Uncontrolled Diabetes with Peripheral Neuropathy

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Table of Contents
Casestudies of Contents

Brief Medical History

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.

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

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

NIL
2%
-

Serum insulin fasting

13.22 µU/ml

13.2

9.63%
-

Fasting glucose (serum)

94mg/dl

125mg/dl

120mg/dl

116

HbA1C

6.8%

6.6%

1mg/dl

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 Measurement

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)

Patient's Stories

Patient’s testimonials

* Outcomes may vary from person to person

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