12 Diabetic Centers in Pakistan should provide infrastructure, standard care and have faculty exchange programme - Prof. Abdul Basit

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 Creating Awareness about Diabetes

12 Diabetic Centers in Pakistan should
provide infrastructure, standard care and have
faculty exchange programme - Prof. Abdul Basit

Pakistan needs 3000 Peripheral Diabetes Centers owned
by community interlinked with Diabetic Centers

Diabetes is a cause worth supporting & Denmark is playing 
its role in diabetes management-Ambassador of Denmark

KARACHI: There are about twelve diabetic care units all over Pakistan. They need to be providing infrastructure, standard care and have faculty exchange programme. We also need to establish atleast three thousand Peripheral Diabetes Centers all over the country which should be owned by the community and interlinked with the diabetic centers. Efforts should be made to make these twelve diabetic units self sustaining and independent. This was stated by Prof.Abdul Basit, an eminent Diabetologist and Director of Baqai Institute of Diabetology and Endocrinology (BIDE) affiliated with Baqai Medical University. He was speaking at a public awareness programme for diabetes recently held at Karachi organized by BIDE in collaboration with NOVO. Ambassador of Denmark in Pakistan was also present on this occasion.

Prof. Abdul Basit Director Baqai Institute of Diabetology and Endocrinology
(BIDE) presenting a mementoe to Mr. Ole Moesby, the Ambassador of
Denmark at a meeting organized in connection with creating awareness
about diabetes at Karachi recently.

Speaking about the current status of diabetes in Pakistan Prof. Basit said that as per estimates there are about seven million patients with diabetes and another seven million are at risk of developing diabetes. Over 30% of our population lives below the poverty line and diabetes hits the poor the most and in a country where 40% of the people do not get their basic needs met, it is a great challenge. Many children are malnourished and out of schools. Pakistan has the worst education indicators in South East Asia. It is estimated that almost 1.4% of our population will have diabetes by the Year 2020. Pre diabetes stage, metabolic syndrome status were looked at in Layari by BIDE research team which showed that 49% of the population had pre-diabetes and metabolic syndrome. In children between 15-25 years of age, obesity tripled and blood pressure doubled from 2002-2009. About 4.3% of children between the ages of 8-10 years were found obese and it is estimated that in Pakistan 9.6 million children are either overweight or obese. As per these figures, total budget required for diabetes care put together is more than the whole budget of Pakistan. Cost of treating diabetic good has increased a lot. 
International Diabetes Federation (IDF) Prof. Basit said gives too much importance to diabetes education and diabetes in children. Referring to the achievements and accomplishments of BIDE so far he said we have trained ninety diabetes educators and we are one of the eight IDF recognized diabetes education centers in the world. We introduced diabetic foot care programe, have helped establish twelve main and one hundred three modified diabetic foot clinics all over the country with the result that amputation has reduced from 12% to 6%. Insulin My Life is yet another programme run and managed by BIDE. We established thirty four centers in Sindh province and 1860 children in the province were now getting free insulin. We have now established Insulin Bank to ensure sustained insulin supply to poor deserving children suffering from Type-I diabetes. Three hundred ten doctors have completed diploma courses in diabetes in fourteen batches. In order to make it cost effective, we have now started this course Online. Post Fellowship training in diabetes has been started and BIDE is one of the centers approved by College of Physicians and Surgeons Pakistan for this fellowship. BIDE is now training Diabetic Foot Care Assistants because management of diabetes requires a multidisciplinary team. We in Pakistan need to give emphasis on primary prevention of diabetes, address issues of childhood obesity and ensure increased collaboration with more and more institutions, organizations. We must aim at HBA1C control, early use of Insulin, blood pressure control, control of lipids which was extremely important as regards diabetes care in future, Prof. Basit concluded.
Speaking at the occasion Mr. Ole Moesby, the Ambassador of Denmark said that diabetes care is a cause worth supporting. It is a great challenge. Denmark was playing its role in diabetes management. However, global financial crisis, political crisis does not make it easy for the funders. However, it should not become a hurdle to improve quality of healthcare. Universal health coverage, he opined, was essential for development. He emphasized the importance of commitment of civil society and Ministers of Health to have universal diabetes care. We need to address these challenges maintaining high quality of care for the patients with diabetes. It is not easy to meet the growing demands in Europe and Pakistan but sharing best practices, experiments will enable us to get better care for money. It needs continuous motivation and working together we can address these issues. We must search innovative ways to solve the problems we face. By Working together Pakistan and Denmark can get better treatment for the patients with diabetes, he added.

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