State-of-the-Art Review Diabetes Care in Malaysia: Problems, New Models, and Solutions

Diabetes is a major public health problem in Malaysia, the prevalence of type 2 diabetes (T2D) rises to 20.8% among 8 million adults among adults over 30 years of age. The burden of managing diabetes is in primary and tertiary health care providers working in various environments.

This review emphasizes the current state of diabetes mellitus in Malaysia, including the use of technology in epidemiology, complications, lifestyle and medication, and management and adoption of the World Health Organization's chronic care model at primary care clinics There.

Publications based on locally available healthcare data and stories of observation clinical experience reviews

Diabetes morbidity differs among major ethnic groups in Malaysia, Asian Indians have the highest prevalence of T2D, followed by Malaysia and Chinese. An increase in the prevalence of overweight and obesity is associated with an increase in T2D. We will integrate drug therapy, diet therapy, lifestyle changes and provide multidisciplinary care at tertiary and primary care sites. Patients with T2D generally have poor meal compliance, have high carbohydrate intake, and have a sedentary lifestyle. To manage blood glucose management, you can increase the use of intensive insulin treatment plan, insulin pump, and continuous blood sugar monitoring system with the latest drug options. A gradual approach to extending the chronic care model to an innovative care framework of chronic disease is recommended to promote implementation at primary care sites and get better results

The Malaysian Government has developed a comprehensive strategy and method to improve the prevention, treatment and management of diabetes as an emergency response to this growing chronic disease.

One study was aimed at assessing the prevalence of diabetes treatment and diabetic complications in diabetic patients in Malaysia's primary private health care. Most diabetic patients receiving treatment at the primary care level are not well managed and have a high incidence of complications (Mafauzy, 2005). Therefore, further effort is needed to achieve clinical goals. According to the literature review, in OHA patients compliance with type 2 diabetes is 65 to 85% and insulin is 60 to 80% (Kenreigh and Wagner, 2005). A survey was conducted in the US to evaluate drug compliance, knowledge of treatment goals, and achievement of goals for diabetic patients. The results showed that 48% of patients are non-compliant and that the most common causes of non-compliance are forgetfulness (34%) and too high (14%).

Diabetes is a major public health problem in Malaysia, the prevalence of type 2 diabetes (T2D) rises to 20.8% among 8 million adults among adults over 30 years of age. The burden of managing diabetes is in primary and tertiary care providers working in different situations. Diabetes morbidity differs among major ethnic groups in Malaysia, Asian Indians have the highest prevalence of T2D, followed by Malaysia and Chinese. An increase in the prevalence of overweight and obesity is associated with an increase in T2D. We will integrate drug therapy, diet therapy, lifestyle changes and provide multidisciplinary care at tertiary and primary care sites. Patients with T2D generally have poor meal compliance, have high carbohydrate intake, and have a sedentary lifestyle. You can increase the use of intensive insulin regimens, insulin pumps, and continuous blood glucose monitoring system, using the latest drug options to manage blood sugar control.