Uncontrolled Diabetes with Peripheral Neuropathy and Autonomous Neuropathy

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Brief Medical History

Name: Mr GV

Age/Gender- 53 y / Male

Presenting Complaints

Elevated blood sugar levels-high severity, since 20 years
Incomplete evacuation of bowels, bloating, and heaviness of abdomen and flatulence-high severity, since 1 month
Difficulty in breathing after meals, on exertion, walking, talking-high severity, since 1 month
Fatigue high severity, since 5-6 years
Sleeplessness, anxiety, and stress-high severity, since many years
Muscle weakness and Muscle Rigidity in Upper limbs -high severity, since 5-6 years
Cramps in legs-high severity
Pain in knee joints-Medium severity
Darkening of skin-Black Pigmentation on Face and legs – Low severity
Burning sensation in stomach Medium Severity

Severity: High

Chronicity: 20 yrs

Integrated Summary

Ayurveda Medical Management Strategy:

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

Outcome

INVESTIGATIONS	03/11/15 (TSD)	12/11/15	22/11 (TED)
Novomix Insulin (Morning)	50 IU	50 IU	42IU
Novomix Insulin (Night)	38 IU	34 IU	28IU
Effective Insulin Dosage per day	88 IU	84 IU	70IU
Oral Hypoglycaemic Agents-Tab.Glyciphage SR 1000	1-0-1	1-0-1	1-0-1
FBS (mg/dl)	151	137	105

Other Clinical Symptoms	03/11 TSD	12/11	21/11
1. Incomplete evacuation of bowels, bloating, and heaviness of abdomen and flatulence	P	P	A
2. Difficulty in breathing after meals, on exertion, walking, talking	P	A	A
3. Fatigue Sleeplessness, anxiety, and stress	P	P	A
4. Muscle weakness and Muscle Rigidity in Upper limbs	P	A	A
5. Cramps in legs	P	A	A
6. Pain in knee joints	P	A	A
7. Darkening of skin-Black Pigmentation on Face and legs	P	A	A
8. Burning sensation in stomach		A	A
P: ‘Present’ A: ‘Absent’ D:Disturbed, UD: Undisturbed P
Quality of Life/Wellbeing (Self Rating: Very Unsatisfactory-Unsatisfactory-Average-Satisfactory-Very Satisfactory)	Average	Satisfactory	Satisfactory

CLINICAL MEASURES	04/11	13/11	22/
Lethargy:
Tired	YES	YES	YES
Mentally dull	YES	NO	NO
Desire to sit, lie and sleep	YES	YES	NO
Weight (kg)	72		67.5
BMI	27.16	-	25.47

Patient’s outcome Parameters	Weightage in %	At admission (Condition score)	After treatment (Condition score)
Diabetes	25	1	4
Sleeplessness	15	1	4
Fatigue	25	1	4
Skin Discolouration	15	1	4
Constipation	10	1	4
Dyspnoea	10	2	4
Poor (1), fair (2), Good (3), Very good (4), Excellent (5)

* Outcomes may vary from person to person