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Prevention program

Prevention program

Primary Prevention program:

The best evidence for prevention of T2DM, as we know comes from the randomized controlled trials of lifestyle intervention, which included modifying diet, physical activity and achieving weight loss. These interventions were done in high risk groups for developing diabetes which included individuals with IGT or pre-diabetes.[i]Population intervention programs will be important for low- or middle-income countries like Pakistan, as individual- level interventions would be very costly and unaffordable for us. Population based approach usually aim at reducing risk factors in the whole of population which may shift the distribution of risk in population.

Some studies have shown small changes in risk factors like physical activity at population level, can have significant potential benefits. The challenge we may have is to deliver such intervention at a population level cost effectively.

 

 

Primary Objectives of the Pak-DPP

Launch nationwide primary prevention program to reduce risk of developing type 2diabetes.

Secondary Objectives of the Pak-DPP

  1. Studies on nutritional status of people with appropriate intervention with the objective to reduce the incidence of obesity and its related complications.
  2. Develop and test intervention strategies to reduce the incidence of diabetes and thus the economic burden.
  3. Promotion of educational facilities for pre-diabetics and also for primary health care providers i.e., doctors, nurses and technicians.
  4. Promotion of Awareness Programs on prevention of diabetes for the community, through the print and electronic media, meetings and workshops.
  5. Preparation of education material like brochures, short motivational videos and text messages on prevention of diabetes for the community, in national and regional languages.

6- Development of a user-friendly website and mobile app for community that can track physical activity, for example step counter, intake of water and calories, sleep patterns and BMI of its users.

  1. Hypertension, Dyslipidemia and obesity to take on board as well.
  2. Alliance building with other Community Leaders, Educationist, Religious Scholars for setting a movement to bring about change more effectively.

 

Steps Taken to Manage Diabetes in Pakistan

  • Annual Diabetes Awareness Walks
  • IML Project in Sindh
  • Establishment of Model Type 1 Diabetic Clinics and 24-h Helpline Service
  • Insulin My Life Project in Baluchistan
  • Station Based 24 Hours Helpline Service
  • Diabetes Education via Establishment of NADEP
  • Establishment of Advisory Board for the Care of Diabetes
  • Pakistan Working Group on Diabetic Foot
  • BRIGHT Guidelines on Self-Monitoring of Blood Glucose
  • Pakistan’s Recommendations for Optimal Management of Diabetes from Primary to Diabetes Registry of Pakistan (DROP)
  • Development of Cost-Effective Screening Tool- a RAPID score
  • Second National Diabetes Surveys of Pakistan (NDSP) 2016-2017
  • Diabetes Prevalence Survey of Pakistan (DPS-PAK)
  • Diabetes Talk program initiative in KPK
  • Run (Reaching out to young adults) For Healthy Life: A pilot project aiming at healthy lifestyle in young adults in Punjab
  • Tertiary care level (PROMPT) guideline