ArticleIndian journal of endocrinology and metabolism2013
Barriers and solutions to diabetes management: An Indian perspective.
Article in Indian journal of endocrinology and metabolism, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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Who cites it
30 citing papers in PubMed.
- Clinical outcomes of a digitally delivered structured lifestyle program in type 2 diabetes: a randomized controlled trial from India.Frontiers in endocrinology · 2026Trial
- Preliminary effectiveness and feasibility of ASHA-led mobile health intervention for diabetes care in Indian primary health care settings.Scientific reports · 2025Trial
- Prevalence of poor glycemic control among elderly type 2 diabetes patients in rural India.Bioinformation · 2026Article
- Therapeutic Inertia in Type 2 Diabetes in Indian Primary Care: A Scoping Review.Diabetes, metabolic syndrome and obesity : targets and therapy · 2026Review
- Expert Opinion on Optimizing Suboptimal Basal Insulin Titration in India: Addressing Challenges and Leveraging Digital Solutions.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2025Article
- Does Food Habits and Malnutrition Affect Health Perception Among Diabetic Patients? A Mediation and Moderation Analysis.Healthcare (Basel, Switzerland) · 2025Article
- Retrospective Analysis of the Efficacy of Integrated Lifestyle Modifications in Managing Prediabetes in the Indian Population.Journal of diabetes research · 2025Article
- Perspectives of patients with type 1 and type 2 diabetes on barriers to diabetes care: a qualitative study.BMC health services research · 2024Article
- Harnessing Digital Initiatives for Improved Health Outcomes in Diabetes Management: An Observational Patient Program.Cureus · 2024Article
- Association Between Quality of Life and Drug Adherence Among Patients With Diabetes in India.Cureus · 2024Article
- Strategies for Cardiovascular Disease Prevention in Type 1 Diabetes: A Comprehensive Review.Cureus · 2024Review
- Fitterfly Diabetes CGM Digital Therapeutics Program for Glycemic Control and Weight Management in People With Type 2 Diabetes Mellitus: Real-world Effectiveness Evaluation.JMIR diabetes · 2023Article
- Socio-demographic, behavioural and clinical factors influencing control of diabetes and hypertension in urban Mysore, South India: a mixed-method study conducted in 2018.Archives of public health = Archives belges de sante publique · 2022Article
- Emergence of diabetes education and capacity-building programs for primary care physicians in India.Journal of family medicine and primary care · 2022Review
- Psychosocial morbidity among children with type-1 diabetes mellitus.Journal of family medicine and primary care · 2020Article
- Suboptimal glycemic control among subjects with diabetes mellitus in India: a subset analysis of cross-sectional wave-7 (2016) data from the International Diabetes Management Practices Study (IDMPS).Therapeutic advances in endocrinology and metabolism · 2020Article
- A narrative review of gaps in the provision of integrated care for noncommunicable diseases in India.Public health reviews · 2020Review
- BE-SMART (Basal Early Strategies to Maximize HbA1c Reduction with Oral Therapy): Expert Opinion.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2019Review
- Diabetes self-care in primary health facilities in India - challenges and the way forward.World journal of diabetes · 2019Review
- Rationale and protocol for estimating the economic value of a multicomponent quality improvement strategy for diabetes care in South Asia.Global health research and policy · 2019Article
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Authors and funding
13 authors.
Funding
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Abstract
India, with one of the largest and most diverse populations of people living with diabetes, experiences significant barriers in successful diabetes care. Limitations in appropriate and timely use of insulin impede the achievement of good glycemic control. The current article aims to identify solutions to barriers in the effective use of insulin therapy viz. its efficacy and safety, impact on convenience and life-style and lack of awareness and education. Therapeutic modalities, which avoid placing an undue burden on patients' life-style, must be built. These should incorporate patient-centric paradigms of diabetes care, team-based approach for life-style modification and monitoring of patients' adherence to therapy. To address the issues in efficacy and safety, long-acting, flat profile basal insulin, which mimics physiological insulin and show fewer hypoglycemic events is needed. In addition, therapy must be linked to monitoring of blood glucose to enable effective use of insulin therapy. In conjunction, wide-ranging efforts must be made to remove negative perception of insulin therapy in the community. Patient- and physician - targeted programs to enhance awareness in various aspects of diabetes care must be initiated across all levels of health-care ensuring uniformity of information. To successfully address the challenges in facing diabetes care, partnerships between various stakeholders in the care process must be explored.
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