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The main objective of the Trust is to offer a complete healthcare to the type 1 insulin dependent, underprivileged diabetics especially children and with a particular focus on female diabetics. |
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Ensuring survival of diabetic children |
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Reducing the morbidity. |
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Reducing the long term chronic complications. |
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Rehabilitation , (Vocational training, employment, marriage). |
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Creating better awareness & education of children and their parents (Picnics, etc). |
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Ensuring survival of diabetic children: The Trust was formed, 5 years ago, after the shocking incidents of deaths of 2 girls for want of insulin! Hence, the first objective is of ensuring their survival. Ever since, the trust started giving regular insulin supplies to children, and there have been no deaths. |
Reducing morbidity: These children have problems like recurrent ketoacidosis, diabetic coma, soft tissue infections (abscess), chest tuberculosis and growth retardation. This is mainly due to intermittent stopping of insulin, "under-dosing" because of economic constraints & once a day insulin only! These problems lead to a drop in school attendance. Our experience in the last few years shows that these sponsored children have shown a significant spurt in growth velocity, a reduction in the frequency of ketoacidosis, coma and infections. Majority of them are taking 2 to 3 insulin injections every day, with an optimum dose for their body weight. A definite improvement in their school attendance and self esteem has been noted. Even the approach of their parents towards them, has improved! |
Preventing long term complications: |
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Manda in 1992 |
Manda in 2001 |
| Over the years, type 1 diabetics develop microangiopathic complications like
retinopathy (eyes), nephropathy (kidneys) and neuropathy (nerves).These complications occur prematurely and more frequently in type 1 diabetics who have uncontrolled diabetes. Scientific research , e.g. DCCT (Diabetes Case Control Trial) has clearly shown that these complications can be prevented and if already existing, their deterioration can be slowed by strict control of diabetes with intensified insulin
therapy using 4 - 6 injections a day,frequent home blood glucose monitoring, with the objective of achieving blood glucose values as near as possible ( with glycosylated haemoglobin-GHbA1C-well below 7 %). At present the Trust is providing insulin alone and the control of diabetes in these sponsored children is far from ideal . With the availability of more funds, we plan to provide blood glucose measuring meters & strips and do regular estimations of GHbA1C. |
| Rehabilitation: These Type 1 diabetic children from low socioeconomic strata are less educated and therefore cannot compete for better employment opportunities. The Trust has plans to organize vocational training for the children so as to make them self reliant. Another problem among the girls due to the prevailing socioeconomic problems, the parents find it difficult to arrange their marriages and being a diabetic, are a stigma for them. The Trust has so far been able to help 13 girls who are successfully married. |
| Creating better awareness& education of children and their parents: There is an urgent need to educate parents and their children regarding their diabetes, possible complications and their remedies. There is still a tendency to switch over to alternative medicine and stop insulin. The Trust regularly organizes meetings of these children and their parents. |
Every year picnics are organized where parents and children are invited to participate without any financial contribution, where recreational and educational activities are organized. They are provided free transport and meals. |
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