In the Name of ALLAH, Ever Beneficent, Infinitely Mercifulicdm2017.diabetes.or.kr/file/slide/CS4-5.pdf · Dr. Aejaz Solangi Dr. Ahsan Siddiqui Dr. Ameer Memon Dr. Asif Brohi ... Dr.

In the Name of ALLAH, Ever

Beneficent, Infinitely Merciful

• Founder member , Diabetes in Asia Study Group (DASG)

• Chair- elect IDF MENA Region

• Director, Baqai Institute of Diabetology and Endocrinology (BIDE)

• Joint Secretary , Diabetic Association of Pakistan (DAP)

• Founder, National Association of Diabetes Educators of Pakistan (NADEP)

• Chairman, Pakistan Working Group on Diabetic Foot (PWGDF)

Conflictof Interest Disclosure

• I have no conflict of interest to declare

Screening and Prevalence

Prioritization Strategies

Capacity Building

Future Directions

Management updates

• Ministry of National Health Services, Regulation and Coordination

• Pakistan Health Research Council

• Diabetic Association of Pakistan ;WHO Collaborating Centre

• Baqai Institute of Diabetology and Endocrinology

National Diabetes Survey Pakistan 2016- 2017

Partners of Survey


7.14% new cases

19.05% known cases

Prevalence of Diabetes in Pakistan

Diagnosis on the basis of 2-hours OGTT criteria

This means on average, 1 in 4person have type 2 diabetes in Pakistan

26.19%Type 2 Diabetes



Diagnosis on the basis of 2-hours OGTT criteria

This means on average, 3 in 20

person is at risk of diabetes in

Pakistan

Prevalence of

Pre-Diabetes in

Pakistan

14.47%Pre-Diabetes





Capacity Building

Future Directions

Management updates

1. Diabetes education

2. Diabetic foot

3. Diabetes and children


165 Educators trained


A.Basit and A.Nawaz. Preventing diabetes related amputations in a developing country – steps in the right direction. Diabetes Voice 2013;58:36-39

