In a country like India, there is literally diabetes epidemic. But I myself get depressed after I see the way this metabolic disorder is being managed. At the first place many people don’t know that they are suffering from the disease. Only when they land up in some health facility they do realize that they have it.
Actually, how-so-ever rosy picture we may paint about the health of our masses, it is far from satisfactory. Even the Diabetes is so poorly managed that I fail to understand whom to blame —poor patient, the doctor, health care system or all of these?
Patients have their own reasons either for not starting the medicines or just stopping it after sometimes because they want to shift to some other system of medicine. But they don’t follow that also. And ultimately poor patients get trapped by the unqualified doctor “quacks” who literally play with their lives —just for a few bucks!
They just give them some “medicine” intravenously, give them heavy steroids, give all sorts of irrational drug combinations, use contaminated needles and syringes and all possible malpractices they indulge in. The result – the patient become a pauper and becomes a picture of all sorts of complications of the disease.
Then he somehow gets referred to higher centre. There also he keeping on suffering for want of money. He does not have money for expensive tests, no money for medicines — nowhere to stay and nowhere to sleep.
Indeed the chronic illnesses like Diabetes are being poorly managed — there is no one to blame. There is a complex interplay of so many factors that we are literally clueless from where to start. Or we pretend to be helpless.
I feel so strongly about the poor management of Diabetes what I have observed that I feel like writing a book on the subject. The issue is there is too much dependence on Drugs. There is a concept —Evidence-based Medicine. I don’t know where is it being practiced?
Not to talk of routine investigations to see the effect of diabetes on various vital organs, even the basic Blood Sugar is not done for months. And patients keep on taking medicines religiously without any dose adjustment.
That is the scenario with the poor, middle and even higher middle classes, so far as the affluent sections are concerned, they are able to get proper expert advice, timely screening tests, timely monitoring sugar control –even daily checking their values at home, regular eye check-up and timely pedicure etc.
But mostly diabetics never consider it important to consult an eye-specialist for periodic check-up –they go to him when they are unable to see or there is some acute eye problem.
Indeed it is utterly frustrating to see the way Diabetes is being managed. Please ponder over the issue —Whom to blame? Is there any solution?