Diabetes mellitus, or simply diabetes, is a group of metabolic diseases in which a person has high blood sugar, either because the pancreas does not produce enough insulin, or because cells do not respond to the insulin that is produced. This high blood sugar produces the classical symptoms of polyuria (frequent urination), polydipsia (increased thirst) and polyphagia (increased hunger). There are three main types of diabetes mellitus (DM).
- Type 1 DM results from the body's failure to produce insulin, and currently requires the person to inject insulin or wear an insulin pump. This form was previously referred to as "insulin-dependent diabetes mellitus" (IDDM) or "juvenile diabetes".
- Type 2 DM results from insulin resistance, a condition in which cells fail to use insulin properly, sometimes combined with an absolute insulin deficiency. This form was previously referred to as non insulin-dependent diabetes mellitus (NIDDM) or "adult-onset diabetes".
- The third main form, gestational diabetes occurs when pregnant women without a previous diagnosis of diabetes develop a high blood glucose level. It may precede development of type 2 DM.
Dietary changes according to individual patients condition are advised. At this stage educational material regarding the importance of diet is given to the patient. This contains all the necessary information to allow the patient to effectively manage his own condition. The importance of fat and carbohydrate should be emphasized. The concept of the 'healthy diet' needs to be stressed.
The education given to the patient will reinforce messages and any further concerns of the patient can be explored. Information regarding the following is given to the patient.
- Weight: The patient is given an idea of normal weight (BMI near to 25). The importance of attempting to keep normal body weight and the effect this will have on control of the condition is explained.
- Exercise: The physical fitness of the patient is assessed. Ideally daily exercise lasting 1/2 hour is advised. The level of exertion is tailored to the patient's fitness and health status. However all patients should be aiming to exercise to increase their heart rate during exercise.
- Smoking: Patients are advised regarding ways of helping them to stop smoking.
- Alcohol: Advised reduction and explain about the calorie content.
- Blood pressure: Maintain to 140 / 80.
- Lipids: The lipid levels are checked & maintained.
- Monitoring: Most of the patients are TYPE 2 Diabetics. Blood monitoring is not indicated. Here it is explained to the patients that we base their treatment on their HbA1C levels. Urine testing sticks should be put on repeats. Twice weekly monitoring is adequate. If patients feel unwell, more frequent testing of urine is required, ideally daily.
- Understanding Complications: Patients are educated about the possible sequelae of poor control. Retinopathy, neuropathy, nephropathy and accelerated atherosclerosis associated with diabetes, namely cerebrovascular disease and ischaemic heart disease are briefly covered. Patients are educated that with regular monitoring, many of the complications can be prevented, if detected early.
- Retinal Screening: Patients are encouraged to undergo retinal screening to prevent further complications. Foot Care: Patients are advised to take proper foot care.
- Moderate intake of carbohydrates and fats in diet.
- Exercise daily for at least 30 min. (If you are a heart patient, you must ask your doctor for the exercises you should or should not do).
- Practice Yoga regularly.
- If you know that you are diabetic, get your sugar levels checked every six months or as advised by your doctor.
- Avoid fried, sweet and fast foods
- Avoid mental stress. It is a known aggravating factor for diabetes.
- Instead of having 3 large meals a day, try having small meals through the day.
In such cases our programs at bodhin are beneficial to patients. Homoeopathy is based on the principle that disease is a total affliction of body. Moreover homoeopathy recognizes importance of root cause such as genetic and inherited factors as a root of any ailment of the body.
Timely-administered homoeopathy medicines not only assist in maintaining levels of sugar, protein and fat metabolism, but also helps in preventing further progress and hence complications of the disease. Homeopathy sees diabetes as a reflection of the body's inability to function optimally, an imbalance that results in the body's incapacity to effectively utilize the insulin that it produces, or to produce sufficient insulin for its needs.
The metabolic condition of a patient suffering from diabetes requires both therapeutic and nutritional measures to correct the illness. Along with the patient's strict compliance to a proper diet, homeopathy can regulate sugar metabolism while helping to resolve metabolic disturbances that lead to diabetes. Furthermore, homeopathy helps stimulate the body's self-healing powers to prevent health conditions related to the illness.
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