Lok Sabha Question No. 1991 (UNSTARRED), answered on 2024-12-06
Subject: Rising Diabetes Cases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Benny Behanan, Adv Dean Kuriakose

## GOVERNMENTOFINDIA MINISTRY OFHEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 1991 TO BE ANSWERED ON 6 TH DECEMBER, 2024

## RISING DIABETES CASES

## 1991. SHRI BENNY BEHANAN: ADVDEAN KURIAKOSE:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) the measures taken/proposed to be taken by the Government to address the rising diabetes cases in the country, particularly in States having higher prevalence rates, State-wise;
- (b) whether the Government has taken note that India contributes to 30 per cent of the world's untreated diabetes cases and if so, the steps taken/proposed to be taken to improve access to treatment in this regard and if so, the details thereof;
- (c) whether the Government is running or planning any nationwide campaigns to raise awareness about lifestyle modifications to prevent diabetes in the country; and
- (d) if so, the details thereof along with the campaigns, including their reach and impact assessments?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI PRATAPRAO JADHAV)

(a) to (d): The Department of Health and Family Welfare, Government of India, provides technical and financial support to the States and Union Territories under the National Programme for Prevention and Control of Non Communicable Diseases (NP-NCD) as part of National Health Mission (NHM). The programme focuses on strengthening infrastructure, human resource development, early diagnosis, referral to an appropriate level of healthcare facility for treatment and management and health promotion and awareness generation for prevention, of Non-Communicable Diseases (NCDs) including diabetes. Under National Programme for Prevention and Control of Non Communicable Diseases (NP-NCD), 753 District NCD Clinics and 6410Community Health Center NCD Clinics have been set up.

A population-based initiative for screening, management and prevention of common NCDs including diabetes has been rolled out as a part of Comprehensive Primary Health Care in the country under NHM. Screening of common NCDs is an integral part of service delivery. As per National NCD portal, till 30th November 2024, 32.33 crores are screened for diabetes, 2.96 crores diagnosed and 3.13 crores put on treatment for diabetes respectively. (State-wise list at Annexure-A ).

Indian Council of Medical Research (ICMR) has informed that it is not true that India contributes

30 % of the untreated diabetes in the world. In the recent publication publication at link https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)02317-1/fulltext); the data included only those on allopathic drugs and excluded all those on lifestyle modifications and alternative systems of medicine. It included people who did not know that they had diabetes. Under the free drugs initiative of NHM essential drugs including for diabetes are provided free of cost in all public health facilities.

Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) aims to provide health cover of Rs. 5 lakhs per family per year for secondary and tertiary care hospitalization to approximately 55 Cr beneficiaries corresponding to 12.37 Crore families constituting the bottom 40% of India's population.

In the latest national master of the Health Benefit Package (HBP) the scheme provides cashless healthcare services related to 1961 procedures across 27 specialties including Diabetes and complications arising due to diabetes through a network of more than 29,870 hospitals empanelled in the scheme. Some of the packages related to the complications arising from the diabetes are Diabetic foot, diabetic ketoacidosis, diabetic retinopathy, etc.

Further initiatives for increasing public awareness about NCDs including diabetes and for promotion of healthy lifestyle includes observation of World Diabetes Day, use of print, electronic and social media for continued community awareness. Financial support under National Health Mission (NHM) for awareness generation activities for NCDs including diabetes is provided to States/Union Territories as per their Programme Implementation Plans (PIPs).

'Healthy Eating' is promoted through 'Eat Right India movement' of Food Safety and Standards Authority of India (FSSAI). 'Fit India movement' is implemented by Ministry of Youth Affairs and Sports. VariousYoga related activities are carried out by Ministry of AYUSH.

Annexure A- State-wise list of Screened, Diagnosed, Under Treatment for Diabetes as per National NCD Portal as on 30 th November 2024

| State                                         | Screened     | Diagnosed   | Under Treatment   |
|-----------------------------------------------|--------------|-------------|-------------------|
| Pan India                                     | 32,33,32,732 | 2,96,26,225 | 3,13,97,907       |
| Andaman &Nicobar Islands                      | 69,026       | 16,288      | 16,263            |
| Arunachal Pradesh                             | 85,696       | 4,894       | 4,885             |
| Assam                                         | 48,85,107    | 4,84,780    | 4,84,774          |
| Bihar                                         | 2,21,06,230  | 2,43,432    | 2,42,970          |
| Chandigarh                                    | 3,41,094     | 21,401      | 21,330            |
| Chhattisgarh                                  | 92,12,582    | 9,39,202    | 9,32,171          |
| Delhi                                         | 1,25,212     | 1,112       | 1,108             |
| Goa                                           | 2,12,598     | 90,473      | 89,950            |
| Gujarat                                       | 2,92,81,053  | 24,04,186   | 24,01,979         |
| Haryana                                       | 67,95,930    | 4,32,376    | 4,30,213          |
| Himachal Pradesh                              | 30,52,860    | 2,04,034    | 2,04,034          |
| Jammu &Kashmir                                | 43,18,708    | 3,41,071    | 3,40,236          |
| Jharkhand                                     | 37,23,768    | 53,565      | 53,271            |
| Karnataka                                     | 2,37,00,475  | 28,83,541   | 28,74,257         |
| Ladakh                                        | 1,22,934     | 8,768       | 8,741             |
| Lakshadweep                                   | 14,701       | 1,223       | 1,207             |
| Madhya Pradesh                                | 2,19,54,953  | 23,89,724   | 23,75,604         |
| Maharashtra                                   | 2,49,73,153  | 40,03,484   | 39,81,750         |
| Manipur                                       | 1,46,406     | 23,484      | 23,354            |
| Meghalaya                                     | 3,09,322     | 29,563      | 29,519            |
| Mizoram                                       | 4,20,682     | 4,527       | 4,511             |
| Nagaland                                      | 68,806       | 22,637      | 22,127            |
| Odisha                                        | 1,66,08,189  | 15,12,414   | 15,04,728         |
| Puducherry                                    | 1,01,821     | 56,542      | 56,298            |
| Punjab                                        | 20,51,004    | 6,73,243    | 6,67,270          |
| Rajasthan                                     | 1,25,16,333  | 16,21,613   | 15,96,432         |
| Sikkim                                        | 1,31,601     | 33,866      | 33,467            |
| Telangana                                     | 1,75,29,700  | 24,52,989   | 24,52,989         |
| Tripura                                       | 6,55,590     | 72,781      | 72,590            |
| Uttar Pradesh                                 | 1,93,07,695  | 2,06,347    | 2,05,950          |
| Uttarakhand                                   | 19,91,482    | 80,965      | 80,797            |
| Andhra Pradesh*                               | 3,85,10,834  | 20,92,505   | 20,92,505         |
| Kerela*                                       | 0            | 47,92,854   | 0                 |
| Tamil Nadu*                                   | 5,76,66,670  | 14,25,409   | 80,90,626         |
| The Dadra And Nagar Haveli And Daman And Diu* | 3,38,314     | 961         | 0                 |
| West Bengal*                                  | 2,203        | 1           | 1                 |
| 32,33,32,732                                  |              | 2,96,26,255 | 3,13,97,907       |