Integrated care for type 1 diabetes: The West Bengal model
Introduction: A structured dedicated health programme for Type 1 diabetes mellitus (T1DM) has been initiated in the state of West Bengal, India. Aim: The aim is to provide comprehensive healthcare to all children, adolescents and young adults living with T1DM, along with the provision of free supply...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Indian Journal of Endocrinology and Metabolism |
| Subjects: | |
| Online Access: | http://www.ijem.in/article.asp?issn=2230-8210;year=2023;volume=27;issue=5;spage=398;epage=403;aulast=Ghosh |
| _version_ | 1797225840195403776 |
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| author | Sujoy Ghosh Masuma Yasmin Kaushik Sen Soumik Goswami Tapas C Das Subir C Swar Indira Maisnam Partha P Chakraborty Bobby Paul Dipta K Mukhopadhyay Pradip Mukhopadhyay |
| author_facet | Sujoy Ghosh Masuma Yasmin Kaushik Sen Soumik Goswami Tapas C Das Subir C Swar Indira Maisnam Partha P Chakraborty Bobby Paul Dipta K Mukhopadhyay Pradip Mukhopadhyay |
| author_sort | Sujoy Ghosh |
| collection | DOAJ |
| description | Introduction: A structured dedicated health programme for Type 1 diabetes mellitus (T1DM) has been initiated in the state of West Bengal, India. Aim: The aim is to provide comprehensive healthcare to all children, adolescents and young adults living with T1DM, along with the provision of free supply of insulin, glucose measuring devices, blood glucose test strips, and other logistics. The strategic framework for programme implementation is to utilise the infrastructure and manpower of the already existing non-communicable disease (NCD) clinic under National Health Mission. Methodology: Establishing dedicated T1DM clinics in each district hospital by utilising existing healthcare delivery systems, intensive training and hand-holding of named human resources; providing comprehensive healthcare service and structured diabetes education to all T1DM patients; and building an electronic registry of patients are important components of the programme. T1DM clinics run once a week on the same day throughout the state. All T1DM patients are treated with the correct dose of insulin, both human regular insulin and glargine insulin. Patients are routinely monitored monthly to ensure good glycaemic control and prevent complications of the disease. Routine anthropometric examination and required laboratory investigations are conducted in the set-up of the already existing NCD clinic. Ongoing monitoring and evaluation of the T1DM programme are being conducted in terms of glycated haemoglobin (HbA1c) values, growth and development, complication rates, psychological well-being, quality of life, and direct and indirect expenditure incurred by families. Through this programme, any bottlenecks or gaps in service delivery will be identified and corrective measures will be adopted to ensure better health outcomes for those living with T1DM. |
| first_indexed | 2024-03-07T21:35:52Z |
| format | Article |
| id | doaj.art-a86a32203c6b4a12804680bf20416451 |
| institution | Directory Open Access Journal |
| issn | 2230-8210 |
| language | English |
| last_indexed | 2024-04-24T14:15:24Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Endocrinology and Metabolism |
| spelling | doaj.art-a86a32203c6b4a12804680bf204164512024-04-03T08:49:13ZengWolters Kluwer Medknow PublicationsIndian Journal of Endocrinology and Metabolism2230-82102023-01-0127539840310.4103/ijem.ijem_124_23Integrated care for type 1 diabetes: The West Bengal modelSujoy GhoshMasuma YasminKaushik SenSoumik GoswamiTapas C DasSubir C SwarIndira MaisnamPartha P ChakrabortyBobby PaulDipta K MukhopadhyayPradip MukhopadhyayIntroduction: A structured dedicated health programme for Type 1 diabetes mellitus (T1DM) has been initiated in the state of West Bengal, India. Aim: The aim is to provide comprehensive healthcare to all children, adolescents and young adults living with T1DM, along with the provision of free supply of insulin, glucose measuring devices, blood glucose test strips, and other logistics. The strategic framework for programme implementation is to utilise the infrastructure and manpower of the already existing non-communicable disease (NCD) clinic under National Health Mission. Methodology: Establishing dedicated T1DM clinics in each district hospital by utilising existing healthcare delivery systems, intensive training and hand-holding of named human resources; providing comprehensive healthcare service and structured diabetes education to all T1DM patients; and building an electronic registry of patients are important components of the programme. T1DM clinics run once a week on the same day throughout the state. All T1DM patients are treated with the correct dose of insulin, both human regular insulin and glargine insulin. Patients are routinely monitored monthly to ensure good glycaemic control and prevent complications of the disease. Routine anthropometric examination and required laboratory investigations are conducted in the set-up of the already existing NCD clinic. Ongoing monitoring and evaluation of the T1DM programme are being conducted in terms of glycated haemoglobin (HbA1c) values, growth and development, complication rates, psychological well-being, quality of life, and direct and indirect expenditure incurred by families. Through this programme, any bottlenecks or gaps in service delivery will be identified and corrective measures will be adopted to ensure better health outcomes for those living with T1DM.http://www.ijem.in/article.asp?issn=2230-8210;year=2023;volume=27;issue=5;spage=398;epage=403;aulast=Ghoshintegrated caremodel of caretype 1 diabetes |
| spellingShingle | Sujoy Ghosh Masuma Yasmin Kaushik Sen Soumik Goswami Tapas C Das Subir C Swar Indira Maisnam Partha P Chakraborty Bobby Paul Dipta K Mukhopadhyay Pradip Mukhopadhyay Integrated care for type 1 diabetes: The West Bengal model Indian Journal of Endocrinology and Metabolism integrated care model of care type 1 diabetes |
| title | Integrated care for type 1 diabetes: The West Bengal model |
| title_full | Integrated care for type 1 diabetes: The West Bengal model |
| title_fullStr | Integrated care for type 1 diabetes: The West Bengal model |
| title_full_unstemmed | Integrated care for type 1 diabetes: The West Bengal model |
| title_short | Integrated care for type 1 diabetes: The West Bengal model |
| title_sort | integrated care for type 1 diabetes the west bengal model |
| topic | integrated care model of care type 1 diabetes |
| url | http://www.ijem.in/article.asp?issn=2230-8210;year=2023;volume=27;issue=5;spage=398;epage=403;aulast=Ghosh |
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