Largest diabetes awareness fair in Kolkata
Diabetes battle 'being lost' as cases hit record 382 million
Cases expected to increase 55% to 592 million by 2035; vast majority type 2 diabetes, linked to obesity
मधुमेह के प्रति जागरूकता इससे लड़ने का सबसे महत्वपूर्ण हथियार
Use online diabetes knowledge with caution: Experts
Diabetes Kills One Person Every Six Seconds, New Estimates Show
Urban areas of Bengal - Kolkata and Howrah in particular - have the highest prevalence of diabetes in the state but awareness on the disease nicknamed 'silent killer' is still low.Reports Times of India.
Diabetes is a metabolic disease in which a person has high blood sugar, either because the pancreas does not produce enough insulin, or because cells do not respond to the insulin that is produced.While 3.5%-5.7% of Bengal's population is diabetic, the figure shoots up for Kolkata (12%) and Howrah (13.2%). "There are mainly three districts - Kolkata, Howrah and Burdwan (8.7%) - where the rate of diabetes is higher than other areas because of mass urbanization coupled with stress-related problems. Diabetes can be controlled if treated at an early stage but most people come to us very late, sometimes even 10 years late, so the chances of getting cured become remote," said Subhankar Chowdhury, secretary of Research Society for the Study of Diabetes in India ( RSSDI).
"We will organize a Madumeha Mela (Diabetes Fair) at Netaji Indoor stadium on November 13, which will be inaugurated by minister of state for health Chandrima Bhattacharya. Here, people can get their blood sugar checked, measure their body fat percentage, estimate the possibility of heart attack and stroke and have their eyes examined for diabetic retinopathy," Chowdhury said.
The organization will illuminate MP Birla Planetarium in blue light - the colour for diabetes. This will be launched by sports minister Madan Mitra. "On November 14 - World Diabetes Day - diabetic patients, schoolchildren, doctors, healthcare professionals and eminent personalities will walk from Victoria Memorial to Netaji indoor stadium at 9am after being flagged off by president-elect of the International Diabetes Federation, Shaukat M Sadikot," Chowdhury said
नई दिल्ली: भारत में मधुमेह पीड़ितों की संख्या में तेजी से इजाफा हो रहा है। वर्ष 2030 तक देश में मधुमेह रोगियों की संख्या 10 करोड़ पार कर जाने का अनुमान है। मधुमेह अपने आप में एक जानलेवा बीमारी है, और स्वास्थ्य संबंधी अन्य तमाम बीमारियों से जुड़ी हुई है। मधुमेह को जड़ से भले न खत्म किया जा सकता हो पर इस पर प्रभावी रोकथाम अवश्य लगाया जा सकता है, लेकिन इस राह में इससे जुड़ी अनेक गलतफहमियां और मिथक सबसे बड़ी बाधा हैं। चिकित्सकों का कहना है कि मधुमेह के प्रति जागरूकता इससे लड़ने का सबसे महत्वपूर्ण हथियार है।
भारत में मधुमेह के अध्ययन के लिए रिसर्च सोसायटी (आरएसएसडीआई) के सचिव एस. वी. मधु के मुताबिक, मधुमेह से जुड़ा सबसे प्रचलित मिथक यह है कि चीनी ज्यादा खाने के कारण मधुमेह हो जाता है। मधु ने बताया, शरीर की जरूरत के मुताबिक चीनी खाई जाए तो यह मधुमेह की वजह नहीं बनती। मधुमेह एक पाचन तंत्र से जुड़ी बीमारी है, जिसमें खून में शर्करा का स्तर सामान्य से अधिक हो जाता है। शर्करा की अधिक मात्रा शरीर में उत्तकों को नुकसान पहुंचाता है। इसके कारण यह अन्य दिक्कतों जैसे हृदय संबंधी परेशानी, गुर्दे की समस्या और अंधेपन की वजह भी बन सकता है। मधुमेह को लेकर दूसरी गलतफहमी लोगों में यह है कि एक बार आप इंसुलीन का सेवन कर लेंगे तो आप इसके आदी हो जाएंगे।
