New Delhi: In a major policy shift, the Center will now screen all children from birth to 18 years for diabetes and provide free lifelong treatment through the public health system, expanding its flagship program Rashtriya Bal Swasthya Karyakram (RBSK) to address the growing burden of diabetes among the younger age group.The guidance document, released by the federal Department of Health at the National Public Health Summit, sets out a structured national framework for the screening, diagnosis, treatment and long-term management of childhood diabetes. It combines community and school screening with district-level care and aims to ensure early detection and continuity of treatment.The launch is part of a revamp of the centre’s RBSK 2.0, which takes a lifespan approach from birth to 18 years and expands its ‘4D’ framework to include non-communicable diseases such as diabetes, as well as mental health and behavioral conditions. The guidance also identifies rising lifestyle risks, including poor diet, reduced physical activity and increased screen exposure, and introduces digital tracking and structured follow-up systems to enhance continuity of care.Under the agreement, mobile medical teams will screen children in schools and anganwadi centers for symptoms such as “4T” warning signs such as frequent urination, excessive thirst, fatigue and weight loss. Suspected cases will be immediately tested for blood glucose and referred to the district NCD clinic for diagnosis and treatment.The move comes amid growing concerns about diabetes in young people. While type 1 diabetes remains the most common form in children and requires lifelong insulin, the paper notes that the incidence of type 2 diabetes has increased in adolescents, primarily due to increases in obesity and sedentary habits.Experts say prevention is crucial. Dr. Jugal Kishore, professor and former dean of community medicine at Vardhman Mahavir Medical College and Safdarjung Hospital, said: “There is a sharp rise in childhood obesity, and with it, more diabetes. Lifestyle changes need to start early, especially at the school level, as habits formed over the years can affect long-term health. Strengthening school health programs and ensuring consistent implementation will be key.”The district hospital is positioned as the backbone of care, offering a comprehensive range of free services including diagnostic services, lifelong insulin treatment, blood glucose meters, test strips and regular follow-up visits. The program also includes counseling and training for families on insulin use, monitoring and emergency care.The framework links early detection to advanced care and standardized treatments to prevent complications. Officials say prompt diagnosis can promote normal growth and better outcomes. The initiative aims to reduce mortality, reduce financial burden and ensure uninterrupted care, and the current focus is on implementation.
