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Year : 2015  |  Volume : 19  |  Issue : 7  |  Page : 6-8

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

1 Consultant Endocrinologist, Centre for Diabetes and Endocrine Care, Bangalore Diabetes hospital, Ahmedabad, Gujarat, India
2 Diabetologist and Endocrine and Metabolic Physician at Diabetes Care and Hormone Clinic, Ahmedabad, Gujarat, India
3 Senior Professor and Head, Department of Endocrinology and Metabolism, Nizam's Institute of Medical Sciences University, Hyderabad, India
4 Director and Consultant, Sarda Centre for Diabetes and Self-care, Aurangabad, Maharashtra, India
5 Head and Chief Diabetologist, M.V Hospital for Diabetes and Prof. M. Viswanathan Diabetes Research Centre, Royapuram, Chennai, Tamil Nadu, India
6 Consultant Endocrinologist, Bharti Hospital and B.R.I.D.E., Karnal, Haryana, India
7 Consultant Endocrinologist at Care Hospital, Hyderabad, Telangana, India
8 Professor and Head, Department of Endocrinology, King Edward Memorial (KEM) Hospital, Mumbai, India
9 Medical Director and Senior Consultant, Samatvam Endocrinology Diabetes Center, Samatvam: Science and Research for Human Welfare Trust, Jnana Sanjeevini Diabetes Hospital and Medical Center; Bangalore, Karnataka, India
10 Chief Endocrinologist at TOTALL Diabetes Hormone Institute, Indore, Madhya Pradesh, India
11 Professor of Paediatric Endocrinology, Indira Gandhi Institute of Child Health and Senior Consultant in Paediatric Endocrinology, Sagar Hospitals, Bangalore, Karnataka, India
12 Consultant Endocrinologist, Regency Hospital, Kanpur, Uttar Pradesh, India
13 Chairman and Consultant Physician, Delhi Diabetes Research Center, Rajouri Garden, West Delhi, India
14 Professor and Head, Department of Endocrinology at IPGME and R and SSKM Hospital, Kolkata, India
15 Professor and Head, Department of Endocrinology, Medical College, TVM, Mumbai, India
16 Founder and Chairman of Kanungo Institute of Diabetes Specialities (KIDS), Bhubaneshwar and Founder of and Chief Consultant, Cuttack Diabetes Research Foundation (CDRF), Mumbai, India
17 Professor, Department of Pediatrics, at B.J. Wadia Hospital for Children, Mumbai, India
18 Associate Professor, Department of Endocrinology, Patna Medical College and Hospital, Patna, Bihar, India
19 Professor, Department of Endocrinology and Metabolism All India Institute of Medical Sciences (AIIMS), Ansari Nagar, New Delhi, India
20 Consultant Paediatric Endocrinologist, Jehangir Hospital and Bombay hospital, Mumbai and Ira Endocrine Clinic, Pune, India
21 Consultant Endocrinologist, PD Hinduja National Hospital and Hope and Care Centre, Vashi, Mumbai, Maharashtra, India

Correspondence Address:
K M Prasanna Kumar
Bangalore Diabetes Hospital, 16/M, Miller Tank Bed Area, Thimmaiah Road, Vasanth Nagar, Bangalore - 560 002
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2230-8210.155339

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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.

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