मैक्स हेल्थकेयर के उपाध्यक्ष प्रदीप चौबे ने बताया, आमतौर पर लोग सोचते हैं कि इंसुलिन एक किस्म का नशा है जो आपको इसका आदी बना देगी। लेकिन सच यह है कि मधुमेह रोगी जितना इंसुलीन के सेवन से परेशान नहीं होते, उससे कहीं अधिक उसे लेने के लिए इंजेक्शन लगावाना उन्हें ज्यादा परेशान करता है। उन्होंने आगे कहा, वास्तव में इंसुलिन मधुमेह से होने वाली दिक्कतों को घटाता है और एक स्वस्थ जीवन जीने में मदद करता है।
मैक्स अस्पताल में डायबैटोलॉजी विभाग में वरिष्ठ सलाहकार एस. के. नागरानी ने सहमति जताते हुए कहा, लोगों को लगता है कि इंसुलिन संभवत: रक्त के शर्करा स्तर को तेजी से घटाता है और उनको नुकसान पहुंचाता है। लेकिन वास्तव में मधुमेह नियंत्रण के लिए इंसुलिन सबसे कारगर तरीका है। मधुमेह के संबंध में एक और आम मिथक यह है कि यह बुढ़ापे में होने वाली बीमारी है, और पीढ़ीगत होती है। जबकि इन दोनों बातों में भी जरा भी सच्चाई नहीं है।
आहार विशेषज्ञ एशा वर्मा ने कहा, हमारे जीवन में व्यस्तताएं बढ़ती जा रही हैं, यह हमारे खान-पान की आदतों और जीवनशैली में झलकने लगा है। इस भाग-दौड़ भरी जिंदगी में जब बच्चों की बात आती है तो खाने के लिए कुछ आकर्षक चीजों की तलाश में अभिभावक लंच में उन्हें बाजार से मिलने वाले खाद्य पदार्थ जैसे बर्गर आदि देते हैं जो कि बमुश्किल ही स्वास्थ्यकर होते हैं।
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Diabetes battle "being lost" as cases hit record 382 million
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Ben Hirschler reports for reuters:
In a file photo, a medical assistant holds an insulin pen administered to diabetes patients at a private clinic in New Delhi. Photo: AFP
London: The world is losing the battle against diabetes as the number of people estimated to be living with the disease soars to a new record of 382 million this year, medical experts said on Thursday.
The vast majority have type 2 diabetes—the kind linked to obesity and lack of exercise—and the epidemic is spreading as more people in the developing world adopt Western, urban lifestyles.
The latest estimate from the International Diabetes Federation is equivalent to a global prevalence rate of 8.4% of the adult population and compares to 371 million cases in 2012.
By 2035, the organisation predicts the number of cases will have soared by 55% to 592 million.
"The battle to protect people from diabetes and its disabling, life-threatening complications is being lost," the federation said in the sixth edition of its Diabetes Atlas, noting that deaths from the disease were now running at 5.1 million a year or one every six seconds.
People with diabetes have inadequate blood sugar control, which can lead to a range of dangerous complications, including damage to the eyes, kidneys and heart. If left untreated, it can result in premature death.
"Year after year, the figures seem to be getting worse," said David Whiting, an epidemiologist and public health specialist at the federation. "All around the world we are seeing increasing numbers of people developing diabetes."
He said that a strategy involving all parts of society was needed to improve diets and promote healthier lifestyles.
The federation calculates diabetes already accounts for annual healthcare spending of $548 billion and this is likely to rise to $627 billion by 2035.
Worryingly, an estimated 175 million of diabetes cases are as yet undiagnosed, so a huge number of people are progressing towards complications unawares. Most of them live in low- and middle-income countries with far less access to medical care than in the United States and Europe.
The country with the most diabetics overall is China, where the case load is expected to rise to 142.7 million in 2035 from 98.4 million at present.
