Diabetes Track (by NEHEP) Implementation: Bangladesh Perspective

Abdul Kader Mohiuddin
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Abstract

With the increasing burden of non-communicable diseases in low-income and middle-income countries (LMICs), biological risk factors, such as hyperglycemia, are a major public health concern in Bangladesh. Optimization of diabetes management by positive lifestyle changes is urgently required for prevention of comorbidities and complications, which in turn will reduce the cost. Diabetes had 2 times more days of inpatient treatment, 1.3 times more outpatient visits, and nearly 10 times more medications than non- diabetes patients, as reported by British Medical Journal. And surprisingly, 80% of people with this so called “Rich Man's Disease” live in low- and middle-income countries. According to a recent study of American Medical Association, China and India collectively are home of nearly 110 million diabetic patients. The prevalence of diabetes in this region is projected to increase by 71% by 2035. for patients without hospitalization. The private and public financing of diabetes treatment will be severely constrained in near future, representing a health threat for the Bangladeshi population.
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糖尿病跟踪(NEHEP)实施:孟加拉国视角
随着低收入和中等收入国家的非传染性疾病负担日益加重,生物风险因素,如高血糖症,已成为孟加拉国的一个主要公共卫生问题。迫切需要通过积极的生活方式改变来优化糖尿病管理,以预防合并症和并发症,从而降低成本。据《英国医学杂志》报道,糖尿病患者的住院天数是非糖尿病患者的2倍,门诊次数是非糖尿病患者的1.3倍,药物用量是非糖尿病患者的近10倍。令人惊讶的是,80%的“富人病”患者生活在低收入和中等收入国家。根据美国医学协会最近的一项研究,中国和印度总共有近1.1亿糖尿病患者。预计到2035年,该地区的糖尿病患病率将增加71%。对于没有住院治疗的病人。在不久的将来,用于糖尿病治疗的私人和公共资金将受到严重限制,这对孟加拉国人口的健康构成威胁。
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