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Ban the Diabetologist

14 Jul, 14 | by sghosal

A recent news post from a reputed newspaper quoted a medical regulatory body and suggested that the physicians practicing as “Diabetologist” should be brought under the scanner. (1)

 What were the points in favour of such a move?

  • The Medical Council of a particular state in India feels that designating oneself as a “Diabetologist” is like “cheating the citizens.”(1)
  • Diabetes is a disease. How can we have a specialist for an individual disease? (1)
  • Only Endocrinologists (DM) & Internists (MD) should be eligible to treat diabetes (not those with MBBS). (1)
  • The diabetes diplomas acquired by the MBBS doctors are not MCI (Medical Council of India) recognized. (1)
  • They are not competent enough to deal with the complexities associated with this disease entity. The article goes on to nearly implicate them as a cause behind the increasing diabetes related deaths in India. (1)

A few questions

  • India has the second largest diabetes patient in the World after China. The State in the above-mentioned article experienced an alarming rate of increase in diabetes in the recent past.
  • Who is going to take care of them? There are approximately 600 MBBS, lesser MDs and 60 Endocrinologists in the State. (1) And how come a MBBS is not trained to tackle diabetes competently when he/she is licensed to undertake surgeries? Who is to blame if the MBBS is not qualified to tackle a disease of epidemic proportions? I think the same organizations raising the questions will have to take up the blame for not up-grading the teaching curriculum.
  • If the issue is all about complete ban on non-MCI approved degrees, why should it be so selective? Why there has been no questions raised about those specialists (non-diabetologist) practicing with degrees from the UK (MRCP, FRCS etc.) & US (AB)?

 Conclusion:

  • At a time when several countries like Japan are looking at supporting the “Diabetologist” with getting them board certified credentials and the ABCD (Association of British Clinical Diabetologists) expanding their membership & activities, the steps proposed by the State council seems out of place. (2,3)
  • A commentary in a reputed journal was looking into the issues related to poor interest of the physicians in pursuing a carrier in diabetes. (4) The ways and means of motivating, supporting and nurturing them were explored.
  • Yes, there is definitely a need to scrutinize and clamp down on courses with poor credentials. However those Universities and Organizations with credibility and Internationally certified courses should be allowed to train the physician.
  • The answer to the problems associated with a disease compared to the ‘Tsunami” in India lies in empowering the physicians and not discouraging them.
  • It would be interesting to note the views expressed by the prominent diabetes related organizations running the show (training and research) in India.

References:

 (1). Diabetologists’ under govt scanner. 2013. [Online] Available at: http://timesofindia.indiatimes.com/city/hyderabad/Diabetologists-under-govt-scanner/articleshow/20564812.cms

[Accessed on 14th July 2014]

(2). Credentialing of Board Certified Diabetologists. Japan Diabetes Society (JDS). [Online] Available at: http://www.jds.or.jp/modules/en/index.php?content_id=25

[Accessed on: 14th July 2014].

(3). Association of the British Clinical Diabetologist (ABCD). [Online] Available at: http://www.diabetologists-abcd.org.uk/welcome.htm

[Accessed on: 14th July 2014].

(4). Wilmot E. The future role of the diabetologist. Pract Diab Int 2008; 25(8): 306.

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  • Partha Sarthy

    No more any diabetic patient to misguide. Just need to follow some precautions to control the blood sugar level, the disease can be reduced itself by 50% approx. Using blood glucose meters, we can check blood glucose level & doing such activities like maintaining natural and healthy diet, loosing weight via exercising & most important is to stop smoking will improve enough this diabetes mellitus disease.
    https://diabeteshomecare.wordpress.com/

  • Mst Samsunnahar Begum

    One of the things that helped relieve my diabetes was to use powdered cinnamon.
    Studies have shown that Cinnamon can lower blood sugar levels in cases of uncontrolled type-2 diabetes.
    Mix about a teaspoon of cinnamon in a cup of warm water and drink it every day.
    You can also boil two or three cinnamon sticks in a cup of water and let it steep for 20 minutes. Drink this every day until you start to see improvement.
    Here is an article I came across with more tips to help you out with diabetes:
    http://bit.ly/1SHJrTg

  • Umesh Jalan

    Thanks for your post. I agree that much
    more has to be done regarding Diabetes education in India.

    If you have questions on #diabetes, tweet to BeatO or post your Query @https://www.facebook.com/beatoapp/ & get answers from experts! #AskAboutDiabetes#WorldHealthDay @ http://goo.gl/H4ANjh

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