Type 1 diabetes: Awareness, management and challenges: Current scenario in India.
Type 1 diabetes mellitus (T1DM) has a wide presence in children and has a high mortality rates. The disease, if left unmanaged, poses various challenges to the patient and healthcare providers, including development of diabetic complications and thus decreasing the life expectancy of the affected child. The challenges of T1DM include awareness of the disease that is very poor among the general public and also in parents of T1DM children along with the health care professionals. The challenge of lack of awareness of T1DM can be met by increasing public awareness programs, conducting workshops for diabetes educators regarding T1DM in children, newsletters, CMEs, online courses, and by structured teaching modules for diabetes educators. Diagnosis of T1DM was a challenge a few decades ago but the situation has improved today with diagnostic tests and facilities, made available even in villages. Investigation facilities and infrastructure, however, are very poor at the primary care level, especially in rural areas. Insulin availability, acceptability, and affordability are also major problems, compounded by the various types of insulin that are available in the market with a varied price range. But effective use of insulin remains a matter of utmost importance.
Consultant Endocrinologist, Centre for Diabetes and Endocrine Care, Bangalore Diabetes hospital, Ahmedabad, Gujarat, India.
K M Prasanna
KM
Kumar
Diabetologist and Endocrine and Metabolic Physician at Diabetes Care and Hormone Clinic, Ahmedabad, Gujarat, India.
Banshi
B
Saboo
Senior Professor and Head, Department of Endocrinology and Metabolism, Nizam's Institute of Medical Sciences University, Hyderabad, India.
P V
PV
Rao
Director and Consultant, Sarda Centre for Diabetes and Self-care, Aurangabad, Maharashtra, India.
Archana
A
Sarda
Head and Chief Diabetologist, M.V Hospital for Diabetes and Prof. M. Viswanathan Diabetes Research Centre, Royapuram, Chennai, Tamil Nadu, India.
Vijay
V
Viswanathan
Consultant Endocrinologist, Bharti Hospital and B.R.I.D.E., Karnal, Haryana, India.
Sanjay
S
Kalra
Consultant Endocrinologist at Care Hospital, Hyderabad, Telangana, India.
Bipin
B
Sethi
Professor and Head, Department of Endocrinology, King Edward Memorial (KEM) Hospital, Mumbai, India.
Nalini
N
Shah
Medical Director and Senior Consultant, Samatvam Endocrinology Diabetes Center, Samatvam: Science and Research for Human Welfare Trust, Jnana Sanjeevini Diabetes Hospital and Medical Center; Bangalore, Karnataka, India.
S S
SS
Srikanta
Chief Endocrinologist at TOTALL Diabetes Hormone Institute, Indore, Madhya Pradesh, India.
Sunil M
SM
Jain
Professor of Paediatric Endocrinology, Indira Gandhi Institute of Child Health and Senior Consultant in Paediatric Endocrinology, Sagar Hospitals, Bangalore, Karnataka, India.
P
P
Raghupathy
Consultant Endocrinologist, Regency Hospital, Kanpur, Uttar Pradesh, India.
Rishi
R
Shukla
Chairman and Consultant Physician, Delhi Diabetes Research Center, Rajouri Garden, West Delhi, India.
Ashok
A
Jhingan
Professor and Head, Department of Endocrinology at IPGME and R and SSKM Hospital, Kolkata, India.
Subhankar
S
Chowdhury
Professor and Head, Department of Endocrinology, Medical College, TVM, Mumbai, India.
P K
PK
Jabbar
Founder and Chairman of Kanungo Institute of Diabetes Specialities (KIDS), Bhubaneshwar and Founder of and Chief Consultant, Cuttack Diabetes Research Foundation (CDRF), Mumbai, India.
Alok
A
Kanungo
Professor, Department of Pediatrics, at B.J. Wadia Hospital for Children, Mumbai, India.
Rajesh
R
Joshi
Associate Professor, Department of Endocrinology, Patna Medical College and Hospital, Patna, Bihar, India.
Surendra
S
Kumar
Professor, Department of Endocrinology and Metabolism All India Institute of Medical Sciences (AIIMS), Ansari Nagar, New Delhi, India.
Nikhil
N
Tandon
Consultant Paediatric Endocrinologist, Jehangir Hospital and Bombay hospital, Mumbai and Ira Endocrine Clinic, Pune, India.
Vaman
V
Khadilkar
Consultant Endocrinologist, PD Hinduja National Hospital and Hope and Care Centre, Vashi, Mumbai, Maharashtra, India.
Manoj
M
Chadha
Awareness; challenges; type 1 diabetes mellitus