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The American Diabetes Association recommends diet, exercise, and metformin as “first-line” agents in the treatment of type 2 diabetes mellitus (T2DM).
In India, close to 70 million people have diabetes and another 40 million are insulin-resistant, which is a precursor to diabetes. NEW DELHI – Low-cost software used by a non-physician worker optimises treatment and lowers complications in diabetes patients by doubling blood glucose-control and lowering blood pressure and ‘bad’ LDL cholesterol at no added cost, reports a study from India and Pakistan.
The new study, of more than 1,100 patients across 10 centres – nine in India and one in Karachi, Pakistan – over five years and published in Annals of Internal Medicine, is the first global trial of diabetes management in low- and middle-income countries, home to 75% of the world’s 415 million diabetics. The study found that non-physician coordinators with technology that welded electronic health records with decision-support software sizeably improved blood sugar, blood pressure and cholesterol profiles of patients and lowered risk of complications such as heart disease, eye disease (retinopathy), kidney failure and amputations. The outcomes were similar across public and private hospitals and the model has been replicated using the public-health resources.

As a second line, there are many options—two of them injectable, ie, insulin and glucagon-like peptide-1 (GLP-1) receptor agonists.
More than four in five diabetics on medication in India do not have their blood glucose under control . Any graduate or social worker with six or more months of experience in healthcare, social work or allied sciences and basic computing and good communication skills meets the requirement for a care coordinator, who then gets trained for 2.5 days to get acquainted with key principles of diabetes management,” said Dr Nikhil Tandon, head of endocrinology, All India Institute of Medical Sciences (AIIMS), which partnered with the Public Health Foundation of India (PHFI) and Emory University, Atlanta, US, to do this “real life study” of patients getting treated for diabetes in public and private clinics and hospitals. It enhances the patients’ skills of managing their disease on their own by providing individualised support and making the physician more responsive by making better data available,” says Dr D.
Insulin is needed to move glucose (blood sugar) into cells, where it is stored and later used for energy. Diabetes is caused by a problem in the way your body makes or uses insulin. This article discusses the possible complications related to diabetes. Exams and Tests If you have diabetes, you should see your health care provider every 3 months.

If these skin ulcers do not improve, or become larger or go deeper, amputation of the affected limb may be needed.
Nerve damage causes pain and numbness in the feet, as well as a number of other problems with the stomach and intestines, heart, and other organs. Regular aerobic exercise lowers blood sugar without medication and helps burn excess calories and fat so you can mange your weight. Exercise can help your overall health by improving blood flow and blood pressure.

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