The treatment of Diabetes Mellitus is currently becoming a major cause of disagreement between Indian medical fraternities.

The prescribed norms followed for over three decades seem to have suddenly become out-of-date due to the new global guidelines for managing Diabetes.

The WHO estimated 1.5 million deaths in 2012.

According to the WHO (World Health Organization), a person who has any of the following criteria in common parlance/medical terminology suffers from Diabetes:

  1. Fasting Glucose at 126 mg/dl [Fasting plasma glucose [FPG] ≥ 7.0 mmol/l].
  2. Two hour Plasma glucose ≥ 200 mg/dl [11.1 mmol/l] and / or 75 g Oral glucose tolerance test [OGTT) with [FPG] ≥ 126 mg/dl [7.0 mmol/l].
  3. Glycated haemoglobin [(HbA1c) ≥ 6.5 percent / 48 mmol/mol], or
  4. Random plasma glucose ≥ 200 mg/dl [11.1 mmol/l] or in the presence of classical diabetes symptoms.
  5. Asymptomatic individuals with a single abnormal test should have the test repeated to confirm the diagnosis unless the result is unequivocally elevated.

Indian doctors have been conventionally treating those with [HbA1c] at 6.5 percent to 7 percent.

However, one of the new norms among others set up by the American College of Physicians only aims to achieve a Glycated haemoglobin [HbA1c] level between 7 percent and 8 percent in most cases. Basically, this new guideline recommends relaxing the blood sugar levels for treating this disease and doctors in India fear this could cause complications for the patients. Medical practitioners do not seem to agree with these guidelines because according to the International Diabetes Federation more than 72 million people in India suffer from the disease.

Many don’t know they have Diabetes

Many people are not even aware that they suffer from Diabetes unless they take blood sugar tests to determine it.

There are three types of Diabetes Mellitus [DM]:

  1. Type 1 [DM] results when the pancreas fail to produce enough Insulin to control blood sugar or the body does not respond to the insulin produced,
  2. Type 2 [DM] results when the body fails to respond to insulin or shows insulin resistance,
  3. Gestational Diabetes occurs when pregnant women develop high blood sugar without any previous history of Diabetes.

One of the reasons Indian doctors are skeptical towards the new global norms is because every country has different lifestyles, food habits and forms of exercise.

Indian doctors who are some of the best in the world feel that global guidelines for managing Diabetes may not be relevant to India and could put their patient’s life at risk.

Stress, sedentary lifestyle and unhealthy food habits could lead to Diabetes and one needs to make proper health choices to prevent and manage it. Prevention and detection of Diabetes is utmost important to treat and manage it. It is best to get your blood sugar tests done regularly and take proper medical care at the right time.