio vascular disease, nephropathy and infections including tuberculosis. These regional round tables witnessed participation from leading endocrinologists, specialists, and policy makers from key government institutes and organisations. These discussions were actively supported by the Ministry of Health and Family Welfare.
Edgard Olaizola Story, Managing Director, Lilly India said, “Lilly is committed to making life better for people living diabetes and we have been working to meet the needs of people with diabetes beyond medicines. We realised that increase in the cases of diabetes in the country has led to a growing burden on tertiary-level care hospitals, hence there was an urgent need for initiating a dialogue with stakeholders to strengthen the policies and practices around diabetes management in these facilities. We hope this initiative will help reduces complications related to diabetes.”
Dr Anupam Sibal, Member, CII National Healthcare Council and Group Medical Director, Apollo Hospitals Group, welcomed the guests at the 3rd edition of the National NCD Summit and the release of the whitepaper. He said, “Non-communicable diseases in general and diabetes in particular would take the centre stage for discussion at the summit. The aim of the summit is to strengthen and synergise the efforts of diabetes care at the tertiary level. Technology plays an important role in dealing with the burden of diabetes. Along with that, partnerships with different countries like Europe and US would contribute to prevent diabetes. Innovation and thinking out of the box would also be pivotal in meeting the challenge of diabetes.”
Recommendations that were drawn from the regional round tables, which is published in the National White Paper 2015, states that mandatory screening of complications a must at the time of diabetes diagnosis. Integration of National Programme For Prevention and Control of Cancer, Diabetes, Cardiovascular Disease and Stroke (NPCDCS) and various government schemes such as Revised National Tuberculosis Control Programme (RNTCP) should be done as this will ensure bilateral screening for diabetes and tuberculosis. All pregnant women in India should be screened for gestational diabetes in early pregnancy. For effective diabetes management, blood glucose, blood pressure and lipid profile must be monitored regularly. Every diabetic patient must get an eye check-up annually, life style management should be made part of the curriculum of schools, paramedics should be trained for screening diabetes and its complications and should also be trained on basic life support and advanced cardiac life support. Technology-driven tools should be employed such as tele-medicine and mhealth for screening and management of diabetes, especially to cater rural population. Primary healthcare centres should be equipped with glucometers, glucose strips, Trop-T, and ECG machines. There is a need to create awareness amongst general public to remove fear of insulin and ensure therapy compliance. Healthcare facilities should be enhanced by means of insurance policies, free medicines and insulin which can be implemented through collaboration of government, public and private partnerships (PPPs).