But the highest prevalence rates are to be found in the Western Pacific, where more than a third of adults in Tokelau, Micronesia and the Marshall Islands are already living with the disease.
Pharmaceutical companies have developed a range of medicines over the years to counter diabetes but many patients still struggle to control their condition adequately, leading to a continuing hunt for improved treatments.
Novo Nordisk, Sanofi and Eli Lilly are all major suppliers of insulin and other diabetes therapies. Reuters
Diabetes kills one person every six seconds and afflicts 382 million people worldwide, according to the International Diabetes Federation, which has been canvassing the help of people ranging from celebrity chef Jamie Oliver to Bob Marley's nephew to raise awareness about the problem.
The number of diabetes cases has climbed 4.4 percent over the past two years, according to new figures the Brussels-based federation released today. The number of people affected by the disease is expected to climb 55 percent to 592 million by 2035 as factors including poor diet, a more sedentary lifestyle, increases in obesity and life expectancy fuel an epidemic, it said. There were only 285 million sufferers worldwide in 2009.
"We haven't seen any kind of stabilizing, any kind of reversal," Leonor Guariguata, an epidemiologist and project coordinator for IDF's Diabetes Atlas, published every two years, said in a phone interview. "Diabetes continues to be a very big problem and is increasing even beyond previous projections."
The disease, caused by a lack of insulin the body needs to convert blood sugar into energy, is becoming a financial burden on governments, and led to $548 billion in global health-care spending this year, the federation said. To counter the surge, it recommends policy makers across many sectors should devise concerted action.
Celebrity Action
Jamie Oliver and Charles Mattocks, Bob Marley's nephew, are among celebrities that have been helping IDF advocate the need for healthy living. TV celebrity Oliver, who has sold more than 30 million cookbooks and owns restaurants from London to Sydney, has appeared in IDF's magazine Diabetes Voice while Mattocks, also a chef, is currently touring the U.S. in a camper to speak about the benefits of a healthy lifestyle and eating habits.
"It's all about awareness, awareness and awareness," Mike Doustdar, Senior Vice President ofNovo Nordisk A/S (NOVOB), the world's biggest insulin maker, said during a webcast co-hosted with IDF before the announcement. "Diabetes is a silent disease, so the best thing we can do about it is to talk about it."
The call is not going unheard. Health officials from almost 200 countries in May adopted nine targets, such as reducing average daily salt consumption by 30 percent by 2025, in a bid to fight cancer, heart disease and diabetes, and called for curbs on marketing unhealthy food to children under a plan to cut the world's leading causes of death.
Toll Rises
More help is needed. IDF estimates that 5.1 million people die annually because of the disease, with an average 10 million diabetes cases emerging every year. The majority of cases affects 40- to 59-year-olds, according to IDF. Every year, diabetes also leads to more than 1 million amputations, 500,000 kidney failures and 1.5 million cases of blindness, according to a slide provided by Novo Nordisk.
The spread of the disease has increased faster than the world's population, which exceeds 7 billion and has increased 2.2 percent in two years, according to U.S. Census Bureau estimates.
"More younger adults are developing diabetes," Guariguata said. "That's telling us that the pace of the epidemic is faster than the pace of change of demographics alone."
The new projections may not even be giving a full picture of the situation, according to the federation.
Underestimated Issue?
"These are probably substantial underestimates of what the real problem is," Paul Zimmet, honorary president of IDF and director emeritus of the Baker IDI Heart and Diabetes Institute inMelbourne, said in an interview before the announcement. "You can only work on the information that's available to work on."
Four of every five people with diabetes are in developing countries where there aren't big studies to work with, he added.
In China, recent figures showed that the epidemic being much worse than previously estimated. The most comprehensive nationwide survey for diabetes ever conducted in the Asian country showed 12 percent of adults, or 114 million people, have the disease. The finding, published Sept. 4 in the Journal of the American Medical Association, added 22 million diabetics, equivalent to the population of Australia, to a 2007 estimate. That means almost one in three diabetes sufferers globally is in China.
The China study wasn't included in the Atlas figures presented today for lack of time, IDF said.
