‘Secondary Prevention’ of diabetes
refers to prevention of
complications in those who have
already developed diabetes. This
can be achieved by tight control of
diabetes, blood pressure and lipids
right from the time of diagnosis of
diabetes.
“Ambulatory Glucose
Profile” using the Freestyle
Libre. This is a sensor –
the size of a 2 rupee coin
which is fixed on the upper
arm which can provide the
blood sugar levels
throughout the day for a
14 day period. This helps
the physician to adjust the
doses of antidiabetic drugs
much better. I have used
this in thousands of
patients and it has been a
game changer in the field
of diabetes.
What proactive
measures do you
suggest as a way
forward to control
38
BioVoiceNews | November 2017
the situation by
2020?
Prevention and control of
diabetes can be done at
several levels. Firstly
‘Primordial Prevention’
which means that if the
risk factors for diabetes
are controlled e.g. obesity,
physical inactivity, stress
etc. then even the stage of
pre-diabetes can be
prevented.
large D-CLIP study done
at our centre showed that
one third of individuals
with pre-diabetes can be
prevented from developing
diabetes by these simple
measures.
‘Secondary Prevention’ of
diabetes refers to
prevention of
complications in those
who have already
developed diabetes. This
can be achieved by tight
control of diabetes, blood
pressure and lipids right
from the time of diagnosis
of diabetes.
Finally, ‘Tertiary
Prevention’ of diabetes,
which refers to prevention
of late stage complications
in those who already have
developed some
complications of diabetes.
Thus at every stage of
natural history of the
‘Primary Prevention’
disease, diabetes
refers to the prevention of
prevention can be
diabetes in those who have
achieved. The figure below
already developed pre-
shows the various levels of
diabetes. This can also be
Pre