Prevention of diabetes in rural India with a telemedicine intervention

Mohan, Viswanathan, Deepa, Mohan, Pradeepa, Rajendra, Prathiba, Venkat, Datta, Manjula, Ravikumar, Sethuraman, Rakesh, Hari, Sucharita, Yarlagadda, Webster, Premila, Allender, Steven, Kapur, Anil and Anjana, Ranjit Mohan 2012, Prevention of diabetes in rural India with a telemedicine intervention, Journal of diabetes science and technology, vol. 6, no. 6, pp. 1355-1364.

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Title Prevention of diabetes in rural India with a telemedicine intervention
Author(s) Mohan, Viswanathan
Deepa, Mohan
Pradeepa, Rajendra
Prathiba, Venkat
Datta, Manjula
Ravikumar, Sethuraman
Rakesh, Hari
Sucharita, Yarlagadda
Webster, Premila
Allender, Steven
Kapur, Anil
Anjana, Ranjit Mohan
Journal name Journal of diabetes science and technology
Volume number 6
Issue number 6
Start page 1355
End page 1364
Total pages 10
Publisher Diabetes Technology Society
Place of publication Foster City, Calif.
Publication date 2012-11
ISSN 1932-2968
Keyword(s) Asian Indians
diabetes
prevention
rural
South Asians
telemedicine
Summary Background : Diabetes care is not presently available, accessible, or affordable to people living in rural areas in developing countries, such as India. The Chunampet Rural Diabetes Prevention Project (CRDPP) was conceived with the aim of implementing comprehensive diabetes screening, prevention, and treatment using a combination of telemedicine and personalized care in rural India.

Methods :
This project was undertaken in a cluster of 42 villages in and around the Chunampet village in the state of Tamil Nadu in southern India. A telemedicine van was used to screen for diabetes and its complications using retinal photography, Doppler imaging, biothesiometry, and electrocardiography using standardized techniques. A rural diabetes center was set up to provide basic diabetes care.

Results : Of the total 27,014 adult population living in 42 villages, 23,380 (86.5%) were screened for diabetes, of which 1138 (4.9%) had diabetes and 3410 (14.6%) had prediabetes. A total of 1001 diabetes subjects were screened for complications (response rate of 88.0%). Diabetic retinopathy was detected in 18.2%, neuropathy in 30.9%, microalbuminuria in 24.3%, peripheral vascular disease in 7.3%, and coronary artery disease in 10.8%. The mean hemoglobin A1c levels among the diabetes subjects in the whole community decreased from9.3 ± 2.6% to 8.5 ± 2.4% within 1 year. Less than 5% of patients needed referral for further management to the tertiary diabetes hospital in Chennai.
Language eng
Field of Research 111704 Community Child Health
Socio Economic Objective 920104 Diabetes
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2012, Sage Publishing
Persistent URL http://hdl.handle.net/10536/DRO/DU:30052679

Document type: Journal Article
Collection: Faculty of Health
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