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Related Concept Videos

Diabetes: Management and Pharmacotherapy01:15

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The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
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Related Experiment Video

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Improving IV Insulin Administration in a Community Hospital
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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.

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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.

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Comprehensive careGoaTrustdiabetesretinopathy

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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.