Recent Advances Input for Better Management Practices of Diabetes Mellitus Type II
Abstract:
iabetes research, diagnosis and management in developing world including India face challenges of limited re sources, access to healthcare, low awareness, financial burdens, and adherence issues which are more pronounced in rural areas & among certain socioeconomic groups, cultural & dietary influences. Physicians’ limited time and knowledge and lack of efforts to update themselves also play a role. Most people in middle- and low-income countries know that Type 2 diabetes is strongly linked to unhealthy life styles, including poor diet, lack of physical activity, and obesity apart from the risk factors of Ethnicity, age, family history, & genetic factors. They also know that uncontrolled blood sugar levels lead to serious health complica tions, like heart disease, stroke, kidney disease, nerve damage, and vision loss. But research across the world mostly in developed countries are sharing that there are other linkages which influ ence diabetes diagnosis and management, which very few people and even Primary health care providers know and consider in changing treatment practices. These include i) onset diabetes, ii) Menstruation link to underdiagnosis, iii) linkages between Sleep Deprivation iv) diabetes in elderly and Aging syndrome, v) Type 5 diabetes, vi) Environ mental pollution with PM 2.5 Pollution, viii) Vitamin D deficiency, & ix) Age-specific body weight. Materials and Methods: This article is an outcome of seeing one case each of onset of diabetes in lady aged 62 years, use of CGM showing intraday variations in Blood sugar levels, multiple cases of diabetes among elderly and appro priate literature search on recent advances in issues influencing diabetes management apart from the well-known factors like unhealthy lifestyles, lack of physical activity, obesity, ethnicity, age, family history, & genetic factors. Outcome: All our cases did challenge us, but we were able to finetune & tailor the treatment.
