title: Disease management programme for diabetes mellitus in Nepal.
abstract: BACKGROUND
  The prevalence of diabetes in elderly is being out-numbered and continuously rising. Individuals expect miracles from their health care providers as everything is curable in the eyes of the patient. Disease Management Programme for diabetes mellitus is sensible from the medical and economic point of view since it organizes care in multidisciplinary, multicomponent, proactive approach focusing on the whole course of a disease, using evidence-based standards of care that reduce health care costs and hospital stay. In Nepal, health care professionals today need to be aware that the patients are more and more aware about their disease and technology and their increased awareness demand innovative services.
  
  
  METHODS
  Authenticated data used for the purpose of projection were drawn purely from urban or rural hospital-based. To estimate the prevalence of diabetes mellitus (DM), the data in pairs (i.e. prevalence and year) were fed into IDL - an inbuilt mathematical software program for best-fit regression. Literatures on DM prevalence and Disease Management Programme were examined.
  
  
  RESULTS
  The overall projection for the DM prevalence in Nepal suggests that the prevalence of diagnosed DM will be 12.73%, 15.11% and 17.49% in 2010, 2015 and 2020 respectively. Diabetes disease management programme appeared to be helpful in reduction of health care costs and hospital stay.
  
  
  CONCLUSIONS
  If the attributing factor for DM remains as it is today, many new cases of DM will be added each year. There is a need of effective disease management programme in the country. The increased level of awareness among the patients demands innovative services in future.
authors.affiliation: Patan Academy of Health Sciences, Lalitpur, Nepal. dulal@uni-bremen.de
authors.forename: R K
authors.initials: RK
authors.lastname: Dulal
authors.forename: S
authors.initials: S
authors.lastname: Karki
mesh_terms: D003920:Diabetes Mellitus / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy*; D019468:Disease Management; D006301:Health Services Needs and Demand; D006801:Humans; D009390:Nepal / Q000453:epidemiology; D015995:Prevalence