P.Venkatesan Chief Operating Officer

Transcription

1 Diabetopaedia. com Meeting the challenges of Providing Information for Doctors, Patients other and Health-Carers in Diabetes. by P.Venkatesan Chief Operating Officer DIABETOPAEDIA DOT COM PVT. LTD.

2 A Tele Health Portal On Clinical Diabetes for a Positive Living With Diabetes

3 Prevalence of Type 2 Diabetes Mellitus in India Year Population of India (in millions) Prevalence (in millions) Percentage (%) (WHO Projections 1999)

4 DIABETES MELLITUS REGIONAL ESTIMATES Estimated Prevalence (Millions) Africa Americas Eastern Mediterranean Europe South East Asia Western Pacific Diabetes Voice, Volume 44. March. Number 1/99

5 Magnitude of Medical Education Billion plus population ( Rural 80%, Urban 20%) Welfare economy state a developing nation. Multi-Cultural, 12 - Regional Languages ( With many more Dialects), 7 Religions. Overall literacy rate of about 55%.

6 National Tele Health Care Plan Diabetologists & Diabetes Related Specialists Primary care Physician Telehealth Portal Other Specialists (Medical / Surgical) Health Educator Patient

7 Components of Online Telehealth Portal Education / Information Module. Online Electronic Medical Record Storage & Retrieval System. Users interface Patient Doctor Interaction. Doctor Doctor Interaction.

8 Education Module

9 A Z of Diabetes

10 Self Administration of Insulin Drawing Clear Insulin

11 Injecting in Abdominal Wall

12 Self Administration of Insulin (Using Pen)

13 Self Administration of Insulin (Using Pen)

14 Diet and Nutrition Sample Menu

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16 Footwear tips for Diabetes Patients. Diabetes patients should use special footwear that is comfortable not tight. Pressure-relieving for soles / feet like the Micro Cellular Rubber(MCR) with special inner-lining to avoid BITES ; heel straps when needed. Avoid thongs between I & II toes as in hawaii sandals. Use velcro instead of metal buckles; use cotton socks. Do not walk bare foot especially on hot rocky and sandy surfaces. Inspect / clean the foot twice daily, morning and night. Report to your doctor immediately, if there is any injury / ulcer / infection in the feet.

17 Diabetes and Eyes

18 Flow Charts

19 Ten steps for Successful Outcome in Diabetes Pregnancy

20 Tamil Version of

21 Electronic Medical Record Storage & Retrieval Module History & Physical Examination Lab & Other investigations Diagnosis, Treatment & Follow - up

22 History and Physical Examination Medical / Surgical / Gynaecological History. Family History. Life Style History. Basal Clinical Data / General Examination. Systemic Examination. Dental / Oral Examination. Eye Examination. Foot Examination. Hospital Admission Chart.

23 Lab and Clinical Investigations Urine And Motion Analysis. Blood Glucose Analysis. Hematology Tests. Lipid Profile. Liver Function Tests. Special Tests. Renal Panel. Lung Function Tests. Cardiac Function Tests. Electro Physiology and Neuro Vascular Tests. Endocrine Tests. Imaging Studies.

24 Sample Graphical View Blood Glucose Analysis Value Period

25 Diagnosis, Treatment and Follow Up Provisional and Revised Clinical Diagnosis. Oral Medication & Insulin Injection. Other Treatment Modalities. Advice Regarding Medical Follow Up.

26 Oral Medication and Insulin Injection

27 Online Appointment Scheduler

28 Number of Registrants Registered Users as on 1 st October n = 197 n = 203 From October 2001 to October 2002 Patient Doctor

29 Number of Registrants Registered Doctors Age profile & Age in years above

30 Number of Registrants Patients from India Age / Gender Profile Male Female & above Age in years

31 Number of Registrants Overseas Patients Age / Gender Profile Male Female & above Age in years

32 Ratio of Indian to Overseas Patients 76% 24% India Overseas

33 On line Case Management through Diabetopaedia.com Identifying causes for Poor Control. Adjusting Medication / Insulin. Prescribing equivalent or alternate medication for overseas travelers. Apart from Diabetes Mellitus, this portal is also being used to manage OB/GYN problems like Gestational Diabetes Mellitus, PCOD.

34 Other Uses of Online Electronic Medical Record System linked with a comprehensive Online Telehealth Portal. In a developing country like India, improving population control Programs and Education. AIDS control and education on prevention. (From High School Level) Improving morbidity and mortality rates of the country, particularly the Infant mortality rate. To collect and store epidemiological data in an organized manner for Research and Analysis.

35 Economics We have the infrastructure and expertise to customise this system according to the requirement of the specific client in any other specialty at competitive cost.

36 Scope of Telemedicine in Developing Countries Telemedicine in developing countries may have more impact than in developed countries BMJ Vol September 2001, Steven M Edworthy Associate Professor of Medicine and Community Health Sciences University of Calgary, Alberta, Canada. Diabetopaedia.com was launched in October 2001, in Chennai, INDIA, one month after this paper appeared in the BMJ.

37 Conclusion Diabetopaedia.com is A neutral platform for a tele health model. Medium for personalized interactions between Doctor and Patients. Blue print on which other models can be built. A definite and increasing need for an Electronic Medical Storage & Retrieval System. Age not a barrier in using this system. Convincing the Medical Fraternity is an uphill task. High degree of patient acceptance. Cost effectiveness and Universal Adaptability. Telehealth Plan and the Third World Countries.

38 Thank You