The Rising Burden of Diabetes and Hypertension in Southeast Asian and African Regions: Need for Effective Strategies for Prevention and Control in Primary Health Care Settings
Table 4
Action plans for prevention/control of diabetes and hypertension in different health care settings.
Detection
Diabetes education
Equipment
Medicines
Primary care
Large scale screening using high risk category approach
Through community workers—training of community workers in screening activities
Basic equipment like Glucometer, BP apparatus
Essential low cost generic drugs to be made available at all PHCs
Secondary care
Confirmation of diagnosis Screening for complications of diabetes and co-morbid conditions
(i) Physicians (ii) Paramedicals
Ophthalmology Basic laboratory support
Insulin, oral hypoglycemic drugs, ACE inhibitors, calcium antagonists, ARBs, statins, aspirin, and other antihypertensive drugs
Tertiary care
Treatment of complications
(i) Diabetologists (ii) Ophthalmologists (iii) Nephrologists (iv) Cardiologists
Advanced equipment (i) Laser photocoagulation (ii) Fundus camera (iii) Cardiac care (iv) Dialysis unit (v) Transplantation