The problem is bigger in poorer regions that have fewer resources at hand to fight the diseases, for example South Africa, and where more people die of disease before the age of 60, Guariguata said.
"These are preventable deaths, premature deaths that don't have to occur," she said.
To contact the reporter on this story: Albertina Torsoli in Geneva at atorsoli@bloomberg.net
To contact the editor responsible for this story: Phil Serafino at pserafino@bloomberg.net
Customised diet plans, diabetes management and a focus on effective detection of the disease in early stages — all this and more will feature at the Diabetes Fair (Madhumeha Mela) in Kolkata, its organisers said on Tuesday.
Organised by the Research Society for the Study of Diabetes in India, West Bengal Chapter, in collaboration with the Diabetic Association of India, West Bengal, the event is billed as 'the largest awareness programme in the field of diabetes to be held in eastern India'.
The event will run from Nov 13-15 at the Netaji Indoor Stadium in Kolkata.
'The focus will be on detection of diabetes as early as possible and proper management for patients. To that effect there will be stalls providing guidance on every aspect associated with it like a heart kiosk, exercise kiosk etc.,' diabetologist Kaushik Pandit, secretary Diabetic Association of India, told IANS.
Services such as on-the-spot capillary blood glucose measurement, measurement of blood pressure and body fat percentage, estimation of heart attack and stroke risk for diabetics, ECG, eye examination to detect diabetic retinopathy will be made available at the event. (Read: Caring for a diabetic in your family)
What is diabetes?
Diabetes is a metabolic disease which is characterised by high blood sugar levels. It can be caused either due to the lack of insulin (type 1 diabetes) or because the body's cells fail to respond to the insulin produced (type 2 diabetes). Some of the common symptoms of diabetes are hunger, frequent urination and increased thirst. While type 1 diabetes is usually genetic, type 2 diabetes is caused more by lifestyle factors. It is one of the common 'lifestyle diseases' which is plaguing people in the developed countries and often has a causal link to heart diseases, hypertension and obesity. (Read more..)
Home remedies for Diabetes
Ever wonder if there was something you could do at home to keep your blood sugar levels in check? Well, there is. Here are some of them:
Holy Basil Leaves: Also known as tulsi, leaves of holy basil are packed with antioxidants and essential oils that produce eugenol, methyl eugenol and caryophyllene. Collectively these substances help the pancreatic beta cells (cells that store and release insulin) function properly. This in turn helps increase sensitivity to insulin. An added advantage is that the antioxidants present in the leaves help beat the ill effects of oxidative stress.
Tip: Have two to three tulsi leaves whole, or about one tablespoon full of its juice on an empty stomach to lower the blood sugar levels.
Flax Seeds: Due to their high fibre content flaxseeds help digestion and aid in the proper absorption of fats and sugars. Consuming flax seed helps reduce a diabetic's postprandial sugar level by almost 28 per cent.
Leaves of bilberry plant: Also called the neelabadari plant, it has been used in Ayurveda for many centuries to control diabetes. Recently the Journal of Nutrition stated that the leaves of the Bilberry plant contain high amounts of anthocyanidin, which enhance the action of various proteins involved in glucose transportation and fat metabolism. Due to this unique property, bilberry leaves are a great way to lower one's blood sugar levels.
Cinnamon: Also known as dalchini, it improves insulin sensitivity and lower blood glucose levels. Having as little as ½ teaspoon of cinnamon per day can improve one's insulin sensitivity and help controlling weight, thereby decreasing one's risk for heart disease.
Tip: Include about 1 gram of dalchini into your daily diet for about a month to help lower blood sugar levels. (Read: Home remedies for diabetes)
With inputs from IANS
Use online diabetes knowledge with caution: Experts
Sumitra Deb Roy, TNN | Nov 13, 2013, 10.36 PM IST
MUMBAI: 90% of Indian doctors say that the internet serves as a tremendous source of information but patients should put it to use with caution. At least 77% of the doctors also felt that regulatory bodies should play more active role in authentication and certification of information.
