Comprehensive diabetes care: The Goa model.
Indian J Ophthalmol
; 68(Suppl 1): S88-S91, 2020 02.
Article
de En
| MEDLINE
| ID: mdl-31937739
ABSTRACT
Diabetes mellitus continues to increase in epidemic proportions globally as well as in India. Poor glycemic control in long-standing diabetes mellitus eventually leads to chronic complications such as retinopathy, nephropathy, neuropathy, and cardiovascular disease. Diabetic retinopathy is emerging as an important cause of avoidable visual impairment and blindness in India across all strata of society. Much of this vision loss can be prevented by improving control of known risk factors, annual fundus screening, with prompt treatment of individuals with sight-threatening retinopathy. The Queen Elizabeth Diamond Jubilee Trust has made a significant contribution by supporting such a program across India, including Goa. The newly established medical retina clinic at Goa Medical College now provides facilities for screening, a detailed evaluation of advanced retinopathy, and therapeutic modalities such as laser and intravitreal injections. The peripheral centers are equipped to screen all people with diabetes mellitus and refer those with sight-threatening retinopathy to the medical college. The provision of a foot scanner to evaluate the risk of foot ulcers and microalbuminuria assessment as part of the nephropathy screening would encompass the entire gamut of diabetic microvascular complications. The next decade would provide evidence if this initiative, with the enthusiastic partnership of the state government, results in reduction of blindness in the people of Goa and an overall reduction in diabetes-related morbidity and mortality.
Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Dépistage de masse
/
Cécité
/
Rétinopathie diabétique
Type d'étude:
Clinical_trials
/
Etiology_studies
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Prognostic_studies
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Risk_factors_studies
/
Screening_studies
Limites:
Humans
Pays/Région comme sujet:
Asia
Langue:
En
Journal:
Indian J Ophthalmol
Année:
2020
Type de document:
Article
Pays d'affiliation:
Inde