Multifaceted approaches crucial to halt diabetes in India: ICMR study

According to a recent study released by the Indian Council of Medical Research (ICMR)—National Centre for Disease Informatics and Research, Bengaluru, multifaceted approaches that include improved awareness, adherence to treatment, better preventive and counseling services are crucial to halt diabetes in India.

Also, expanding traditional systems of medicine (Ayurveda, Yoga, Naturopathy, Unani, Siddha, and Homeopathy [AYUSH]) into diabetes prevention and control practices open solutions to manage this crisis.

The Noncommunicable Disease (NCD) Monitoring Framework targets and indicators set by the Ministry of Health and Family Welfare, Government of India adapted from the Global NCD framework (World Health Organization), calls for a need to halt the rise in diabetes and prevent premature deaths from NCDs by 25% by 2025.

Such targets can be met only with effective strategies at multisectoral levels. However, an important limitation and quandary for policymakers are that majority of the population might be unaware of their diabetes status and are not adherent to advice.

Robust empirical data on diabetes prevalence, awareness, treatment, control and adherence is needed to comprehend the impact of initiatives taken to halt the growing burden of diabetes, response of health systems and health-seeking behaviors amongst the population. Understanding where diabetics are lost in the care cascade is essential for targeted health interventions. 

 

 This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.   

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Rheumatoid Arthritis: The Basic Facts

Rheumatoid arthritis is a chronic, inflammatory type of arthritis, also classified as an autoimmune disease. The joints are primarily affected by rheumatoid arthritis, though it is possible that there can be systemic effects too, whereby organs are affected.

Symptoms Associated With Rheumatoid Arthritis: 

Primary symptoms associated with rheumatoid arthritis include joint pain, joint swelling or effusion, joint stiffness, redness and/or warmth near the joint, restricted range of motion as well as morning stiffness which lasts for more than one hour and involves the small bones of the hands and feet, extreme fatigue, rheumatoid nodules and symmetrical joint involvement. 

 

Diagnosis of Rheumatoid Arthritis: 

No single laboratory test or x-ray can diagnose rheumatoid arthritis. Rather, to properly diagnose this disease, a combination of test results, a physical examination and patient medical history are needed. Tests which are commonly ordered to help diagnose rheumatoid arthritis include: 

 

• Rheumatoid factor - determining whether an immunoglobulin (antibody) can bind to other antibodies determined by a blood test. 

 

• Erythrocyte sedimentation rate - a blood test which determines nonspecific inflammation in the body. 

 

• C-reactive protein - a blood test that measures the concentration of a special type of protein produced in the liver. 

 

• Anti-CCP test - a test that is able to detect the antibodies against citrullinated proteins, which have a relatively high sensitivity for rheumatoid arthritis. 

 

 X-rays and MRIs are also ordered to help with the diagnostic process, as well as throughout the course of the disease to monitor the effectiveness of treatment. The goal of early diagnosis and early treatment is to prevent joint damage.

Treatment of Rheumatoid Arthritis: 

 

The primary course of traditional treatment for rheumatoid arthritis includes specialized medications. Each individual patient is evaluated by their rheumatologist and a treatment plan is recommended. Along with medication, some forms of complementary treatment or local injections may help relieve pain. 

 

Prevalence of Rheumatoid Arthritis:  

 

About 1.5 million people in the U.S. are diagnosed with rheumatoid arthritis. Women tend to be more affected than men - in fact, about 75% of rheumatoid arthritis patients are women. Nevertheless, it can occur in both genders and possibly, in children too. The disease onset for rheumatoid arthritis occurs between 30 and 60 years old.

 This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.     

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