Diabetes Mellitus

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Table of Contents
Casestudies of Contents

Brief Medical History

A 27-year-old female of Indian origin residing in USA, a known case of Diabetes Mellitus since 4 years, came to AyurVAID Hospitals with several associated problems

Present Complaints:

  1. Hypotension
  2. Obesity
  3. Stress and Depression since 6 years.

Integrated Summary

Allopathy Ayurveda

General Condition: Stable, Afebrile
Weight: 61kg, Height: 164cm, BMI: 23.2 kg/m2
Waist Hip Ratio: 0.93
Pulse: 72bpm
Blood Pressure: 110/80mm of Hg
Appetite: Low
Bowels: Irregular
Sleep: Disturbed

• Prakruti: Pitta Kapha
• Dosa: Kapha
• Dushya: Rasa, Rakta, Meda and mamsa
• Agni:Mandagni
• Ama: Sama
• Koshta: Madyama
• Srotas&SrotodushtiPrakara: Rasavaha, Purishavaha
• Roga bala :Pravara
• Rogibala: Madhyama
• Satmya / Asatmya: Spicy, sour

Clinical Examination:
Per abdomen: Soft, no Organo megaly, no tenderness
Respiratory system: Normal Vesicular Breath Sounds
CVS: S1 S2 heard, rate and rhythm regular, no murmurs.

Diagnosis: Prameha – Sub classification Madhumeha

Eye Examination:Vascular assessment-Right eye – 6/24(P) Left eye 6/18(P) Fundoscopy – Cotton wool appearance in retina

Medical Management:
Preparatory treatments:
Snehapana, Abhyanga

Vascular Assessments: Bilateral presence of Dorsalispedis pulse and posterior tibial pulse

Primary Treatments: Virechana Karma

Neurological Assessments: Normal
Foot Examination: Normal
No signs of edema

Post Primary Treatments:
Udwartana, Shirodhara, Pathyahaara

Diagnosis – Type II Diabetes

Outcome

# Tests Range Before treatment 3.09.13 After Treatment 21.09.13 During Follow Up
04.10.13
1.
FBS
60 – 110 mg/dl
264mg/dl
183mg/dl
157mg/dl
2.
Fasting urine sugar
NIL
1%
-
-
3.
PPBS
80 – 150 mg/dl
403mg/dl
307mg/dl
209 mg/dl
4.
Post prandial Urine Sugar
NIL
2%
-
-
5.
HbA1c
6.5% – 7% good control
9.63%
-
7.8%
6.
Mean blood sugar
121 mg/dl to 150 mg/dl good control
257 mg/dl
257 mg/dl
-
7.
Serum Creatinine
0.6 – 1.3 mg/dl
1mg/dl
1mg/dl
-

Lipid Profile

# Tests Range Before treatment 3.09.13 After Treatment 21.09.13 During Follow Up
04.10.13
8.
Serum Cholesterol
<200 mg/dl
125mg/dl
148mg/dl
159 mg/dL
9.
Serum Triglycerides
<150 mg/dl
189 mg/dl
256 mg/dl
170 mg/dL
10.
HDL Cholesterol
42 – 88 mg/dl
31.2 mg/dl
18 mg/dl
-
11.
LDL Cholesterol
25 – 130 mg/dl
56 mg/dl
78.8mg/dl
-
12.
VLDL Cholesterol
25 – 40 mg/dl
37.8 mg/dl
51.2 mg/dl
-
13.
Cholesterol/HDL ratio
3.3 – 4.4mg/dl
4.0:1
8.2
-

Conclusion

After Treatment, there was an overall improvement in patient’s condition. Her FBS has reduced from 264 mg/dl to 157 mg/dl and PPBS from 403 mg/dl to 207 mg/dl, only with the administration of Ayurveda medicines. Her stress level has reduced from 10 to 3 on VAS scale (0-10) and BMI from 23.2 to 22.1. There was significant improvement in her appetite, sleep, bowels and dry skin. There was overall improvement in body heaviness and urine frequency.

Diabetes is an enormously complex heterogeneous condition that involves many genes, molecules, and organ systems. Ayurveda management consisting of internal medicines and purification procedures has an effective role in arresting the evolving pathogenesis of diabetes, successfully delays its complications, and also enhance QoL and wellbeing.

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