Uncontrolled Diabetes with Peripheral Neuropathy


Name: Mr ST

Age/Gender- : 53y / M

Presenting Complaint

  • Tiredness High Severity since 6 months
  • Low energy levels High Severity since 6 months
  • Mental dullness Medium severity since 6 months
  • Numbness in left hand Medium Severity since 2 weeks
  • Pain in left middle toe Medium Severity since 6 months
  • Incomplete evacuation of bowels- Medium Severity since 6 months
  • Blurred vision – loss of focus and orientation- High Severity Since 2 years
  • Cracks in both palm- Medium Severity since 6 months

Severity: High

Chronicity: Chronic-13 years

EpD: 6 months

OTT: 18 IU of Humalog injection before lunch and 18 IU dinner and 50 IU of Lantus before bedtime and Metformin 2000 mg once daily.

Ayurveda Medical Management Strategy:


Prescription of [Diet+Lifestyle+Medicine+Cleansing Therapies] customised to the patient and the stage of his diabetes disease.

Laboratory Investigations 27/6/15 (TSD) 1/7 6/7/15 (TED)
Humalog Insulin 18 IU- 18 IU before food -
Lantus Insulin 50 IU at bed time - - 30 IU
Metformin 2000 milligrams 1 tab in the morning - 1 tab in the morning 1 Tab
C-Peptide 1.4ng/ml
Serum insulin fasting 13.22 µU/ml 13.2
Fasting glucose(serum) 94mg/dl 125mg/dl 120mg/dl 116
HbA1C 6.8% 6.6% 6.6%
Post prandial Glucose(serum) 103mg/dl 131mg/dl 182mg/dl 160mg/dl
Fasting urine glucose Nil Nil NIL NIL
Post prandial urine Glucose Nil Nil NIL NIL

Weight and Measurements

Parameters Units 26/06/15 06/07/15 20/8/15
Weight Kg 97.5 92.6 87
Chest on inspiration Cm 44 43.1 -
Chest on expiration Cm 46 44.2 -
Right mid arm circumference Cm 35 35 -
Left mid arm circumference Cm 33 33 -
Umbilical circumference Cm 112 107.5 -
Waist Circumference Cm 110 107 -
Right mid thigh circumference Cm 56 56
Left mid thigh circumference Cm 57.5 57.5
Patient’s outcome Parameters Weightage in % At admission (Condition score) After treatment (Condition score)
Tiredness 40 1 4
Dullness 20 1 5
Evacuation 20 2 5
Gout related 10 2 4
Numbness 10 1 4
Poor (1), fair (2), Good (3), Very good (4), Excellent (5)

Disclaimer: * Outcomes may vary from person to person