To strengthen education and training in diabetes research, prevention and control. The prevalence of diabetes has blown out of proportion in India. …
Diabetes Research Centre
A WHO Collaborating Centre for
Research, Education and Training
in Diabetes in India
MVHospital for Diabetes
ANNUAL REPORT
Jan2007 - Dec-2007
DrVijay Viswanathan
MD,PhD, MNAMS
Head of the WHO Collaborating Centre
No 4, Main Road, Chennai-13
Tamilnadu, India
E-Mail: dr_vijay@vsnlcom, drvijay@mvdiabetescom
Website: wwwmvdiabetescom,wwwwhoccdindiacom
Phone: 91-044-25954913, 25965018
Fax: 91-044-25954919
World Health Organization Collaborating Centre
ANNUAL REPORT
Year- 2007
Terms of Reference
1 To conduct epidemiological research in diabetes prevention at community
level, its complications
and cardiovascular risk factors
2 To strengthen education and training in diabetes research, prevention
and control
3 To design and test on models of diabetes health care delivery system for
developing countries in the region and contribute to activities of
national diabetes programme
Implementation of the work plan for each main activity:
Work performed in relation to the Terms of Reference
1 To conduct epidemiological research in Diabetes and cardiovascular risk
factors in India
1 COPS study: Escalation of economy and increasing prevalence of non-
communicable diseases are like two sides of a same coin The prevalence
of diabetes has blown out of proportion in India There is not enough
data available on the prevalence of diabetes among focused groups like
the police personnel in India Hence an epidemiological study was
designed and carried out to determine the prevalence of Diabetes and
cardiovascular risk factors among the 318 male police personnel of
Chennai city The prevalence rates are as follows:
With 443 years as mean age of the study group:
- Crude prevalence of
Diabetes: 321
- Crude prevalence of hypertension - 29
Other risk Factors Prevalence:
- Triglyceridemia TG150mg/dl- 497
- Low HDLHDL-C40 mg/dl - 522
- Waist circumference 90 cms - 651
- IFG110-125mg/dl Fasting - 412
A report will subsequently be prepared and submitted to the
Government to enable intervention and planning strategies to reduce
the disease burden to an extent
Other Ongoing studies:
1 Child Obesity study
With an objective to determine the prevalence of Obesity and other
cardiovascular risk factors in school children and to derive at a cut off
values for overweight and obesity in Indian children, DRC has started the
project in September 2007
Interim analysis show that prevalence of overweight among affluent
schoolchildren is 114 and prevalence of obesity is 75 The study is
ongoing and is likely to be completed by January 2008
2 DRC Complication Study:
Primary objective of the study is to compare the effect of a
targeted intensified multi factorial intervention with that of
conventional treatment on modifiable risk factors for
micro and macro
vascular diseases in patients with type 2 diabetes Secondary objective
is to determine which of the micro vascular complications occur first
among type 2 diabetes and to determine if any of the established
complications is reversible
Started in June 2005
Follow up till mid 2008
3 Role of Genetic polymorphism in development of Diabetic Nephropathy:
The aim of the study is to determine if ACE Angiotensin
converting enzyme gene polymorphism plays an important role in
development of Diabetic nephropathy ACE gene polymorphism will be
determined in Type 2 diabetic subjects having diabetic nephropathy GFR
level will be estimated at the baseline and patients will be followed up
for 2 years as intensive group At the end of 2 years GFR will again be
estimated Hence state of GFR can be correlated with different ACE gene
polymorphisms
Started in Nov2006
4 Rosiglitazone Study:
Its a randomized study to evaluate the role of spironolactone
and amiloride in the prevention of rosiglitazone induced fluid retention
in type 2 diabetes It is a
collaborative study between Diabetes
Research Centre, Dr V Mohans Speciality Centre, Chennai, India and the
Unit for Metabolic Medicine, Cardiovascular Division, Guys Hospital,
Kings College London, UK It involves total of 180 patients from India
including both the centers Ninety patients have been randomized from