The survey called 'Perception and Practices in Management of Diabetes in India' was conducted among patients and doctors from four cities including, Delhi, Mumbai, Chennai and Hyderabad. The main concern among doctors was that the digital space was swarming with international journals and other e-literature, a lot of which may not be credible or relevant to the Indian scenario.
According to WHO, at present around 347 million people are suffering from diabetes worldwide, and the role of lifestyle modification well identified in its prevention and management. "As of now most of the literature available on the internet lacks authenticity," said Dr Anoop Misra, chairman, Fortis-CDOC Center of Excellence for Diabetes. "However, being an important source of information, it is high time for regulatory bodies to intervene and certify online information pertaining to diabetes, and to health care in general, and make them sufficiently reliable for the patients who look for information online," he added.
"By ensuring the credibility of online information, raising digital presence of health care professionals to further validate and customize that information, and ascertaining people's engagement, we could certainly harness the tremendous power of digital space in terms of preventing and managing diabetes," said R Shankar, President, HEAL Foundation.
Also, 90% of doctors and 89% of patients stated that they looked for information pertaining to dietary management of diabetes. Around 71% of the patients also said that they look for information on complications related to diabetes.
Sedentary lifestyle responsible for diabetes in younger women
India.com Health November 14, 2013 at 11:06 am
Younger women in the age bracket of 30-35 years are prone to diabetes because of sedentary lifestyle and wrong eating habits, according to a study. Population in Western India tends to eat fried food and no fruits, due to which several people are seen to be at higher risk of diabetes and obesity. Diabetes risk levels have been observed to be high among men and women in the age bracket of 45-50 years, an Indus Health Plus report said on Wednesday.
As per the International Diabetes Federation, India is the diabetes capital of the world, with 40 million people living with diabetes. About 371 million people suffer from diabetes across the nation and half of the cases are undiagnosed. The report released on the eve of World Diabetes Day which falls on on November 14, revealed that in Maharashtra, sugar levels were found to be high, surprisingly among youth, especially in the the age group of 25-35 years of age.
The study observed that consumption of oil, ghee, butter is high and a cholesterol rich diet increases obesity and hypertension, fuelling chances of getting diabetes. Amol Naikawadi, Joint Managing Director, Indus Health Plus said, 'Our Abnormality Report validates the rapid growth of diabetes which is not only prevalent in adults but is beginning to affect the younger generation, especially women in India. Lifestyle characterised by unhealthy nutrition, reduced physical activity and tobacco consumption has increased the risk factor of diabetes.'
'If left untreated or uncontrolled, diabetes can lead to blindness, cardiovascular diseases and kidney failure. Timely and regular check-up can reduce the risk of diabetes', Naikawadi said.
What is diabetes?
Diabetes is a metabolic disease which is characterised by high blood sugar levels. It can be caused either due to the lack of insulin (type 1 diabetes) or because the body's cells fail to respond to the insulin produced (type 2 diabetes). Some of the common symptoms of diabetes are hunger, frequent urination and increased thirst. While type 1 diabetes is usually genetic, type 2 diabetes is caused more by lifestyle factors. It is one of the common 'lifestyle diseases' which is plaguing people in the developed countries and often has a causal link to heart diseases, hypertension and obesity. (Read more..)
Home remedies for diabetes
Ever wonder if there was something you could do at home to keep your blood sugar levels in check? Well, there is. Here are some of them:
Holy Basil Leaves: Also known as tulsi, leaves of holy basil are packed with antioxidants and essential oils that produce eugenol, methyl eugenol and caryophyllene. Collectively these substances help the pancreatic beta cells (cells that store and release insulin) function properly. This in turn helps increase sensitivity to insulin. An added advantage is that the antioxidants present in the leaves help beat the ill effects of oxidative stress.
Tip: Have two to three tulsi leaves whole, or about one tablespoon full of its juice on an empty stomach to lower the blood sugar levels. Read more home remedies
Caring for a diabetic
Diabetes can be treated but can't be cured. People with diabetes can still live a long and healthy life by making some important changes in their lives. When a family member is diagnosed with the disease your support and care can go a long way in achieving and maintaining their blood glucose control. Your role as a care taker can throw up some unique challenges.
