Standard diabetes test glycated haemoglobin (HbA1c) may mislead in diagnosis of type-2 diabetes in India’s population: experts
GS2राजव्यवस्था · शासन · अंतर्राष्ट्रीय संबंध· Health policy & public health· Mains·
चर्चा में क्यों
Experts and a study in Lancet Regional Health argue that the HbA1c test may mislead type-2 diabetes diagnosis in India due to high prevalence of anemia and G6PD deficiency.
पृष्ठभूमि
The study published in Lancet Regional Health: Southeast Asia suggests a multiparametric approach for diabetes diagnosis in South Asia. Experts include Dr. Anoop Misra of Fortis C-DOC Centre of Excellence for Diabetes and Shashank Joshi of Joshi Clinic, Mumbai.
प्रीलिम्स के लिए तथ्य
- विज्ञान-तकनीकHbA1c: A standard test used for diagnosing and monitoring type-2 diabetes.
- तथ्यG6PD deficiency and haemoglobinopathies are identified as factors that can mislead HbA1c results in the Indian population.
- विज्ञान-तकनीकMultiparametric approach: Includes oral glucose tolerance tests, self-monitoring of blood glucose, and continuous glucose monitoring.
मेन्स के लिए
Q. Discuss the challenges in standardizing non-communicable disease diagnostics in India's diverse population and suggest a multiparametric framework for accurate healthcare delivery.
उत्तर के आयाम
- Diagnostic inaccuracy: High prevalence of anemia and G6PD deficiency confounding HbA1c results in South Asian phenotypes
- Clinical oversight: Need for integrating hematologic assessments with biochemical markers to prevent misdiagnosis
- Technological equity: Balancing the adoption of continuous glucose monitoring with rural healthcare accessibility
कीवर्ड: Non-communicable diseases · Diagnostic accuracy · Multiparametric approach · Public health infrastructure · Epidemiological diversity
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