Planning DR services: Where to begin?
Diabetes and diabetic retinopathy in India“India is the diabetes capital of the world!” was the title of a recent Times of India article. Looking beyond the alarmist headlines, we know that one in five of the 382 million people living with diabetes are in India and that the prevalence of diabetes in some parts of urban India is as high as 20% in people aged over 20 years (Murthy et al. 2016). And, as we learned in week one, diabetic retinopathy (DR) complications affect 18–34% of people with diabetes.The increasing diabetes prevalence and longer lives of people with diabetes mean that the Indian health system faces a major challenge in managing an exponentially increasing risk of sight threatening complications amongst people with diabetes.Based on this epidemiological evidence:
- What do you think needs to be done to manage the growing challenge of diabetes in India?
- Should existing initiatives by non-governmental organisations (NGO) be strengthened to deliver diabetic retinopathy services?
- How best can the existing health system infrastructure be strengthened for sustainable detection and treatment of sight threatening diabetic retinopathy?
Diabetic Eye Disease: Building Capacity To Prevent Blindness
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