title: A revisit to prevailing care and challenges of managing diabetes in India: Focus on regional disparities.
abstract: An unprecedented rise in diabetes mellitus (DM) prevalence in India is the outcome of lifestyle changes in the background of genetic predisposition. Moreover, there are substantial regional variations in diabetes prevalence and management. The highest prevalence of DM was observed in southern region (Ernakulum, Kerala) and lowest prevalence was observed in North Eastern region (Manipur). Similarly large variations have been evident in overall awareness and diabetes care across the geographies within India. The regional challenges are largely affected by poor disease awareness, socioeconomic disparity and underutilization of the public health-care services. Though government has taken initiatives to address this issue, overall situation demands a collaborative effort from patients, health care professionals and the state. An exhaustive literature search was performed for articles and studies published on electronic databases. Present article assesses the regional disparity of diabetes epidemiology, current management practices and government policies for T2DM in India, identifies policy and research gaps, and suggests corrective measures to address the lacunae in diabetes care.
authors.affiliation: Director and Consultant Endocrinologist, Excel Center, Guwahati, India.
authors.forename: Manash P
authors.initials: MP
authors.lastname: Baruah
authors.affiliation: CEO, Worksure MedPharma Consultancy India Pvt. Ltd., New Delhi, India.
authors.forename: Ankit
authors.initials: A
authors.lastname: Pathak
authors.affiliation: Consultant Endocrinologist, Bharti Hospital and BRIDE, Karnal, Haryana, India.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Kalra
authors.affiliation: Senior Professor of Medicine and Head of Department of Endocrinology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
authors.forename: Ashok K
authors.initials: AK
authors.lastname: Das
authors.affiliation: Medical Director, Center for Diabetes and Endocrine Care, Srinagar, Jammu and Kashmir, India.
authors.forename: Abdul H
authors.initials: AH
authors.lastname: Zargar
authors.affiliation: Department of Medicine Moti Lal Nehru Medical College Medical College, Allahabad, Uttar Pradesh, India.
authors.forename: Sarita
authors.initials: S
authors.lastname: Bajaj
authors.affiliation: CEO and Chief Endocrinologist, Chellaram Diabetes Institute, Pune, Maharashtra, India.
authors.forename: Ambika G
authors.initials: AG
authors.lastname: Unnikrishnan
authors.affiliation: Professor, Department of Endocrinology, Osmania Medical College, Hyderabad, Andhra Pradesh, India.
authors.forename: Rakesh K
authors.initials: RK
authors.lastname: Sahay
keywords: Diabetes care; diabetes epidemiology; federal policies and programmes; regional prevalence; shortfalls in diabetes care