Integrated and Comprehensive Care of People With Type 1 Diabetes in a Resource Poor Environment- ‘Insulin My Life (Iml)” Project.

Ahmedani, MuhammadYakoob; Basit, Abdul; AsherFawwad,

doi:10.21474/ijar01/3952

IJAR

2017

DOI: 10.21474/ijar01/3952

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Integrated and Comprehensive Care of People With Type 1 Diabetes in a Resource Poor Environment- ‘Insulin My Life (Iml)” Project.

MuhammadYakoob Ahmedani¹,

Abdul Basit²,

AsherFawwad AsherFawwad³

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Cited by 3 publications

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“…8 Although, there are clear geographic differences in trends but the estimated annual increase in T1D is around 3%. 9 Health Research Advisory Board (HRAB) of Pakistan has initiated the mission of developing disease registries countrywide. With the collaboration of HRAB, Baqai Institute of Diabetology and Endocrinology (BIDE) has recently began the Diabetes Registry of Pakistan (DROP) under the supervision of Prof. Abdul Basit and Dr. Asher Fawwad to enumerate the degree of the national disease burden.…”

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Diabetes Registry of Pakistan

2020

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Diabetes registries can be used to monitor the prevalence and incidence of diabetes. Diabetes registries are used in many countries for population management of diabetes, outcomes management, and development of Clinician finding Support Structure, for example, National Diabetes Registry (NDR) in Sweden and Singapore diabetes registry. According to 2nd National Diabetes Survey of Pakistan (NDSP) 2016-2017, overall 26.3% adult (≥20) suffer from diabetes (27.4 million people). Health Research Advisory Board (HRAB) of Pakistan has initiated the mission of developing disease registries countrywide. Diabetes Registry of Pakistan (DROP) under the supervision of Prof. Abdul Basit and Dr. Asher Fawwad to enumerate the degree of the national disease burden. For type 1 diabetes, Diabetes Registry of Pakistan for type 1 (DROP-1) has already started. DROP-1 can be a good pilot arm for developing the robust methodology for DROP. The upcoming and the ongoing research is periodically being linked with the registry to ensure its modernization. This registry is a useful tool for tracking the status of patient, in order to limit the burden of data collection. A web-based data entry system and automated random sampling has enabled useful data collection and tracking with relatively minimal effort. doi: https://doi.org/10.12669/pjms.36.3.1877 How to cite this:Basit A, Fawwad A, Baqa K. Diabetes Registry of Pakistan. Pak J Med Sci. 2020;36(3):---------. doi: https://doi.org/10.12669/pjms.36.3.1877 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Diabetes Registry of Pakistan

2020

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Pakistan and diabetes—A country on the edge

Basit

Fawwad

Baqa

2019

Diabetes Research and Clinical Practice

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Optimized health care for subjects with type 1 diabetes in a resource constraint society: A three-year follow-up study from Pakistan

Ahmedani

Fawwad

Shaheen

et al. 2019

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BACKGROUNDInadequate health infrastructure and poverty especially in rural areas are the main hindrance in the optimal management of subjects with type 1 diabetes (T1D) in Pakistan.AIMTo observe effectiveness of diabetes care through development of model clinics for subjects with T1D in the province of Sindh Pakistan.METHODSA welfare project with name of “Insulin My Life”, was started in province of Sindh, Pakistan. This was collaborative work of Baqai Institute of Diabetology and Endocrinology, World Diabetes Foundation and Baqai Medical University between February 2010 to February 2013. Under this project thirty-four T1D clinics were established. Electronic database was designed for demographic, biochemical, anthropometric and medical examination. Monthly consultation was part of the standardized diabetes care. All the recruited subjects with T1D were provided free insulins and related materials.RESULTSOut of 1428 subjects, 795 (55.7%) were males and 633 (44.3%) were females. Subjects were categorized into ≤ 5 years of age 103 (7.2%), between 6-12 years 323 (22.6%), between 13–18 years 428 (29.7%) and ≥ 19 years of age 574 (40.2%) groups. Glycemic control as assessed by HbA1c was significantly improved (P < 0.0001) at three years follow up as compared to baseline in all age groups. Decreasing trends of mean self-monitoring blood glucose were observed at different meal timings in all age groups. No significant change was found in the frequency of neuropathy, nephropathy and retinopathy during the study period (P > 0.05).CONCLUSIONThis study gives us long-term longitudinal data of people with T1D in a resource constraint society. With provision of standardized and comprehensive care significant improvement in glycemic control without any change in the frequency of microvascular complications was observed over 3 years.

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Integrated and Comprehensive Care of People With Type 1 Diabetes in a Resource Poor Environment- ‘Insulin My Life (Iml)” Project.

Cited by 3 publications

References 8 publications

Diabetes Registry of Pakistan

Diabetes Registry of Pakistan

Pakistan and diabetes—A country on the edge

Optimized health care for subjects with type 1 diabetes in a resource constraint society: A three-year follow-up study from Pakistan

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