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Effectiveness of a diabetes education and self management programme (DESMOND) for people with newly diagnosed type 2 diabetes mellitus: three year follow-up of a cluster randomised controlled trial in primary care

BMJ 2012; 344 doi: http://dx.doi.org/10.1136/bmj.e2333 (Published 26 April 2012) Cite this as: BMJ 2012;344:e2333

Re: Effectiveness of a diabetes education and self management programme (DESMOND) for people with newly diagnosed type 2 diabetes mellitus: three year follow-up of a cluster randomised controlled trial in primary care

Thank you for this article which is needed to help us conclude that patient education can play an important role in the management of chronic diseases.

Diabetes is a chronic noncommunicable disease which is so much prevalent in the community. Its management actually needs not only a prescription of medication but also patient's education, and management of a patient's psychological aspects.

Patient education not only improves compliance with treatment but also helps to build morale to fight this devastating disease, eapecially in India, where a large majority of people are still not getting optimal treatment due to financial constraints. Educating the patient is of great help to improve treatment within financial constraints.

An example is education about how, where and when to inject insulin, how to store it, what is the role of self monitoring of blood sugar, what is the importance of exercise, what are the dietary modifications, what is the role of checking up Hba1c level etc. This will be of great help.

So. at primary health care level our aim should be..."Give 5 minutes more to optimise management"

Competing interests: No competing interests

29 April 2012
GOPAL CHANDRA GHOSH
POST GRADUATE STUDENT
PGIMER & DR RML HOSPITAL
baba kharak singh marg
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