“Diabetes care at Doorsteps”: A customised mobile van for the prevention, screening, detection and management of diabetes in the urban underprivileged populations of Delhi

Publication date: Available online 20 November 2019Source: Diabetes & Metabolic Syndrome: Clinical Research & ReviewsAuthor(s): Hema S. Gopalan, Intazaamul-Haq, Shamshad Ahmad, Ashok Gaur, Anoop MisraAbstractDiabetes is on the rise in India and recently shown to be increasing in the urban underprivileged. Lack of awareness of the disease, its complications, combined with lack of financial resources among the underprivileged, often results in late detection and more complications in them. To combat this, healthcare delivered at the doorstep through the use of a customised mobile medical van is a potentially attractive option.We used a customized mobile van (included trained personnel, glucose meters, fundus evaluation camera, apparatus for detection of neuropathy and foot circulation and net enabled Skype calling for remote consultation) for educating general population regarding healthy lifestyle and screening, management and intervention in patients with diabetes.The project covered 10 underprivileged areas (n, 2,31,000 people) in Delhi. Total of 24,072 individuals (10.9% of total population) attended 352 awareness sessions. A total 3,12,347 visits (included repeat visits) were carried out for screening, education and management for obesity and diabetes. During screening (n, 16,834), 2933 subjects (18.7%) had high random blood glucose levels (>200 mg/dL) and had a blood pressure averaging 127.1±23.6/81.3±16.6 mm of mercury (n, 16,339). A pre-post intensive lifestyle counse...
Source: Diabetes and Metabolic Syndrome: Clinical Research and Reviews - Category: Endocrinology Source Type: research