Managing Diabetes Better

Diabetacare Clinico-Technology Solution

Sanjiv Agarwal,  Founder & MD, Diabetacare, India

Diabetacare Clinico-Technology Solution enables efficient close monitoring and management of people living with diabetes. Aim is to enhance patient care, enabling healthcare providers to asynchronously communicate with their patients in a technology enabled, and high-touch model minimising risk of errors and improving clinical outcomes.

The prevalence of diabetes is rising globally. About 70 million people live with diabetes in India and the World Health Organization estimates that an additional 36 million remain ignorant of their condition. This means that nearly 1 in 10 Indians suffers from this condition but is either unaware of it or is slipping through the treatment cracks with inadequate reporting and monitoring. As the number of people with diabetes grows worldwide, the disease takes an ever-increasing proportion of not only the patient's household budgets but also the overall healthcare budget. Poor glucose control results in higher rates of diabetes-related complications and an increase in healthcare expenditure. Without primary prevention, the diabetes epidemic will continue to grow. Even worse, diabetes is projected to become one of the world's main disablers and killers within the next twenty-five years.Immediate action is needed to stem the tide of diabetes and to introduce cost-effective treatment strategies to reverse this trend.

Tremendous improvements have modified diabetes management from pure clinical diagnosis and the discovery of insulin, to Continuous Subcutaneous Insulin Infusion (CSII) coupled with Continuous Glucose Monitoring (CGM). This has allowed patients to adapt insulin delivery to glycaemia on a virtually ‘real-time’ basis. Insulin was first discovered in 1923 and, in less than a century, it has been purified, humanised and now synthesised by genetically modified microorganisms. Although advances in medicine can improve diabetes health outcomes and potentially help control medical costs, recommendations for care are often neglected. As a result, diabetes often is poorly controlled despite adequate access to healthcare resources.

Diabetes can be managed effectively with multidisciplinary care and self-managing by patients. Good management reduces the risk of developing complications, enhances health-related quality of life and reduces hospital admissions to a great extent. Conversely, poorly managed diabetes is associated with serious complications including stroke, blindness, heart disease, kidney disease, nerve damage, amputations, and may even lead to death.

A productive and informative interaction between the patient and the care team by using information technology based interventions can lead to improved diabetes care. Existing and emerging technologies such as wireless devices (cell phones) with email and text messaging (SMS) functionality, pagers, and the internet can help facilitate patient self-management of diabetes. These types of devices offer a practical and cost-effective method for monitoring clinical outcomes and increasing patient adherence to treatments. Wireless technologies can be used as intermediary tools to facilitate the information between patient and provider and treatment advice between clinic visits.

At Diabetacare, we understand that a physician’s concern for their patients goes beyond managing their blood glucose levels. We also know that diabetes management needs treatment and care options above and beyond basic consultations. To ensure that the physicians are best supported in providing their patients complete diabetes management solution, we have developedunique products and services thatwould complement their services and ensure 360-degree care.

Diabetacare Clinico-Technology Solution enables efficient close monitoring and management of people living with diabetes. Aim is to enhance patient care, enabling healthcare providers to asynchronously communicate with their patients in a technology enabled, and high-touch model minimising risk of errors and improving clinical outcomes. Our Diabetes management Centre is a 24x7 clinical contact centre, staffed with doctors, diabetes specialist nurses and diabetes educators. This team supports patients, physicians and patient families in improving compliance and providing round the clock care for better outcomes.

Diabetacare Technology Components

DiabetaCartSM : This has been designed to provide comprehensive investigations focusing on Diabetes complications and consultation to improve lifestyle and compliance. DiabetaCartSM a technology marvel; ‘Diabetes-in-a-box’ is designed to screen most of the end organs involved due to uncontrolled Diabetes. Early and timely diagnosis of these complications improves quality of life and reduce economic burden on the individual and the family. DiabetaCartSM consists of  diagnostic  components  interconnected & integrated to DxNET™ and patient records. This enables early prompts to the caregiver thus enabling early intervention and overall improved outcomes.

 

Some of the components of DiabetaCartSM are:

Retinal Camera for early and rapid Diabetic Retinopathy screening
12 Lead ECG as a component of assessing Cardiovascular Risk
Dynamic Foot Pressure Mapping not only enabling measurement of ‘hot’points but also providing an appropriate prescription for ‘pressure offloading’ driven by smart clinical algorithm inbuilt in the system
Vascular Doppler to pick up vascular compromise due to diabetes
Biothesiometer (Vibration Perception & Heat & Cold Perception) for pickingup small fibre neuropathy
NCV to monitor changes in Diabetic Peripheral Neuropathy
ANS tool to measure Autonomic Nervous system involvement if required
Body Fat & Composition Analysis thus enabling setting targets and goals for lifestyle intervention
POC Biochemical Analyser providing instant results for Lipid, Renal & Diabetes Profile including HbA1c

DXNET™: Comprehensive Diabetes Electronic Medical Record (EMR) system with Intelligence built for clinical decision making (CDM), which provides prompts and nudges to the caregiver (Physicians, Diabetes Specialist Nurses, Diabetes Educators, Super Specialist Physicians) and to the people suffering with diabetes.

System has evolved with many clinical decision making alg