Diabetes is a primary care-sensitive condition desiring a personalized approach & an ambulatory care-support system. Integrating care across disciplines around the needs of the person with diabetes has been proposed as an approach that could improve care while reducing overall cost in the long-term & increasing the quality of life in individuals with regular MONITORING. But affordability is one of the MAJOR BARRIER. Based on this philosophy and by addressing the issue, DAY is running a project called DIABETES MONITOR in  specialized diabetes care centre – Integrated Diabetes & Gestational Diabetes Clinics (IDGDC) at DAY Clinic, utilizing a multidisciplinary diabetes team with highly individualized care by integrating their skills to facilitate improved management and outcomes under a single roof. The exclusive mantra of these clinics is to encourage effective self-management and autonomy which is delivered by the Diabetes Educators (DE). The role of the DE is to promote and facilitate necessary behavior change across all areas of diabetes self-management. 

The objectives of DIABETES MONITOR are:

• To anticipate possibilities of / recognize the onset of complications through comprehensive diabetes care in a very affordable cost.
• to forestall the development of complications through effective diabetes care.
• show our impact on a paradigm shift of dealing with acute care issues to a system that is prevention based.

The DIABETES MONITOR project encompasses a number of components viz.

• Medical care;
• Individualized diabetes education through counselling on Nutrition, Exercise and lifestyle coaching
• Monitoring of glucose, drug effects & analysis of the results to rectify the problems
• Device training and adapting technology to improve
• Regular tests and doctor/DE’s consultation

The DIABETES MONITOR model is based on two essential subthemes of – i) Personalized Care encompassing care environment, shared decision making and one-on-one care; and ii) Ambulatory care support from a patient-provider relationship that encompasses respect, supportive interaction and facilitating patient engagement.

Our approach encourages ongoing communication and interaction between multiple members of the care team thus ensuring comprehensive continued care  leading to wellness and prevention of complications. As a corollary to such Diabetes Empowerment Education Programme (DEEP), there is this basic understanding of a holistic mission, where referred patients are transitioned back to the care of their PCPs along with clear communication of their individual goals, results and barriers to care. If necessary, patients are also referred to the Super Specialty Department for longer term care of complications. 

Our DEs help patients develop personalized diabetes management plan by imparting knowledge on pathophysiology of diabetes, care for eyes, heart health, feet and nutrition including carbohydrate counting, reading and understanding nutrition labels, healthy portion sizes, meal planning, and weight management. The DE is geared to provide all necessary information and training to allow the patient to successfully self-administer insulin and then handhold the patient till he is fully confident & capable to adjust & adapt to the new adoption strategy in life. Such patient education is imparted through individual sessions or group classes, or seminars.

DIABETES MONITOR project was first launched in 2012, where monthly monitoring were done at door step through glucometer and then introduced in first operational IDGDC  in 2015 in collaboration with Mercy Hospital, Kolkata then in collaboration with IQ City MC&H, Duegapur and presently running at DAY Clinic of Sachetanata Bhavan. Its concept is now replicated in different parts of our country. 

There are lot of SUCCESS STORY of our DIABETES MONITOR project over the years and it won the BEST INNOVATIVE PRACTICE (CLINICAL) AWARD for T1Ds in December, 2023 at T1UP Conclave held at Aurangabad, Maharashtra.

To encourage the regular monitoring and to spread the message of well being in DIABETES LIFE, we have launched the campaign #BetterLivingWithDiabetesInIndia with all the stakeholders of this project as well as the team of Diabetes Management. Please send your consent to share your experience with DIABETES MONITORING. Please download the CONSENT FORM & SUBMIT.

FOR MORE DETAILS PLEASE CONNECT US AT +919903999727