Exploring the viability of newer technologies in care and management of tribal diabetes and metabolic syndrome in India

Kritika Singh, T. Chakma, Suman Ray, Neha Vaidh, S. Shrivastava
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Abstract

With the advancements of digitalization technology in health sector, diabetes care and management have also experienced modifications and betterment. Various newer technologies cater to the individual conditions and needs and provide a personalized treatment. Device based technologies such as continuous glucose monitoring (CGM) linked to closed loop insulin delivery system, insulin pumps, wearable devices linked with mobile apps have made the self-management of diabetes possible on regular basis. In its contrast, the technologies are yet to reach the tribal settings of India, and also very challenging to implement. Studies have shown that the scenario of diabetes prevalence in Indian tribal population is as crucial as urban population. Also, land alienation, lack of health management infrastructure, low connectivity, technological challenges add up to their condition. While various technologies are challenging to implement due to electricity, network connectivity, infrastructure and storage facilities, some technologies can be implemented easily with the joint approach of primary health care staff, governmental and non-governmental organizations and people with diabetes themselves. Digitization of data is needed as it will give a clearer picture of the prevalence, provide easy access for the follow ups and easier to implement intervention-based technologies. The situation demands a tailored multifaceted approach for implementing the technological based remedies in tribal settings of India as it will increase the quality of life in these areas.
探索新技术在印度部落糖尿病和代谢综合征护理和管理中的可行性
随着卫生领域数字化技术的发展,糖尿病护理和管理也经历了变革和改进。各种更新的技术能够满足个人的病情和需求,并提供个性化的治疗。以设备为基础的技术,如与闭环胰岛素输送系统、胰岛素泵、可穿戴设备相连接的移动应用程序的连续血糖监测(CGM),使糖尿病的定期自我管理成为可能。与此形成鲜明对比的是,这些技术尚未进入印度的部落环境,实施起来也非常具有挑战性。研究表明,印度部落人口的糖尿病发病率与城市人口一样高。此外,土地异化、缺乏健康管理基础设施、连通性低、技术挑战等因素也加重了他们的病情。虽然由于电力、网络连接、基础设施和存储设施等原因,各种技术的实施具有挑战性,但通过初级卫生保健人员、政府和非政府组织以及糖尿病患者自身的共同努力,有些技术还是可以很容易地实施的。需要将数据数字化,因为这样可以更清楚地了解患病率,方便后续跟踪,也更容易实施以干预为基础的技术。这种情况要求采取量身定制的多方面方法,在印度部落环境中实施基于技术的补救措施,因为这将提高这些地区的生活质量。
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