both the centres and the study is likely to be completed by July 2009
Started in Dec2006
5 Insulin Resistance in Diabetic Nephropathy:
It is a cross sectional study with primary objective to determine the
level of insulin resistance in various stages of Diabetic Nephropathy
The secondary objective of the study is to assess the association of
Insulin resistance with inflammatory molecules like C-reactive protein
CRP, IL - 6, VCAM - 1 in various stages of Diabetic Nephropathy in
South Indian subjects
Started in August 2007
Duration: 6 months
6 Diabetes Amputation Prevention Initiative in the Community DAPIC -
an on-going project to determine the prevalence of diabetic complications
in rural population of South India and to develop low cost methods to
diagnose and
treat foot complications in rural community This study is in
collaboration with CLRI Central leather Research Institute of India to
develop low cost footwear and footwear kit
7 Multicentric studies to determine the prevalence of amputation cause due
to diabetes
Indian Diabetic Amputation Survey - a National survey on prevalence of
diabetic amputations - involving 100 centres in India
Amputation Prevention Initiative API - Preventing foot amputation in
high risk foot by intensive treatment strategies
8 Multicentric study to determine the prevalence of Diabetic Nephropathy
in type 2 DM subjects in Indian Subcontinents:
Seven centres from all over India are participating in the study to
determine the micro and macro vascular complications in type 2 diabetes
registered at their centres
Started Dec - 2006
To be completed by Jan 2008
9 To determine and compare the prevalence of complications related to
diabetes in 3 countries-India, Tanzania, and Bangladesh
10 IGT - MAU study:
It is a cross sectional study to determine the prevalence of
microalbuminuria in patients with IGT Impaired Glucose Intolerance The
study
involves 2 groups, one group is the IGT subjects and another is NGT
Normal Glucose Tolerance The study will be used to determine the number
of cases of IGT with microalbuminuria, so that kidney complications that
develop due to diabetes mellitus can be prevented at early stage itself in
the due course of Diabetes Mellitus
11 Predictors of Glycemic control
A bi centric study between India and Tanzania, determining and
comparing the various factors responsible for the level of the glycemic
control among two groups of population
Started - October 2007
To be completed by January 2008
12 Cost analysis and economics of Diabetes Care
This is a project on economics of diabetes care and its comparison between
two countries- India and Tanzania
Started - October 2007
To be completed by January 2008
2 To strengthen education and training in diabetes research, prevention
and control
1 Training programmes for doctors and paramedics - Overseas and
National Candidates
1 One doctor from Dar-es-salam, Tanzania had attended the one month
training programme in Diabetes management in August
2007
2 The Government of Tanzania had sponsored and sent a nurse to get
trained in Intensive Diabetes foot care Programme for 2 weeks duration
in September 2007
3 A doctor and a paramedic from Vietnam attended the 2 week training
programme on Diabetic foot care management in September 2007
4 A senior nurse from Malaysia had undergone the Training on Management
of Diabetes for One month in November 2007
5 Eleven doctors and one nurse from Government of India sponsored by
the WHO have undergone the WHO- In -country Fellowship Training
programme from October 15th to December 15th 2007
22 Patient education programs
Detailed lectures are given on daily basis to all the patients
visiting MVHospital The medium of instruction is in 3 languages -
English, Hindi and Tamil All the patients are encouraged to attend this
education program with their family Topics covered include Lifestyle
Modification, Role of Exercise and Diet, and benefits continuous blood
glucose monitoring
23 Education programs for health workers on Primary Prevention of Diabetes
Workshops focusing on primary
prevention of diabetes are being conducted
on a regular basis to health workers from the Government and the Non
Governmental Organizations NGOs Topics covered during the one-day
