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Diabetes Mellitus in Children: Exploring the Psycho-Social Domain

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Diabetes Mellitus in Children: Exploring the Psycho-Social Domain Diabetes in Children Diabetes in Children Proceedings of 1st International Consensus Meet on Diabetes in Children 12th & 13 th January 2013, Bengaluru, India Diabetes in Children Diabetes in Children Message from the Managing Trustee’s Desk “Smiles on the faces of the little ones afflicted by diabetes makes our efforts worthwhile” Melvin D'souza Managing Director, Novo Nordisk India Private Limited. Managing Trustee, Novo Nordisk Education Foundation. Changing Diabetes in Children (CDiC) is yet again a testimony to the commitment we at Novo Nordisk Education Foundation have, to help people with diabetes, live a healthy and normal life. Although studies on the incidence of T1DM in India are scarce, with documented statistics available only in three places, it is estimated that there are over 100,000 cases of T1DM in India with a 3-5% annual rate of increase in the incidence. T1DM is a special situation and requires special attention across all levels of healthcare. It is a well-known fact that socioeconomic factors and poverty are the most important barriers impeding access to quality healthcare. Outcomes for a child with type 1 diabetes can vary due to multiple reasons, but majority of the children with T1DM, who belong to the poorer sections of the society show far worse outcomes in India than in developed nations. We need to make sure that every child with diabetes gets timely and the best possible treatment. CDiC program has made a strong impression on its relevance and impact. Many more milestones still need to be achieved and I am sure with our combined efforts we will be able to create a standard system to treat every This book would not have been a reality if not for the combined effort and child with type 1 diabetes. There is a dire need today to raise awareness about support of all our CDiC Center Directors, all other Doctors, their diabetes this challenge not only among the medical fraternity but also among policy st educators, nursing staff, administrators, other support staff, all others who makers and other government bodies. This 1 CDiC international consensus have given their might to this noble cause of changing diabetes in children. meet on Diabetes in Children, is a first major effort which, in addition to Special mention is due to the NN India management team, medical team, CDB raising awareness will aim at identifying trend-oriented sustainable solutions team and the CDiC India team for putting in that extra effort to coordinate for diabetes management in children passing through various stages of life. and compile this useful booklet on, “Diabetes in Children” This consensus statement is yet another step in this direction.The smiles on the faces of the little ones afflicted by diabetes make our efforts worthwhile. We all need to focus our thoughts to achieve the ultimate goal of “No child should die of diabetes.” My sincere thanks to each one of you, for your commitment and passion to changing diabetes in children in India. I hope this consensus statement will act as a stepping stone to move ahead with our mission. Diabetes in Children Diabetes in Children Message from the Managing Trustee’s Desk “Smiles on the faces of the little ones afflicted by diabetes makes our efforts worthwhile” Melvin D'souza Managing Director, Novo Nordisk India Private Limited. Managing Trustee, Novo Nordisk Education Foundation. Changing Diabetes in Children (CDiC) is yet again a testimony to the commitment we at Novo Nordisk Education Foundation have, to help people with diabetes, live a healthy and normal life. Although studies on the incidence of T1DM in India are scarce, with documented statistics available only in three places, it is estimated that there are over 100,000 cases of T1DM in India with a 3-5% annual rate of increase in the incidence. T1DM is a special situation and requires special attention across all levels of healthcare. It is a well-known fact that socioeconomic factors and poverty are the most important barriers impeding access to quality healthcare. Outcomes for a child with type 1 diabetes can vary due to multiple reasons, but majority of the children with T1DM, who belong to the poorer sections of the society show far worse outcomes in India than in developed nations. We need to make sure that every child with diabetes gets timely and the best possible treatment. CDiC program has made a strong impression on its relevance and impact. Many more milestones still need to be achieved and I am sure with our combined efforts we will be able to create a standard system to treat every This book would not have been a reality if not for the combined effort and child with type 1 diabetes. There is a dire need