Abstract
The top 3 countries with the highest number of people living with diabetes are China, India and USA. Diabetes not only reduces the quality of life and life expectancy, but also imposes huge economic burden on the health system and families. For improved diabetes care and patient outcomes continuing medical education of the existing health work force in evidence based diabetes care is essential. Patient’s education in diabetes self-management is also essential. This article reviews the existing literature on evidence based practice in diabetes care and barriers at physician-patient level to suggest that there is legitimate need of competency based training in diabetes management. The article also attempts to identify some of these existing educational programmes in diabetes management in India and their key strengths.
Highlights
Diabetes mellitus has emerged as a major non-communicable disease globally as well as regionally
According to Chennai Urban Rural Epidemiological Study (CURES) 17.6, 26.9% and 26.1% of patients were having diabetic retinopathy, micro-albuminuria and peripheral neuropathy respectively (Rema, Premkumar, et al, 2005). These findings suggest that diabetes care is sub-optimal and there is a need to improve patient outcomes
Full time residential program offered by Madras Medical College’s is only for rural physicians, a similar full term residential course called Intensive Training in Diabetes Prevention and Management for Doctors offered by MV Hospital for Diabetes Research is only for physicians working with the government sector while programs offered by Annamalai University and Public Health Foundation of India are distance education program with contact sessions
Summary
Diabetes mellitus has emerged as a major non-communicable disease globally as well as regionally. The top 3 countries in numbers of people with diabetes are China, India and USA. In India, it is estimated that there were 37.77 million diabetics in 2004. As per Indian Council of Medical Research study, the pooled estimates of prevalence rate in India were 62.47 per thousand. It was estimated that diabetes is directly responsible for 9% of Acute Myocardial Infarction cases, 4% of stroke cases, 2% of neuropathy, and 32% of cataract cases (ICMR, 2004). It is a recognized fact that diabetes reduces the quality of
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