In India, a health crisis hides in plain sight. Consider the case of a 45-year-old, frequently feeling fatigued but attributing it to looming work deadlines and stress. His health takes a sudden turn for the worse after a minor infection, leading to a doctor’s visit that uncovers the underlying crisis – diabetes mellitus. This scenario reflects the reality for an alarming 50 per cent of India’s diabetes patients who remain unaware of their health status until it disrupts their lives. With sedentary lifestyles and unhealthy diets becoming the norm, projections indicate a worrying 124 million diabetes patients in India by 2045.
Fortunately, innovative technologies, from early detection tools and smart wearables to Artificial Intelligence (AI) powered diagnostics and tailored treatment plans are reshaping the future of diabetes care. This technological revolution delivers lifesaving precision and insight, offering a beacon of hope in the fight against diabetes. Though an important question remains – are we prepared to harness this transformation?
Understanding the current landscape of diabetes management in India
Currently, home to 101 million diabetes patients, India is experiencing a surge in cases especially among those aged between 30-35 years, accelerating the disease burden especially in the younger population. In addition to diet and lifestyle modifications, most of the affected individuals predominantly require antidiabetic therapy to curb the condition. Therapies like SGLT2i and GLP1RA are utilised in management of Type 2 diabetes with comorbid cardiovascular or kidney diseases, due to their cardiovascular, metabolic, and renal benefits.
However, due to lack of education and awareness on diabetes along with the fear of side effects of Modern medicine, many patients include alternate and herbal remedies in their treatment plan which further complicates the management. Hence, effective diabetes care demands more than medication—it requires precise, personalised management including education and awareness of diabetes and its complications.
Technological revolution in diabetes care
Advancements in technology have significantly transformed diabetes management in India, providing innovative solutions that cater to the diverse needs of patients. Here are some of the key technological developments revolutionising diabetes care:
Continuous Glucose Monitoring (CGM) systems: These wearable sensors provide real-time glucose data and trends, minimising intrusive monitoring without the hassle and cost of frequent finger pricks. This device makes regular checkups more accessible and autonomous.
Smartphone Apps and Telemedicine: The rise of smartphones in India has unlocked new possibilities for diabetes management through apps that seamlessly integrate with devices like CGMs. Leading the charge in this space is Lupin’s patient support program, Humrahi, that offers a digitised suite of services free of cost to all beneficiaries, including blood sugar tests, personalised counseling, fitness plans, diabetes-friendly recipes, medication reminders, and educational resources. Similarly, telemedicine platforms enhance care by connecting patients with specialists, which is particularly beneficial in rural areas where patients have limited access to advanced healthcare.
Smart insulin delivery systems: Gone are the days of risking incorrect dosage as advanced insulin pumps and pens have made medication management more precise and convenient. Real-time glucose data ensures accurate delivery of insulin, and significantly improves the lives of diabetes patients requiring insulin especially children, adolescents, gestational diabetes, and elderly patients.
Wearable technology: Smartwatches and fitness trackers are becoming essential devices in monitoring physical activity, heart rate, stress, and sleep, whereby patients can receive real-time feedback and make informed lifestyle choices.
Artificial intelligence (AI) and machine learning (ML): At the forefront of data-powered healthcare, AI/ML algorithms have made it possible to analyse vast datasets quickly, predict patterns and glucose fluctuations and provide personalised treatment recommendations. Major work in this regard has been done on calorie and carbohydrate counting, anticipating hypo/hyperglycemic events, and calculating insulin dose predictions, thus automating the management process.
The present and future of data as a lifeline
Data-driven technologies are unlocking the potential for targeted public health initiatives by analysing the trends and risk factors unique to the ‘Asian Indian phenotype’ that would enable diabetes management strategies targeted to the subcontinent. Technological advancements are facilitating collaboration among patients, doctors, and institutions for a long-term and resource-effective solution to this health crisis. Integrating affordable data solutions and empathetic, continuous care is the way forward.
The road ahead is challenging. Socioeconomic disparities present a significant barrier to adequate healthcare access, undermining awareness and medication adherence. The digital divide further restricts the reach of health solutions for patients and providers. Additionally, as health data becomes more digital, privacy and security concerns highlight the need for stringent protections. By acknowledging these challenges, we can better prepare ourselves to face them head-on.
Undoubtedly, India is at a pivotal juncture that needs to leverage strategies to safeguard its vibrant population’s health, and the upcoming World Diabetes Day is a timely reminder. The future of effective diabetes care in India hinges on democratising and safeguarding innovative technologies. As the nation embraces advanced healthcare solutions, it is vital to invest in accessible solutions that restore autonomy and promote sustainable lifestyle changes, ensuring that every patient—regardless of geography or economic standing, can thrive.
References:
- Diabetes – India (who.int)
- Artificial Intelligence/Machine Learning in Diabetes Care – PMC
- ICMR