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Insulin Crisis: Half of Bengal's Diabetics Miss Vital Medication
14 Nov
Summary
- Many Bengal diabetics needing insulin don't receive it due to misconceptions.
- Poor insulin compliance leads to uncontrolled diabetes and organ damage.
- Experts urge early insulin use to prevent irreversible complications.
In Bengal, a significant portion of the 3.5 to 4 million individuals with diabetes are not receiving essential insulin therapy. Endocrinologists report that less than half of those who require insulin are currently getting it, contributing to widespread uncontrolled diabetes and severe organ damage. This critical gap in treatment is exacerbated by patient misconceptions and a delayed approach to insulin prescription by some healthcare providers.
Experts emphasize that insulin should be administered much earlier in the treatment process. Misconceptions, such as the belief that insulin injections can be skipped when blood sugar levels appear normal or due to social inconvenience, severely compromise glycaemic control. This intermittent omission can lead to persistent high HbA1c levels and necessitate higher insulin doses over time. Studies from Kolkata medical colleges indicate low compliance rates, particularly when insulin is combined with oral medications.
Furthermore, there is a misconception that starting insulin means lifelong dependency. Patients often prefer oral medications, which can be harmful to organs in the long run. Endocrinologists advocate for early insulin use, suggesting it can lead to better diabetes control and improved long-term outcomes. They also point out that the pancreas cells may develop a better response to drugs with early insulin use, unlike oral medications which can negatively impact the liver, kidneys, and heart, potentially accelerating neurological and cardiovascular diseases.
