The Problem

    The Chronic Care Crisis No One Talks About

    Meet Rajan, 58 years old. Living with diabetes for 12 years. He sees his specialist once every three months. For the other 80 or so days, he is completely on his own.

    A Story From India's Broken Care Loop

    1

    A 58 year old diabetic patient wakes up at 4am with blurred vision. His blood sugar has been elevated for weeks, but he has no way to know if it is serious. His next specialist appointment is weeks away.

    2

    His wife is worried. She calls the clinic at 10am. No answer. She messages their son, who lives in another city. He says he will look into it. Nobody does.

    3

    By 2pm he is in the emergency room with a diabetic ketoacidosis episode. Three days in the ICU. A bill his family struggles to pay. The specialist later says the readings had been worsening for weeks. Nobody had caught it.

    This is not a rare story. It plays out every day across India, in cities and villages, for millions of people managing chronic conditions without a connected care team.

    The Failure Loop

    Step 1

    10 minutes with the specialist

    Readings reviewed. Medication adjusted. The appointment ends. That is the entirety of Rajan's managed care until the next visit.

    Step 2

    The weeks that follow

    Nobody is watching. The patient is on his own. The doctor has no information until the next appointment.

    Step 3

    The signs nobody catches

    Blood sugar spikes. Blood pressure climbs. His wife notices he seems quieter than usual. Nobody in the care chain knows anything has changed.

    Step 4

    A preventable crisis

    By the time anyone acts, it is an emergency admission. A crisis that three timely conversations could have stopped.

    Three people. One broken system.

    The Patient

    Confused by reports nobody explains. Unsure which symptoms matter. Managing alone between appointments.

    The Specialist

    No visibility into what happens between visits. No way to know a patient is deteriorating until it becomes a crisis.

    The Family

    Watching someone they love struggle. Unable to help because nobody tells them anything in time.

    The Numbers Don't Lie

    0M
    Indians living with diabetes (ICMR-INDIAB, Lancet 2023)
    0M
    Indians living with hypertension (ICMR-INDIAB, Lancet 2023)
    0%
    of all deaths in India are caused by chronic disease (WHO & NFHS-5)
    0M
    Indians living with prediabetes right now. Most do not know it. (ICMR-INDIAB, Lancet 2023)
    0.0%
    of older adults in India are managing two or more chronic conditions at the same time (LASI Wave 1, IIPS 2020)
    0-26%
    of all NCD deaths in India strike people between the ages of 30 and 70 (WHO Data Portal)

    This is the problem we are solving.

    See how Nexaliv works