workshop are, epidemiology of diabetes, diagnosis of diabetes, role of
diet in prevention, exercise and lifestyle modification, prevention of
complications So far, 120 health workers and field workers from various
organizations have been trained by the workshops
24 Medical education programs for medical and paramedical staff of the
hospital
|SNo | Date | Topic | Faculty |
| 1 |030507 |Wound Healing in Diabetes |Dr VP Pandya, MD, |
| | |Newer Approaches |Sponby: DrReddys Laboratories |
| | | |Ltd |
| 2 |170507 |Basics of Quality Control |Mr KV Bijesh, |
| | |Practices in Laboratory and |Product Specialist Bio-rad, |
| | | |Sponby: Bio-rad Laboratories Ltd|
| | |Importance of 3rd party |
|
| | |Control | |
| 3 |240507 |Diagnosis Management of |Dr Rekha Bhat, |
| | |Thyroid Problems |Endocrinologist |
| 4 |260707 |Primary Evaluation of |DrVenkatesh Ramachandran, |
| | |Mental Disorder PrimeMD |Consultant Psychiatrist, S/Rly |
| | | |Sponby: Pfizer Ltd |
| 5 |020807 |Rational use of Commercial |Dr Varsha, PhD |
| | | |Consultant Dietitian |
| | |nutritional food in |Sponby: Novartis Medical |
| | |Diabetic |Nutrition Ltd |
| 6 |090807 |GI Disturbances, APD |Dr Ms Revathy, |
| | |Constipation |Gastroendrologist, |
| | | |Sponby: Sun Pharma Ltd |
| 7 |160807 |Diagnosis to Treatment of |DrVenkatesh Ramachandran, |
| | |Mental Disorder |Consultant
Psychiatrist S/Rly |
| | | |Sponby: Pfizer Ltd |
| 8 |230807 |Ocular Disturbances in |DrMrsRema Mohan MBBS, |
| | |Diabetes |DO,PhD, FABMS |
| | | |Dept of Ophthalmology |
| | | |DrMohans Diabete Speciality |
| | | |Centre |
| 9 |300807 |Diabetes Epidemic :- Genes,|Dr V Mohan, MD, FRCP UK, |
| | | |FRCPGLASG,PhDDSC,FNASC |
| | |Environment or Both |Chairman Chief Diabetelogist, |
| | | |DrMohans Diabetes Splty |
| | | |Centre |
25 Education programs on Obesity and Weight Management
Recently a weight management clinic for patients and general public
was inaugurated to deliver expertise only on reduction of weight and hence
prevent diabetes and its complications The clinic is equipped with
well
trained professionals Endocrinologist, Nutritionist, Physiotherapist,
mini Gym for workout, and education gallery Weight Management Kit was
designed and supplied to the participants in weight management program
Weight Management Kit:
Diet and Exercise Diary
Pedometer
Inch tape
BMI Scale
Standard measuring cups and spoons
Information Brochure
3 To design and test on models of diabetes health care delivery system for
developing countries in the region and contribute to activities of national
diabetes programme
31 Introducing Fellowship Certification in Diabetology FCD for General
Practitioners
Indian sub-continent is experiencing an alarming rise in the prevalence of
Diabetes This heavy a burden has to be borne by the health practitioners
in order to provide professional care to the patients, to treat the
complications and also to help prevent the development of this non-
communicable disease in high risk groups by way of education
India is also witnessing the problem of population explosion, hence
there is a huge difference in the doctor: patient ratio
To address this issue Indian Medical Association in collaboration
with
MV Hospital for Diabetes, Royapuram, Chennai has launched a one-year
distance education programme in Diabetology in the state of Tamilnadu for
the general practitioners There will be 6 contact classes and 5 days of
Hands on Experience The curriculum will cover the pathophysiology,
management and prevention of Diabetes, its complications and an exclusive
training on in-house exposure so as to enable the general practitioners to
manage the patients with Diabetes in a systematic and efficient manner
Initially, the aim is to cover atleast 350 doctors per
annumPreference is given to the applicants from the rural areas of India
This course will be started in January 2008
32 Pioneer in capacity building programmes for diabetes service
delivery, the DRC in collboration with WHO has trained doctors and
paramedics for various WHO Fellowships Programmes from within country
and from the developing countries of SEARO region Utilising the trained
manpower from different disciplines like doctors, nurses, educators and
dietitians , the Government can formulate strategies and develop various
