Uncontrolled Diabetes with Peripheral Neuropathy and Autonomous Neuropathy

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Table of Contents
Casestudies of Contents

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

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