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Rethinking Diabetes Care in India

Real-World Evidence on Cost, Quality, and Cardiovascular Risk-Shaping the Future of Chronic Disease Management

The Problem We Are Solving

The Invisible Gaps in Diabetes Care

Diabetes care is fragmented, inconsistent, and largely reactive

  • High out-of-pocket expenditure limits access
  • Disproportionate impact on low-income groups
  • Low adherence to clinical guidelines
  • Minimal preventive monitoring and follow-ups
  • High cardiovascular risk due to poor control
  • Underuse of preventive therapies

Our Approach

A Multi-Dimensional View of Diabetes Care

DEDICOM-II adopts a holistic, evidence-driven framework to understand diabetes across three interconnected dimensions:

This approach ensures real-world validity, representativeness and scalability

  • 1

    Cost of Care

    Evaluating financial burden and access barriers

  • 2

    Quality of Care

    Assessing adherence to clinical standards

  • 3

    Future Risk

    Projecting long-term cardiovascular outcomes

Research & Evidence

One Integrated Understanding.

DEDICOM-II is grounded in robust, community-based research spanning cost, quality, and long-term risk in diabetes care.

Featured Research

Understanding the Financial Burden

This study evaluates the direct out-of-pocket expenditure incurred by patients for diabetes care.

Focus: Annual cost + Cost differences + Link between cost and quality

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Assessing Real-World Clinical Practice

This study evaluates how closely real-world care aligns with clinical guidelines and standards

Focus: Preventive care + Glycaemic, BP, and lipid control + Use of essential medications

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Projecting Long-Term Complications

This study estimates the 10-year cardiovascular risk using global risk models.

Focus: Risk of CHD, stroke, and mortality + risk amplification vs target levels + Scope for risk reduction

View Study →

Impact at Scale

From Data to Health System Transformation

DEDICOM-II provides actionable insights for multiple stakeholders

Impact
For Clinicians
  • Improved awareness and care-seeking behaviour
  • Better disease management and outcomes
For Clinicians
  • Emphasis on guideline-based care
  • Shift toward preventive and risk-based management
For Health Systems
  • Strengthening primary care
  • Standardizing diabetes care delivery
  • Reducing inequities in access
For Policy Makers
  • Evidence for financial protection mechanisms

Innovation

Rethinking Diabetes Care in Real-World Settings

DEDICOM-II represents a shift from traditionalto multi-dimensional evidence framework.

Innovations
Community-Based Data Collection
  • Captures populations often excluded from healthcare data, including those not actively seeking care
Integrated Research Design
  • Combines cost, quality, and long-term risk into a unified understanding of diabetes care
Real-World Evidence Approach
  • Reflects actual patient journeys across public, private, and self-care pathways
Linking Cost with Care Quality
  • One of the few studies to evaluate how financial burden directly influences clinical outcomes

Global Significance

A Model for Diabetes Care in LMICs

Multi-institutional collaboration for public health innovation

DEDICOM-II offers globally relevant insights:

  • Demonstrates value of community-based evidence
  • Highlights challenges in mixed public-private systems
  • Supports risk-based and data-driven care models
  • Provides a framework adaptable to other LMICs

Contributes to building equitable, scalable, and sustainable chronic disease systems globally.

Collaborators & Partners

Driving Research Through Institutional and Academic Partnerships

DEDICOM-II is powered by clinical and public health research.

UK Research and Innovation
Indian Council of Medical Research

Transforming Diabetes Care Through Evidence and Collaboration

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DEDICOM-II highlights the urgent need to rethink diabetes care—not just clinically, but systemically. Transforming Diabetes Care Through Evidence and Collaboration

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