ICMR Issues guidelines on Type 2 Diabetes, Invites Comments; Check out details

Published On 2018-05-13 05:09 GMT   |   Update On 2021-08-23 05:45 GMT

You can send your Suggestions/Comments to Dr. Tanvir Kaur, Scientist 'F' at doctanvirkaur@gmail.com by 18th May 2018; 5pm (IST)New Delhi: On its way to prepare the Standard Treatment Protocol to strengthen physicians in battling the growing menace of Type 2 Diabetes in the country, Indian Council of Medical Research has released Draft Guidelines on issue. ICMR has also...

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You can send your Suggestions/Comments to Dr. Tanvir Kaur, Scientist 'F' at doctanvirkaur@gmail.com   by 18th May 2018; 5pm (IST)

New Delhi: On its way to prepare the Standard Treatment Protocol to strengthen physicians in battling the growing menace of Type 2 Diabetes in the country, Indian Council of Medical Research has released Draft Guidelines on issue. ICMR has also invited comments/suggestions on the same




The draft guidelines titled "Guidelines for Management of Type 2 Diabetes  " note that India today has the second largest number of people with diabetes in the world. The International Diabetes Federation (IDF) estimates that there are 72.9 million people with diabetes in India in 2017, which is projected to rise to 134.3 million by the year 2045

Further the guidelines define the "Asian Indian phenotype" referring to a peculiar constellation of abnormalities in south Asians, whereby for any given level of body-mass index, they tend to have higher total body fat, visceral fat, insulin resistance and prevalence of diabetes compared to white Caucasians

[caption id="attachment_56072" data-align="alignnone" data-width="720"]
Image Source: ICMR draft guidelines on Management of Type 2 diabetes 2018[/caption]


The guidelines defining the various types of diabetes, specify the prevention screening, diagnosis criteria as well as containing pointers on the management,  both pharmacological and non-pharmacological treatment as well as diet in the disease. Further elaborating on the complications on the disease, it also touches co-morbid conditions including Hypertension, Obesity, Dyslipidemia as well as TB. The guidelines separately touch diabetes in pregnancy as well as childhood and adolescence

Some of the important pointers are enumerated below




Diagnostic Criteria for Diabetes

  •   Symptoms of diabetes (see box) plus casual or random plasma glucose ≥ 200 mg/dl (Casual means without regard to time of last meal)

  •   Fasting plasma glucose ≥ 126 mg/dl

  •   2 hour post 75 g glucose ≥ 200 mg/dl (as part of OGTT)

  •   Glycated Haemoglobin ≥ 6.5%


Any one positive test should be confirmed with another test subsequently.




Targets for metabolic control in diabetes









[caption id="attachment_56073" data-align="alignnone" data-width="692"]
Image Source: ICMR draft guidelines on Management of Type 2 diabetes 2018[/caption]


For further details and management of the disease, attached is the PDF of the complete guidelines. If you have any recommendations kindly send your Suggestions/Comments to Dr. Tanvir Kaur, Scientist 'F' at doctanvirkaur@gmail.com   by 18th May 2018; 5pm (IST)

 

 
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