Abstract：
Diabetes mellitus (DM) is a chronic disorder of insulin and glucose metabolism. It affects more than 463 million people worldwide and is expected to reach 700 million by 2045. In the Southeast Asian region, the prevalence of DM has tripled to 115 million due to rapid urbanization, unhealthy diet, sedentary lifestyles, and genetic factors. In Nepal, a developing country, DM affects 8.5% of adults, with an alarming increase in recent years. Lack of diabetes education and limited populational adoption of behavioural changes further hamper care.
In the present study, we performed a scoping review to determine the status of awareness, attitudes, and knowledge about diabetes in the Nepalese population with a focus on the educational initiatives that have been implemented. We also conducted a two-week international case study discussion among medical students to brainstorm viable intervention strategies.
Our findings indicate that limited data is available on the level of education or initiatives to improve knowledge and practice among healthcare professionals and community members. Targeted studies of people with diabetes also present heterogeneous results due to differences in the sample population, geographic location, education, age, and gender. Accordingly, we propose five interrelated education-based strategies that leverage existing networks to expand community outreach and engagement, improve system resilience, and improve health outcomes.
Effective education for healthcare professionals, community, and patients with diabetes is vital in improving diabetes outcomes in Nepal and South Asia. Collaboration, funding, and evaluation are key areas needing reform.
In the present study, we performed a scoping review to determine the status of awareness, attitudes, and knowledge about diabetes in the Nepalese population with a focus on the educational initiatives that have been implemented. We also conducted a two-week international case study discussion among medical students to brainstorm viable intervention strategies.
Our findings indicate that limited data is available on the level of education or initiatives to improve knowledge and practice among healthcare professionals and community members. Targeted studies of people with diabetes also present heterogeneous results due to differences in the sample population, geographic location, education, age, and gender. Accordingly, we propose five interrelated education-based strategies that leverage existing networks to expand community outreach and engagement, improve system resilience, and improve health outcomes.
Effective education for healthcare professionals, community, and patients with diabetes is vital in improving diabetes outcomes in Nepal and South Asia. Collaboration, funding, and evaluation are key areas needing reform.
摘要：
目的：糖尿病（DM）是一种胰岛素和葡萄糖代谢的慢性疾病。它影响全球超过4.63亿人，预计到2045年将达到7亿人。在东南亚地区,由于快速的城市化，DM的患病率增加了两倍，达到1.15亿，不健康的饮食,久坐的生活方式，和遗传因素。在尼泊尔,一个发展中国家,DM影响8.5％的成年人，近年来惊人的增长。缺乏糖尿病教育和有限的行为改变进一步阻碍了护理。
方法：在本研究中，我们进行了范围审查以确定意识的状态，态度，以及尼泊尔人口中有关糖尿病的知识，重点是已实施的教育计划。我们还在医学生中进行了为期两周的国际案例研究讨论，以集思广益可行的干预策略。
结果：我们的研究结果表明，有关教育水平或旨在提高医疗保健专业人员和社区成员的知识和实践的举措的数据有限。由于样本人群的差异，对糖尿病患者的针对性研究也呈现异质性结果，地理位置,教育,年龄,和性别。因此，我们提出了五项相互关联的基于教育的战略，利用现有网络来扩大社区外展和参与，提高系统弹性，改善健康结果。
结论：对医疗保健专业人员的有效教育，社区,在尼泊尔和南亚，糖尿病患者对改善糖尿病预后至关重要。协作,资金,评估是需要改革的关键领域。
方法：在本研究中，我们进行了范围审查以确定意识的状态，态度，以及尼泊尔人口中有关糖尿病的知识，重点是已实施的教育计划。我们还在医学生中进行了为期两周的国际案例研究讨论，以集思广益可行的干预策略。
结果：我们的研究结果表明，有关教育水平或旨在提高医疗保健专业人员和社区成员的知识和实践的举措的数据有限。由于样本人群的差异，对糖尿病患者的针对性研究也呈现异质性结果，地理位置,教育,年龄,和性别。因此，我们提出了五项相互关联的基于教育的战略，利用现有网络来扩大社区外展和参与，提高系统弹性，改善健康结果。
结论：对医疗保健专业人员的有效教育，社区,在尼泊尔和南亚，糖尿病患者对改善糖尿病预后至关重要。协作,资金,评估是需要改革的关键领域。
