Indian Journal of Endocrinology and Metabolism

LETTER TO THE EDITOR
Year
: 2014  |  Volume : 18  |  Issue : 1  |  Page : 116--117

Improving diabetes care for children with type 1 diabetes from poor families: Changing diabetes® in children program, India


Kanakatte Mylariah Prasanna Kumar 
 Consultant Endocrinologist, Bangalore Diabetes Hospital, Bangalore, India

Correspondence Address:
Kanakatte Mylariah Prasanna Kumar
Bangalore Diabetes Hospital, 16/M, Miller Tank Bed Area, Thimmaiah Road, Vasanth Nagar, Bangalore - 560 002
India




How to cite this article:
Kumar KP. Improving diabetes care for children with type 1 diabetes from poor families: Changing diabetes® in children program, India.Indian J Endocr Metab 2014;18:116-117


How to cite this URL:
Kumar KP. Improving diabetes care for children with type 1 diabetes from poor families: Changing diabetes® in children program, India. Indian J Endocr Metab [serial online] 2014 [cited 2021 Apr 18 ];18:116-117
Available from: https://www.ijem.in/text.asp?2014/18/1/116/126591


Full Text

Sir,

The "Changing Diabetes® in Children" program is part of Novo Nordisk's Access to the Diabetes Care Strategy and builds on the UN-defined cornerstones in the right to health. The aim of the program is to contribute to meet the fourth UN millennium goal, to reduce child mortality by breaking down the barriers that prevent children with type 1 diabetes in developing countries from receiving proper care.

India has an estimated 61.3 million [1] people with diabetes. Out of this population, 95% [2] have type 2 diabetes. In front of this huge pandemic, problems faced by children with type 1 diabetes are often overlooked. To address the critical gap in the management of type 1 diabetes in India, the Changing Diabetes in Children (CDiC) program was launched by Novo Nordisk Education Foundation in September 2011. The objective of the program is giving children, who are below the poverty line, access to comprehensive diabetes care.

The changing diabetes in the children program is operational in nine countries in the world, which includes Bangladesh, Cameroon, Democratic Republic of the Congo (DRC), Guinea, Tanzania, Ethiopia, Kenya, and Uganda. Until now, 4026 children have been enlisted in this program in India and over 10,000 children across the nine countries. To reach out to every corner of our country, there are 21 centers across India. Additionally, there are 25 satellite centers which are attached to these main centers, which serve the purpose of penetration into the smaller towns to reach out to those children with type 1 diabetes who cannot come to the main centers on a regular basis. Each child with type 1 diabetes participating in this program is provided comprehensive diabetes care, which includes free insulin and syringes, glucometer, test strips, diagnostic tests, namely, HbA1c, CBC, microalbuminuria, and fundus.

Insulin is no doubt the lifeline for these children with type 1 diabetes, but it cannot be managed only by taking insulin, it is very important that the children also learn more about the disorder and its management since it has to be managed 24 × 7. Hence, so far more than 200 patient education camps have been held in partnership with the CDIC centers to help children manage their diabetes and live better. Each camp has three components, namely, diabetes education, experience sharing, and fun activities. In addition, several innovative child friendly patient education tools, which include toys to teach basics of diabetes and comic books on diabetes education, have been created to help them understand how to self-manage their diabetes.

Apart from the primary objectives of improving access to proper medication, monitoring, diagnostics, consulting, and patient education, the CDiC program also incorporates other elements of diabetes management. This includes training of healthcare professionals (HCPs) to enhance their capabilities in diagnosis and treatment of children with type 1 diabetes and setting up of a registry for children from poor families with type 1 diabetes. So far, more than 1500 HCP s including diabetes educators have been trained. A training manual prepared by ISPAD on Diabetes Management in children and the adolescents has been distributed to more than 1700 HCPs. The CDiC program also envisages sharing best practices and knowledge gained in coping with this chronic disease in children with other healthcare professionals. The current phase of this program will continue up to December 2014.

References

1Available from: http://www.idf.org/diabetesatlas/5e/south-east-asia. Last accessed on 2013 Aug 07.
2Available from: http://www.apiindia.org/medicine_update_2013/chap40.pdf. Last accessed on 2013 Aug 07.