Diabetes is a chronic disease that is reaching an epidemic proportion in many parts of the world. Despite the high incidence of diabetes, individuals diagnosed with the disorder are only 50%. The main challenge
of medical professionals in diagnosing and treating the diabetic patients is the lack of understanding of the disease, which usually leads to problems with treatment compliance and monitoring.
There is strong evidence to show that an effective intensive glycemic control reduces various microvascular and neuropathic complications of diabetes mellitus. The Diabetes Control and Complications Trial (DCCT) showed that the intensive glycemic control prevented diabetic complications in type 1 diabetic patients, and the HbA1c levels reduced by 1.5–2.0%. In the UKPDS study, a modest improvement in HbA1c (a difference of 0.9 %) in the intensively treated group than in the control group brought about a 25% reduction in microvascular complications and a 12% reduction in all diabetes related events. There are several methods with differing utilities and limitations existing for monitoring glycemic status in individuals.
Diabetes care in India leaves much to be desired and suggested, and there is a need for efforts to increase awareness of both the patients and the doctors for better treatment and monitoring.
Relative Role of Various Parameters of Glycemic Monitoring in Indians
Nonglycemic Parameters of Glycemic Monitoring in Diabetes
Socioeconomic Aspects of Glycemic Monitoring
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Dr. Jayakumar R. is a Professor at the Center for Nanosciences and Molecular Medicine (ACNSMM), Amrita Vishwa Vidyapeetham, Kochi-682041, specializing in the area of Hydrogels and Biopolymeric Nanomaterials. He has over 235 Journal publications, 10 book chapters and 10 patents to his credit. His publications have been cited more than 13300 times with h-index-60. In addition, he has also edited and published 4 books. He has received "Young Investigator Fellowship-2008" from Department of Science and Technology (DST), India. Recently Dr. Jayakumar received “Best Faculty Researcher Award” from Indian Chitin and Chitosan Society (ICCS), and “MRSI Medal-2017” from Materials Research Society of India (MRSI), India for his significant contribution towards biomaterials research. Additionally, Clarivate Analytics (Web of Science) honoured him with “India Research Excellence-Citation Awards-2017” in “Medical & Health Sciences” discipline.
Professor of Endocrinology, Amrita Institute of Medical Science, Kochi, India