Educate yourself
You can care for your family member only when you know about the disease. So, first and foremost, educate yourself about diabetes. Know as much as you can about the disease. To stay healthy, they have to learn how to monitor and control their blood sugar levels. (Read: Living with diabetes)
Pay attention to their diet
Diabetics need to eat regular meals. They need to have at least three meals every day at about the same times. Hence it is important to follow a healthy meal plan at home. Make healthy diet a lifestyle. Encourage them to eat a variety of foods. Give them a choice of food with less fat, less sugar and less salt. Include high-fibre foods, like vegetables, fruit and whole grain breads and cereals in the menu. Don't stock up on junk food. Read more…
Yoga poses to keep diabetes under control
Breathing in deeply and breathing out helps oxygenate your blood, and improves circulation. It also calms the mind and gives your rattled nerves some much needed rest.
Steps to do this pose: Sit on a yoga mat on the floor. Fold your legs in either padmasana or sit cross legged. Now straighten your back, keep your chin parallel to the floor, place your hands on your knees with your palms facing upwards and close your eyes. Breath in deep and hold your breath for five counts. Exhale slowly. Repeat this process at least ten times. Once you are done, rub your palms together till they are warm, and place them on your eyes. Now slowly open them and smile. (Read: Pranayama – why it actually works!
2. Setubandhasana: This pose not only helps keep one's blood pressure in control it also helps to relax the mind, improves digestion, relieves the symptoms of menopause in women and stretches the neck and spine.
Steps to do this pose:
Lie flat on your yoga mat, with your feet flat on the floor. Now exhale and push up, and off the floor with your feet. Raise your body up such that your neck and head are flat on the mat and the rest of your body is in the air. You can use your hands to push down for added support. If you are flexible you can even clasp your fingers just below your raised back for that added stretch. The key here is to not overexert or hurt yourself while doing this pose.
Tip: Avoid doing this pose if you have a neck or back injury. Read on for more yoga poses
Join us in our War on Diabetes.
http://health.india.com/news/sedentary-lifestyle-responsible-for-diabetes-in-younger-women/
Are there more women diabetics in Mumbai?
India.com Health November 13, 2013 at 11:29 am
Are there more women diabetics in Mumbai?
India.com Health November 13, 2013 at 11:29 am
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What is diabetes?
Diabetes is a metabolic disease which is characterised by high blood sugar levels. It can be caused either due to the lack of insulin (type 1 diabetes) or because the body's cells fail to respond to the insulin produced (type 2 diabetes). Some of the common symptoms of diabetes are hunger, frequent urination and increased thirst. While type 1 diabetes is usually genetic, type 2 diabetes is caused more by lifestyle factors. It is one of the common 'lifestyle diseases' which is plaguing people in the developed countries and often has a causal link to heart diseases, hypertension and obesity. (Read more...)
What are the common symptoms of diabetes?
The classic symptoms of diabetes are weight loss, polyuria (frequent urination), polyphagia (increased hunger) and polydipsia (increased thirst). Symptoms develop more quickly in type 1 than type diabetes. Other symptoms include blurred vision, erectile dysfunction and skin rashes.
What are the different types of diabetes?
There are basically three types of diabetes – type 1, type 2 and gestational (observed during pregnancy).
Type 1 diabetes (earlier caused childhood, juvenile or insulin-dependent diabetes) is actually not just a childhood problem but can occur in adults as well. In type 1, the patient's body is unable to produce insulin.
Type 2 diabetes is the more commonly found form of diabetes. It is an endocrine disorder where the pancreas may be producing insulin but your body may not be able to use it properly. This causes a rise in blood sugar levels. Due to the modern lifestyle where people are mostly sedentary, eat processed foods and lead a stressful life, type 2 diabetes is fast becoming the most common disease around the world with India leading the pack.
