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Newer Community BasedNewer Community Based
Initiatives to Detect DiabeticInitiatives to Detect Diabetic
Neuropathy, EarlyN...
Early Detection of DiabeticEarly Detection of Diabetic
Neuropathy ???Neuropathy ???
•Prevention of progression at least ca...
Detecting Diabetic Neuropathy EarlyDetecting Diabetic Neuropathy Early
Factors influencing early detection:
•Awareness
• T...
Detecting Diabetic Neuropathy EarlyDetecting Diabetic Neuropathy Early
Awareness:
•Doctors
o Increased substantially due t...
Detecting Diabetic Neuropathy EarlyDetecting Diabetic Neuropathy Early
Selection of Testing method:
•Sensitive enough to q...
Detecting Diabetic Neuropathy EarlyDetecting Diabetic Neuropathy Early
Selection of Testing method:
VPT
Sensitometer
Detecting Diabetic Neuropathy EarlyDetecting Diabetic Neuropathy Early
Man power :
• Leveraging Services of 180 Territory ...
Detecting Diabetic Neuropathy EarlyDetecting Diabetic Neuropathy Early
Enthusiasm of health care providers:
o Guidance of ...
Detecting Diabetic Neuropathy EarlyDetecting Diabetic Neuropathy Early
Platform to screen high risk people:
•Started with ...
Detecting Diabetic Neuropathy EarlyDetecting Diabetic Neuropathy Early
Community Screening Programs:
o Participation in Di...
Detecting Diabetic Neuropathy EarlyDetecting Diabetic Neuropathy Early
Current Level of Effort:
• 250 in-clinic/community ...
Detecting Diabetic Neuropathy Early
Patient Screening Data : Feb-Jul’04
Camps Pts Camps Pts Camps Pts Camps Pts Camps Pts ...
PlacePlace DateDate Pt. ScreenedPt. Screened
BangaloreBangalore Feb 2004Feb 2004 650650
TrivendrumTrivendrum 30-1stMay’043...
Detecting Diabetic Neuropathy Early
Patient Screening Data : Feb-Jul’04
New Doctors’ Coverage Data
Feb-04 Mar-04 Apr-04 Ma...
Challenges…Challenges…
•High risk population – 40 million
people with diabetes
•Early detection of diabetes
•Reaching out ...
Challenges…Challenges…
Early Detection of Neuropathy

Early Detection of Diabetes
Detecting Diabetes & Neuropathy EarlyDetecting Diabetes & Neuropathy Early
Detecting Diabetes & Neuropathy EarlyDetecting Diabetes & Neuropathy Early
Massive Detection Drive - Diabetes & Neuropathy...
Thank You
Let Every One Be Aware
1362405379 newer community based initiatives to detect diabetic neuropathy early
1362405379 newer community based initiatives to detect diabetic neuropathy early
1362405379 newer community based initiatives to detect diabetic neuropathy early
1362405379 newer community based initiatives to detect diabetic neuropathy early
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1362405379 newer community based initiatives to detect diabetic neuropathy early

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newer community based initiatives to detect diabetic neuropathy early

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1362405379 newer community based initiatives to detect diabetic neuropathy early

