An approach to diabetes prevention and management: The Bhutan experience

@article{Dorji2016AnAT,
  title={An approach to diabetes prevention and management: The Bhutan experience},
  author={Tandin Dorji and Pemba Yangchen and Chencho Dorji and Tshering Nidup and Kinley Zam},
  journal={WHO South-East Asia Journal of Public Health},
  year={2016},
  volume={5},
  pages={44 - 47}
}
Bhutan has been witnessing a trend of increasing diabetes in recent years. The increase is attributed to a rise in risk factors such as overweight, high blood pressure, unhealthy diet and sedentary lifestyle among the population. To address the rising burden, the health-services response has been to establish diabetes clinics in all hospitals and grade one basic health units. People visiting the health centres who have high risk factors and symptoms for diabetes are screened using the World… 
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Public health and health systems: implications for the prevention and management of type 2 diabetes in south Asia.
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Sitting on an impending NCD epidemic, the nation’s developmental progress can be impeded if timely actions are not taken.
Glycemic control, medication adherence, and injection practices among diabetic patients treated in the 3 tertiary referral hospitals in Bhutan: a call for more action
TLDR
Glycemic control and adherence to insulin administration recommendations were poor and the injection technique needs to be improved and standardized, and methods of safe disposal of sharps need to be developed.
Barriers to self-injection of insulin among patients attending the diabetes clinics at the three referral hospitals in Bhutan: a cross-sectional study
TLDR
Barriers to self-injection are common among insulin users and coordinated efforts are needed to overcome them.
Diabetes in South-East Asia: burden, gaps, challenges and ways forward
TLDR
This chapter discusses diabetes in South-East Asia, a serious, chronic disease characterized by chronic elevation of blood glucose and disturbance of carbohydrate, fat and protein metabolism that occurs either when the pancreas does not produce enough insulin or when the body cannot effectively use the insulin it produces.
Economic Impact of Diabetes in South Asia: the Magnitude of the Problem
TLDR
With an estimated 84 million people suffering from diabetes in South Asia, diabetes imposes a substantial economic burden on individuals, families, and society, and it adversely affects workforce productivity and macroeconomic development.
A qualitative study on knowledge, perception, and practice related to non-communicable diseases in relation to happiness among rural and urban residents in Bhutan
TLDR
It is recommended that more practical NCD education/prevention programs should be urgently introduced in Bhutan that involve multiple generations, religion authorities, educational settings, and medical services.
Investigating the Effective Factors on Implementation of World Health Organization Package of Essential Non communicable Disease Interventions for Primary Health Care in Low Resource Settings: A Scoping review
TLDR
Identified effective factors include target population coverage, staff training, patient motivation, patient follow-up, and observance of PEN protocols to implement this package (WHO PEN) more successfully.

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