The University of Dundee has been awarded a £7million grant from the National Institute of Health Research Global Health programme to establish a major new Scotland-India clinical partnership to combat diabetes.
The NIHR Global Health Research Unit on Diabetes Outcomes Research project will see Dundee’s world-leading expertise in the use of medical records to deliver improved care in diabetes 'twinned' with the large patient data set (covering over 400,000 Indian diabetic patients) collected by Dr Mohan's Diabetes Specialities Centres, the largest clinical network of diabetes care in India.
Diabetes in India and Scotland will be compared and contrasted to determine the common and specific problems in both countries, with the aim of providing an improvement in health and reduction in health inequalities in India and Scotland.
The Dundee project is one of 33 research units and groups sharing over £120 million of funding for Global Health Research announced today by the Department of Health.
“Diabetes is a major problem in India with 1 in 12 people affected, amounting to 69 million individuals currently, which is more than the entire UK population,” says Professor Colin Palmer, Chair of Pharmacogenomics at the University of Dundee and lead for the new research unit.
“With increasing economic development and lifestyle changes those numbers are rapidly increasing. Yet current knowledge on how diabetes develops, how patients respond to medications and the causes of medical complications that arise are largely derived from studies on white European ancestry populations. This is despite the fact that diabetes in Europeans is very different to diabetes in South Asians.
“We need to understand more about diabetes in different populations. There is an urgent need for a large in-depth study of the specific causes and consequences of diabetes in India in order to identify different subtypes of diabetes that exist in India and understand how best to manage each subtype.
“This project will address that. It will also look at new ways of providing diabetes screening, using smartphone technology and retinal scans, which will provide valuable insights into how we can deliver more cost-effective and affordable diagnosis and treatment of diabetes, which is an issue here in the UK and around the world.”
Professor Palmer and colleagues in Dundee will work with Dr V. Mohan and his team in Chennai. The project commands access to two of the most advanced diabetes management systems in the world: the Scottish Clinical Care Information- Diabetes Care (SCI-DC), which provides a sophisticated shared electronic patient record for every individual with type 2 diabetes in Scotland, and Dr Mohan’s Speciality Diabetes Centres. Together they hold clinical datasets collected in both Scotland and India, amounting in total to over 650,000 patients with diabetes with continuous data spanning over 20 years.
Working with Dr Mohan’s team, the project will also examine the potential for delivering next-generation telemedicine for diabetes screening in the rural communities and deprived urban areas of Chennai.
The project will gather the next generation of postdoctoral analysts to bring big-data concepts into clinical utility and will initiate a PhD programme which will see students recruited from the top Universities in India, and will be selected by a joint Dundee/Chennai team including the two directors.
Making the funding announcement today, Health Minister Lord O’Shaughnessy said, “This funding allows our universities to strengthen their research and expertise as a leader in Global Health Research.
“The UK will continue to be at the forefront of health knowledge, and it is only right that we support developing nations as they improve care for patients and public.”
Part of the wider Official Developmental Assistance (ODA) budget, the aim of this research is to improve the health of patients and public in low and middle-income countries. Such research is vital to protect the UK at home. Disease knows no borders, and we are continually under threat from poorly understood infections and antimicrobial resistance. Good health is a global endeavour and the UK is a leader in this area of research and innovation.
People in Scotland can contribute directly to this research by signing up to SHARE on www.registerforshare.org. Nearly 170,000 people have already signed up to SHARE to date and are helping diabetes research in Scotland.