Type 1 diabetes: Awareness, management and challenges: Current scenario in India

• Main Authors: K M Prasanna Kumar, Banshi Saboo, P V Rao, Archana Sarda, Vijay Viswanathan, Sanjay Kalra, Bipin Sethi, Nalini Shah, SS S Srikanta, Sunil M Jain, P Raghupathy, Rishi Shukla, Ashok Jhingan, Subhankar Chowdhury, P K Jabbar, Alok Kanungo, Rajesh Joshi, Surendra Kumar, Nikhil Tandon, Vaman Khadilkar, Manoj Chadha
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2015-01-01
• Series: Indian Journal of Endocrinology and Metabolism
• Subjects: Awareness; challenges; type 1 diabetes mellitus
• Online Access: http://www.ijem.in/article.asp?issn=2230-8210;year=2015;volume=19;issue=7;spage=6;epage=8;aulast=Prasanna

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.