programmes for diabetes prevention and must ensure that the Indian
population from the rural, semi-urban and peri -urban areas gain access
to effective and economically affordable diabetes care, utilizing the
existing health care infrastructure of the public, NGO and private health
care system
33 Numerous screening camps were conducted among the occupational groups
such as police, banks, software professionals, general public, Offices and
schools of Chennai city One to one counselling and mass lectures were also
given on diet and healthy living to prevent the disease All the results,
especially the police data will be submitted to the Government to initiate
further necessary action
Diabetes awareness and detection camps conducted by Diabetes research
Centre June to October, 2007
|SLNO |NAME OF THE ORGANISATION |DATE |No |
| | | |SCREENED |
|1 |Police Station - Royapuram |29-06-07 |87 |
|2 |Chennai north police zone |15-07-07 |115 |
|3 |Chennai central police zone |15-08-07 |121 |
|4 |Employees of MRF1st
phase |06-09-07 |150 |
|5 |Employees for MRF 2nd phase |14-09-07 |150 |
|6 |Employees of Bank of Baroda |22-09-07 |45 |
| |State bank of Bikaner and Jaipur | | |
|7 |Residents for Grahalakshmi |23-09-07 |250 |
| |apartments, Tondiarpet | | |
|8 |Employees of HSBC, Mount road branch |26-09-07 |37 |
|9 |Employees for HSBC, beach station |28-09-07 |51 |
| |branch | | |
|10 |Residents of Manali new town under |2-10-07 |176 |
| |human rights organization | | |
|11 |Flower bazar - police camp |5-10-07 |116 |
|12 |Residents of Thiruvathiyur |7-10-07 |95 |
Activities related to World Diabetes Day Celebrations
November 10- November 14 2007
i Launch of Manual on Prevention of Childhood Obesity and Diabetes
According to this years theme for World Diabetes Day in
November,Protecting Children with diabetes worldwide a nationwide
campaign on prevention of obesity among children
was launched The obesity
among children is increasing at an alarming rate This is leading to very
early development of diabetes and heart disease among children The WHO
Collaborating Centre in India for Research, Education and Training in
Diabetes organized a function on Sunday, Nov 11 2007 and launched a
Nationwide Childhood Obesity and Diabetes campaign The manual was launched
by the Education Minister of Tamilnadu GovernmentTen thousand copies of
the manual are printed for circulation among the schools throughout India
ii Exhibition on Awareness on healthy lifestyle habits
An exhibition depicting Obesity related problems, its
prevention/control, role of diet, lifestyle modifications, guidelines to
children and parents was organized by MVHospital Various stalls were set
up and advice was given with live demonstrations, video play, power point
presentations, etc on the background
iii Poster competition for children on topic - Fighting Childhood obesity
and diabetes
To stress on the knowledge and awareness and to develop the hidden
talents among the children a poster competition was also held for
children
aged 10-15 years on the topic Childhood obesity, its problems and
prevention The children had displayed their skills in the form of models,
charts, posters, etc Prizes were awarded for the winners
iv Puppet Show
A puppet show was organized by the hospital with dual aim of
entertainment to children and to spread the awareness on ill effects of
obesity and risks involving unhealthy eating habits
v Global Diabetes Walk
Global diabetes walk was organized by DRC in a famous park in Chennai
city Around 500 participants consisting of school children, general
public, patients, and MVHospital staff members participated in the
walk to spread the message Various banners showing slogans like -
Eat less walk more, Walk, Walk, Walk, Bunk the junk food Obesity
kills the city , etc were prepared by the school children The sole
objective was to create awareness on diabetes and its prevention
A poster competition was held for school children and every
participant was given prizes
———————–
Title of the Collaborating Centre: WHO Collaborating Centre
for
Research,Education and
Training in Diabetes in India
Institution Name: Diabetes Research
CentreMVHospital for Diabetes
City and Country of Location: 4, Main Road, Royapuram, Chennai-
600013INDIA
Source:greenup.k12.ky.us