today to raise awareness about support of all our CDiC Center Directors, all other Doctors, their diabetes this challenge not only among the medical fraternity but also among policy st educators, nursing staff, administrators, other support staff, all others who makers and other government bodies. This 1 CDiC international consensus have given their might to this noble cause of changing diabetes in children. meet on Diabetes in Children, is a first major effort which, in addition to Special mention is due to the NN India management team, medical team, CDB raising awareness will aim at identifying trend-oriented sustainable solutions team and the CDiC India team for putting in that extra effort to coordinate for diabetes management in children passing through various stages of life. and compile this useful booklet on, “Diabetes in Children” This consensus statement is yet another step in this direction.The smiles on the faces of the little ones afflicted by diabetes make our efforts worthwhile. We all need to focus our thoughts to achieve the ultimate goal of “No child should die of diabetes.” My sincere thanks to each one of you, for your commitment and passion to changing diabetes in children in India. I hope this consensus statement will act as a stepping stone to move ahead with our mission. Diabetes in Children Diabetes in Children Table of Contents Current scenario, overview and insights Type 1 Diabetes in India.......................................................................... 3 Prof. Ashok Kumar Das Type 1 Diabetes in India-Awareness, Management & Challenges....... 7 Prof. K. M. Prasanna Kumar Other developing and underdeveloped countries - Insight on T1DM management Changing Diabetes in Children - Tanzania............................................ 11 Dr. Kandi Catherine Muze Changing Diabetes in Children - Cameroon.......................................... 13 Dr. Mesmin Dehayem Yefou Changing Diabetes in Children - Bangladesh....................................... 15 Dr. Bedowra Zabeen Type1 Diabetes in National Hospital of Pediatrics - Vietnam.............. 18 Dr. Bui Phuong Thao Changing Diabetes in Children - Sri Lanka........................................... 20 Dr. Navoda Attapattu Diabetes in Children - Yangon, Myanmar............................................. 22 Dr. Kyaw Myo CDiC in India - Journey so far and the way forward Key Acheivements................................................................................... 25 Dr. Archana Sarda Challenges................................................................................................ 27 Dr. P. V. Rao Best Practices........................................................................................... 28 Dr. Alok Kanungo Public private partnership (PPP) initiatives - Role of policymakers Changing Diabetes in Children -Karnataka........................................... 33 Dr. N. Prabhu Dev Changing Diabetes in Children - Puducherry........................................ 34 Dr. K. V. Raman PPP in the Management of Diabetes in Goa......................................... 36 Dr. Rajnanda Desai Risk Factor Surveillance Among School Children in Andhra Pradesh.. 38 Dr. T. Geetha Prasadini Managing type 1 diabetes “As complex as bringing up children” Maternal and Early Childhood Risk Factors for Type 1 Diabetes.......... 43 Dr. Sanjay Kalra Diabetes in Children Diabetes in Children Table of Contents Current scenario, overview and insights Type 1 Diabetes in India.......................................................................... 3 Prof. Ashok Kumar Das Type 1 Diabetes in India-Awareness, Management & Challenges....... 7 Prof. K. M. Prasanna Kumar Other developing and underdeveloped countries - Insight on T1DM management Changing Diabetes in Children - Tanzania............................................ 11 Dr. Kandi Catherine Muze Changing Diabetes in Children - Cameroon.......................................... 13 Dr. Mesmin Dehayem Yefou Changing Diabetes in Children - Bangladesh....................................... 15 Dr. Bedowra Zabeen Type1 Diabetes in National Hospital of Pediatrics - Vietnam.............. 18 Dr. Bui Phuong Thao Changing Diabetes in Children - Sri Lanka........................................... 20 Dr. Navoda Attapattu Diabetes in Children - Yangon, Myanmar............................................. 22 Dr. Kyaw Myo CDiC in India - Journey so far and the way forward Key Acheivements................................................................................... 25 Dr. Archana Sarda Challenges................................................................................................ 27 Dr. P. V. Rao Best Practices........................................................................................... 28 Dr. Alok Kanungo Public private partnership (PPP) initiatives - Role
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