  1. 1. Newer Community BasedNewer Community Based Initiatives to Detect DiabeticInitiatives to Detect Diabetic Neuropathy, EarlyNeuropathy, Early Madhav OzaMadhav Oza Marketing ManagerMarketing Manager Nicholas Piramal India Ltd.,Nicholas Piramal India Ltd., MumbaiMumbai
  2. 2. Early Detection of DiabeticEarly Detection of Diabetic Neuropathy ???Neuropathy ??? •Prevention of progression at least can be instituted through early detection • Prevention of ulceration, gangrene and amputation can be instituted •Delayed diagnosis at a painless stage common •Prevalence large nearly 60 to 90% as sophistication of detection increases
  3. 3. Detecting Diabetic Neuropathy EarlyDetecting Diabetic Neuropathy Early Factors influencing early detection: •Awareness • Testing method • Man power • Platform to attract high risk individuals • Enthusiasm of health care providers
  4. 4. Detecting Diabetic Neuropathy EarlyDetecting Diabetic Neuropathy Early Awareness: •Doctors o Increased substantially due to efforts of DFSI and NNEF o Demonstrate…how easy is the detection process!!! •At Risk People o Massive task o Use of innovative/interactive tools (foot mats)- more effective
  5. 5. Detecting Diabetic Neuropathy EarlyDetecting Diabetic Neuropathy Early Selection of Testing method: •Sensitive enough to quantitate deficit and give broad range of gradation in deficit scale • Reproducible • Affordable (no recurrent costs), Portable • Widely accepted in field of diabetic polyneuropathy
  6. 6. Detecting Diabetic Neuropathy EarlyDetecting Diabetic Neuropathy Early Selection of Testing method: VPT Sensitometer
  7. 7. Detecting Diabetic Neuropathy EarlyDetecting Diabetic Neuropathy Early Man power : • Leveraging Services of 180 Territory Managers - Diabetes Business of Nicholas o Erstwhile Boehringer Mannheim team o Trained in conducting & reporting neuropathy testing • Dedicated Task Force of 20 people
  8. 8. Detecting Diabetic Neuropathy EarlyDetecting Diabetic Neuropathy Early Enthusiasm of health care providers: o Guidance of Dr.Sanjeev Kelkar, Dr.Arun Bal o Building partnerships with Local Health Care Team
  9. 9. Detecting Diabetic Neuropathy EarlyDetecting Diabetic Neuropathy Early Platform to screen high risk people: •Started with screening in clinical settings • Culminated into Community Screening Programs
  10. 10. Detecting Diabetic Neuropathy EarlyDetecting Diabetic Neuropathy Early Community Screening Programs: o Participation in Diabetic Exhibitions by Novo Nordisc Education Foundation o Community/Charitable Hospitals - Jain/Bohri Muslim hospitals o State/Central Govt. Employees Hospitals (Railways, Police force etc.) o Places of worship – Temples, Mosques o Corporates – Indian Oil, etc. o Collaborating with NGO’s
  11. 11. Detecting Diabetic Neuropathy EarlyDetecting Diabetic Neuropathy Early Current Level of Effort: • 250 in-clinic/community screening programs every month • Spread across the country involving at least 20 people with diabetes/program 5000 Patients/Month Our Experience: • Average detection rate (VPT > 15 volts): 20%
  12. 12. Detecting Diabetic Neuropathy Early Patient Screening Data : Feb-Jul’04 Camps Pts Camps Pts Camps Pts Camps Pts Camps Pts Camps Pts Camps Pts North 60 35 875 46 874 69 1380 83 1660 95 1900 99 2079 427 8768 West 46 46 828 52 1040 60 1260 72 1368 85 1360 80 1360 395 7216 East 31 8 132 10 200 15 285 14 280 20 340 25 375 92 1612 South 68 68 1292 84 1596 95 2090 110 2200 96 1824 101 2121 554 11123 Total 205 157 2792 185 3577 227 4775 274 4932 278 5141 288 5332 1468 28719 Zone TBMs Feb-04 Jul-04 Feb-Jul'04Mar-04 Apr-04 May-04 Jun-04 Close to 29000 Patients Screened
  13. 13. PlacePlace DateDate Pt. ScreenedPt. Screened BangaloreBangalore Feb 2004Feb 2004 650650 TrivendrumTrivendrum 30-1stMay’0430-1stMay’04 680680 HyderabadHyderabad 24-25 July’0424-25 July’04 550550 LucknowLucknow 7-8 Aug’047-8 Aug’04 670670 TotalTotal 25502550 Detecting Diabetic Neuropathy Early NNEF Diabetic Exhibition
  14. 14. Detecting Diabetic Neuropathy Early Patient Screening Data : Feb-Jul’04 New Doctors’ Coverage Data Feb-04 Mar-04 Apr-04 May-04 Jun-04 Jul-04 Total North 60 18 22 34 45 52 42 213 West 46 23 29 32 36 35 45 200 East 31 5 4 5 10 20 18 62 South 68 32 45 50 55 62 62 306 Total 205 78 100 121 146 169 167 781 Zone TBMs New Clinical Practitioners Close to 800 New Doctors Participation
  15. 15. Challenges…Challenges… •High risk population – 40 million people with diabetes •Early detection of diabetes •Reaching out to people in district/semi- district locations • Reaching out to low socio-economic strata of urban diabetes population
  16. 16. Challenges…Challenges… Early Detection of Neuropathy  Early Detection of Diabetes
  17. 17. Detecting Diabetes & Neuropathy EarlyDetecting Diabetes & Neuropathy Early
  18. 18. Detecting Diabetes & Neuropathy EarlyDetecting Diabetes & Neuropathy Early Massive Detection Drive - Diabetes & Neuropathy 15th October onwards • Additional Task Force of 40 people to be positioned in metros & semi-metros • Aim to screen 50 people/day - Blood sugar, VPT Sensitometry testing • Duration – 3 months
  19. 19. Thank You Let Every One Be Aware

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