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Comprehensive diabetes care: The Goa model
Ankush K Desai1, Ugam P S Usgaonkar2, Vivek S Naik2
1Endocrine Unit, Department of Medicine, Goa Medical College, Bambolim, Goa, India.
Indian Journal of Ophthalmology
|January 16, 2020
Summary
Diabetes mellitus complications like retinopathy cause blindness. Early screening and treatment through new clinics in Goa can prevent vision loss and reduce diabetes-related deaths.
Area of Science:
- Ophthalmology
- Endocrinology
- Public Health
Background:
- Diabetes mellitus is a growing global epidemic, particularly in India, leading to severe complications.
- Diabetic retinopathy is a major cause of preventable blindness in India.
- Effective management of risk factors, regular screening, and timely treatment are crucial for preventing vision loss.
Purpose of the Study:
- To evaluate the impact of a comprehensive diabetes care program in Goa, India.
- To assess the effectiveness of screening, early detection, and treatment of diabetic retinopathy.
- To determine if the initiative reduces blindness and diabetes-related morbidity and mortality.
Main Methods:
- Establishment of a medical retina clinic at Goa Medical College for advanced evaluation and treatment.
- Implementation of peripheral screening centers for all individuals with diabetes mellitus.
- Integration of foot ulcer risk assessment and nephropathy screening for microvascular complications.
Main Results:
- The program provides comprehensive care for diabetic microvascular complications.
- Peripheral centers screen individuals with diabetes, referring those with sight-threatening retinopathy.
- The Goa Medical College offers advanced diagnostics and treatments like laser therapy and intravitreal injections.
Conclusions:
- The initiative aims to reduce blindness and diabetes-related morbidity and mortality in Goa.
- The partnership between the Queen Elizabeth Diamond Jubilee Trust and the state government is key.
- Long-term evidence will determine the success of this program in the next decade.
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