Gestational diabetes refers to the ailment that afflicts women during pregnancy. Pregnant women who were not diabetic before but who have high blood sugar levels during pregnancy are said to have gestational diabetes (GD). Normally, the disease affects women quite late in her pregnancy, around the 24th week. The disease does not show noticeable signs or symptoms. In some cases however, gestational diabetes may cause excessive thirst or increased urination. Read more…
Complications of diabetes
Diabetes is a silent killer which can lead to deadly complications if left undetected for too long. It can affect your immune system, kidneys, eyes, heart, skin and sperm. It can even cause erectile dysfunction! Read more…
Living with diabetes
Living with diabetes becomes stress-free once a systematic approach to taking medications, dietary restrictions, regular physical activity and blood glucose monitoring is established. Controlling diabetes is often a lifetime task that requires a combination of personal determination, medical assistance, friends and family, support groups and online tools. Read more…
Home remedies for diabetes
Cinnamon: Also known as dalchini, it improves insulin sensitivity and lower blood glucose levels. Having as little as ½ teaspoon of cinnamon per day can improve one's insulin sensitivity and help controlling weight, thereby decreasing one's risk for heart disease.
Tip: Include about 1 gram of dalchini into your daily diet for about a month to help lower blood sugar levels.
Green Tea: Unlike other tea leaves, green tea is unfermented and is high in polyphenol content. Polyphenol is a strong antioxidant and hypo-glycaemic compound that helps control the release of blood sugars and helps the body use insulin better. Read more home remedies
New diabetes management programme can slow down kidney disease
Findings of a new programme which manages diabetes have found that it has significantly improved the kidney status of its patients.
SINGAPORE: Findings of a new programme which manages diabetes have found that it has significantly improved the kidney status of its patients.
Project NEMO (or Nephrology Evaluation, Management and Optimisation) has been rolled out at nine polyclinics in Singapore.
It aims to slow down the progression of kidney disease in diabetic patients.
The project is a joint-collaboration between the National University Hospital and the National Healthcare Group Polyclinics.
55-year old Susila Rengasamy was diagnosed with diabetes in 2007.
But just last year, there were signs that her kidneys were being affected by her condition. Urine tests showed that she was in the early stages of diabetic kidney disease.
The condition, which affects about half of diabetic patients, occurs when high sugar levels in the blood damage kidney filters. This allows unhealthy levels of protein to be leaked into the urine.
The condition develops in individuals with poorly controlled diabetes.
Madam Susila was then placed under Project NEMO. Under the programme, she was prescribed medication to reduce protein levels in her urine.
She was also put in regular contact with a coordinator, whose role was to educate her on how to manage her condition.
After a year, urine tests showed that Madam Susila's condition has improved and she has been released from the programme.
Madam Susila said: "After the programme, I know that... I must take certain food... (and) amount, what kind of food I should take -- all these, I learned a lot."
Of the patients who have completed the programme, which on average takes seven to nine months, preliminary findings showed that 40 per cent of them showed improvement in their kidney disease -- through the reduction of protein levels in their urine.
Only 4 per cent progressed to a more advanced form of the condition.
Professor A Vathsala, programme director of Project NEMO at the National University Hospital, said: "This is what you can achieve by pushing the dose to its maximum.
"So simply starting the drug is not good enough. If you can achieve completely no protein in the urine, that's excellent."
Also key are the roles of the coordinators in the programme.
Dr Lim Chee Kong, co-programme director of Project NEMO as well as deputy director of Clinical Services and family physician-consultant at the National Healthcare Group Polyclinics, said: "Without a coordinator, the disadvantages will include patient defaulting, and nobody is aware.
"This coordinator will actually keep track of patients' progress and actually call them up to remind them when to take the extra dose of medicine."
There are plans to expand project NEMO to the rest of the Singapore population, especially those diabetic patients who have yet to be screened.
The directors of this programme hope to see the project implemented not just in polyclinics, but also in GP clinics, so as to reduce the burden of diabetic kidney disease.
- CNA/al
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