Dr Sanjay Kalra – Consultant Endocrinologist,Bharti Hospital Karnal & Vice President,South Asian Federation of Endocrine Societies emphasises on the use of social marketing tools to improve use of insulin therapy
DATA FROM across the world reflects the increasing prevalence of type II diabetes mellitus, making it clear that diabetes will remain endemic to almost all human societies for generations to come. However,it cannot be denied that our capability to fight the disease has also seen advancement. Our understanding of the pathophysiology has increased, as has the variety of drugs available to counteract this pathology. Advances in monitoring technology, drug development and delivery device have meant that safe and effective pharmacotherapy is now available for the vast majority of people with diabetes.
Hard hitting ground reality
Sadly, the better understanding of the pathophysiology has not translated into visible improvement in outcomes evident from the unacceptably low number of persons who are diagnosed in time, treated in time, and who achieve appropriate therapeutic goals. Taking ‘the rule of halves’ as a guide, perhaps just one out of eight individuals with diabetes achieves HbA1c targets.
Unhealthy behaviour, attitude or practices are the basic barriers to good glucose control. Relatively less emphasis is laid on pharmacological management and its relationship to behaviour or attitudes. This is surprising, as it is well-documented that lifestyle modification alone does not suffice, and that the majority of people with diabetes will need drug therapy including insulin at some time. Clinical inertia related to prescription and acceptance of appropriate modern pharmacotherapy is well documented in diabetes literature. This is especially true for injectable therapy, specifically insulin. Delayed initiation or intensification of insulin is also associated with higher long-term medical costs, and a greater economic burden on society.
Social reality
Bu hikaye Express Healthcare dergisinin July, 2016 sayısından alınmıştır.
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Bu hikaye Express Healthcare dergisinin July, 2016 sayısından alınmıştır.
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