Assoc. Prof. Bilal Bin Younus

SIDER (Sakeena Institute of

Diabetes & Endocrine

Research) – Lahore

Prof. Jamal Zafar

Pakistan Institute of Medical

Sciences – Islamabad

Assoc. Prof. Jehangir Khan

Ayub Medical College –

Abbottabad

Assoc. Prof .Qazi Masroor

Bahawal Victoria Hospital

Quaid-e-Azam Medical College

Bahawalpur

Asst. Prof. Sobia Sabir

Lady Reading Hospital –

Peshawar

Asst. Prof. Abdul Waheed Iqbal

Tehseel Head Quarter Hospital

Dadyal

Benazeer Bhutto Medical College

District – Mirpur Azad Kasmir

Asst. Prof. Salma Tanweer

Nishter Hospital & Medical

College – Multan

Assoc. Prof. Irshad Khoso

Bolan Medical Complex

Hospital – Quetta

Prof. Abdul Basit

Chairman ABCD in Pakistan

Director Baqai Institute of

Diabetes & Endocrinology

Professor of Medicine – Karachi

Prof. Zaman Shaikh

Liaqat University of Medical

and Health Sciences –

Hyderabad

ABCD

National Diabetic Foot

Advisory Board

Meeting

every Wednesday 9am

Islamabad

7 December 2016

Multan

7 December 2016

Advisory

Board for the

Care of

Diabetes

DAP- BIDE- WDF

Centers established

Teachers sensitized

Subjects registered

34Type 1 diabetes

model clinics

Insulin my life

Free insulin vials

distributed



Prof. Yakoob Ahmedani

Prof. Abdul Basit

Dr. Asher Fawwad

Dr. Zahid Miyan

Dr. Asim bin Zafar

Dr. Farhatullah Khan

Dr. Abdul Rasheed Joyo

Dr. Abdullah Memon

Dr. Aejaz Solangi

Dr. Ahsan Siddiqui

Dr. Ameer Memon

Dr. Asif Brohi

Dr. Fareed Uddin

Dr. Farhan Baloch

Dr. Fateh Dero

Dr. Irshad Ahmed

Dr. Kashif

Dr. Merajuddin Nizami

Dr. Najma Samejo

Dr. Nazeer Khokar

Dr. Nazeer Soomro

Dr. Pawan Kumar

Dr. Riasat

Dr. Riaz Ahmed

Dr. Saif Ul Haque

Dr. Sanober

Dr. Shahid

Dr. Shahjahan Mangi

Dr, Umeet Kumar

Dr. Veru Mal

Dr. Zahoor Shaikh

Dr. Muhammad Irfan

Dr. Jehangir Khan

Dr. Qazi Masroor

Prof. Jamal Zafar

Dr. Bilal Bin Younus

Dr. Abdul Waheed Iqbal

Dr. Salma Tanweer

Dr. Sobia Sabir

Prof. Irshad Khoso

Prof. Abrar Shaikh

Prof. Jamal Raza

Prof. Zaman Shaikh

Dr. Imtiaz Hasan

Dr. Ali Jawa

Dr. Khurshid Khan Dr. Abbas Raza Dr. Osama IshtiaqDr. A.H. Amir



Capacity Building

Future Directions

Management updates

450Diploma holders

17 Batches completed

Capacity Building

Diabetes Setup at

Hyattabad Med Complex

Diabetes Unit at

PIMS

Jinnah-Allama Iqbal Institute Of

Diabetes & EndocrinologyAga Khan University hospital

Baqai Institute of Diabetology

& Endocrinology

Jinnah Postgraduate

Medical Centre

Specialists Training

Capacity Building

NOMA programme

2005M.Phil and Ph.D

12

3000

National health network for diabetes control and prevention

Primary care

diabetes clinics

Tertiary care

diabetes centers

One year diploma

in diabetology

1999400+ doctors trained

4 weeks certified

courses for doctors

Jan 20143000 doctors

to be trained

Secondary care

diabetes units240-300

MSPH in

NCDs

Aug 2018

4 weeks certified

courses

for health educators

Feb 20143000 health

educators to be trained

One year diploma

in diabetes education

2008150+ educators trained

Post fellowship

fellowship

2009 Trained Faculty

Capacity Building

Screening and

PrevalencePrioritization Strategies

Capacity Building

Future Directions

Management updates

Current Status of Diabetes Care in Pakistan

Low-cost and

effective

strategies

Basit A, et al,. BRIGHT Guidelines on self monitoring of blood glucose. PJMS 2014; 30:1150-1155

Management updates

Basit A, et al,. BRIGHT Guidelines on self monitoring of blood glucose. PJMS 2014; 30:1150-1155

Management updates

Prof. Abdul Basit

EDITORS

Prof. A Samad Shera

Dr. Riasat Ali KhanDr. Asima KhanDr. Zahid Miyan Dr. MusarratRiaz

PROMPT Core Team

Dr. Asher

Fawwad

Dr. A. B.

ZafarProf. Rubina

Hakeem

Co Contributors

Advisory Board for the Care of Diabetes (ABCD)

Prof. ZamanShaikh Karachi

Dr. Sobia Sabir

Peshawar

Prof. Jamal Zafar

Islamabad

Prof. QaziMasroor

Bahawalpur

Dr. Salam Tanveer

Multan

Prof. IrshadKhoso

Quetta

Dr. JehangirKhan

Abbottabad

Prof. WaheedIqbal

Prof. Bilal BinYounis - Lahore

Management updates

MENA

Regional Council

Meeting

20th August, 2016

Karachi- Pakistan

Management updates

MENA

Regional Council

Meeting

20th August, 2016

Karachi- Pakistan

The PROMPT document

has been approved

by the MENA RC

in Khartoum in Dec 2016

It has been finalized

and submitted

in Alexandria in May 2017

Management updates



Capacity Building

Future Directions

Management updates

Current Status of Diabetes Care in Pakistan

Footwear For Every Diabetic (FED) group2016-2019

Establishment of 10 risk assessment clinics

Low cost and durable footwear manufacturing technique

10 foot care assistants and 10 cobblers from BIDE to be trained

1 foot care assistant and 1 cobbler from each of the 10 project centres will be trained

A joint Project of WDF – BIDE (BMU), Karachi, Pakistan

Future Directions

Insoles

Development

Machines

Footwear For Every Diabetic (FED) group –2016 to 2019


Future Directions

Prof. Zahida Baqai

Prof. Noorjahan Samad

Prof. Abdul Basit

Prof. Shabeen Naz Masood

Dr. Musarrat Riaz

Dr. Asmat Nawaz

Dr. Shehla Naqvi

Mr. Shokat Ali Javed

Future Directions

GDM project with WDF

•

•

Future Directions


Age

Less than 40 years 0

Between 40 to 50 years 1

Greater than 50 years 3

Waist circumference - Males

Less than 90 cm (35.5 inches) 0

90 cm (35.5 inches) or greater 2

Waist circumference - Females

Less than 80 cm (31.5 inches) 0

80 cm (31.5 inches) or greater 2

Family history of diabetes

No family history of diabetes 0

Any parent and/or siblings 1

Riaz M, Basit A, et al,. Risk assessment of Pakistani individuals for diabetes (RAPID). Prim Care Diabetes. 2012, 6; 297-302

A score of 4 or more predicts high risk of developing Type 2 diabetes

Risk assessment

of Pakistani

individuals

for diabetes

(RAPID)

Future Directions

Diabetes Education

Diabetic Foot

Diabetes Registry

Gestational Diabetes

Diabetes Guidelines

Diabetes and Ramadan

Primary Prevention Program

Future Directions

International associations and

collaborations

University of Oslo

University of

Manchester

Foundation of European

nurses for diabetes

University of

Birmingham

Diabetes and

Ramadan - DAR

IDF Regional Council

MENA Region

Diabetes in Asia

Study Group

DASG

PAD registry

XLPAD

M.V Hospital

for Diabetes – India

International

working group on

Diabetic Foot

IWGDF

Qatar Diabetes

Association

Life for a Child

Diabetes

Specialist Center

India

IDF centres of

education

D-Net

GIFTS

EU collaboration

Bangladesh

University of

Health Sciences

Future Directions

National

associations

and

collaborations

Diabetic

Association

of Pakistan

DAP

Pakistan

Society of

Health

Systems

Pharmacist

PSHSP

Pakistan

Hyperten

League

PHL

Pakistan

Endocrine

Society

PES

Pakistan

Nutrition

and Dietetics

Society

PNDS

Pakistan

Nursing

Council

PNC

Pakistan

Cardiac

Society

PCS

PMDC

CPSP

HEC

Pakistan

Working

group on

diabetic foot

PWGDF

Acknowledgements

Future Directions

Acknowledgement

Consultant Diabetologist

Prof. Yakoob Ahmedani

Dr. Zahid Miyan

Dr. Asim Bin Zafar

Research

Dr. Asher Fawwad

Dr. Faraz Alvi

Ms. Fariha Shaheen

Mr. Bilal Tahir

Mr. Hassan Moin

Diabetic Foot

Dr. Farhat Ullah

Dr. Adil

Mr. Salman

Mr. Sabir hussain

Mr. Kashif Ali

Mr. Arsalan Saeed

Ms. Huma Khan

Mr. Arshad Akhter

Mr. Furqan Uddin

Mr. Rameez

Administration

Mr. Abdul Rehman

Mr. Osama Ul Haq

Junior Doctors

Dr. Majid

Dr. Anam Butt

Dr. Lal Chand

Dr. Zaryab

Mr. Mansoor Siddiqui

Mr. Kamran Adam

Mr. Anwar ul Haq

I.T Department

Mr. Rizwan Alam

Insulin My life

Mr. Iqbal Hussain

Ms. Aneela

Mr. Sufran Ahmed

Dr. Musarrat Riaz

Dr. M. Saif Ul Haque

Ms. Raheela Naseem

Dietician

Ms. Tahmina Rashid

Ms. Sara Jaffri

Ms. Sanober Aijaz

GDM

Dr. Asmat Nawaz

Mrs. Saira Shahid

Ms. Hina Naz

Ms. Zainab Akber

Ms. Amna Khatoon

Educationist

Mrs. Rabia A. Rahman

Ms. Erum Ghafoor

Ms. Sadaf Mateen

Mr. Farrukh Ahmed

Mr. Qutub Uddin

Mr. Naimat Rehman

Institutional Coordinator

Dr. Zafar Iqbal Abbasi

Mr. Faizan Mahmood

Dr. Naveed

Dr. Shahzaib

Thank You…

In the Name of ALLAH, Ever Beneficent, Infinitely Mercifulicdm2017.diabetes.or.kr/file/slide/CS4-5.pdf · Dr. Aejaz Solangi Dr. Ahsan Siddiqui Dr. Ameer Memon Dr. Asif Brohi ... Dr.

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