DIABETES nature and tips for best treatment

DIABETES

Dr S. Chidambaranathan B.H.M.S, M.D Homeopathy Doctor Madurai   (Treatment avail for all people around the world)

The TipToe thief of Health

Diabetes is a tiptoe thief of health . It can damage any part of the body except hair, nail and teeth (any how, it can make them to fall). Diabetes also remains as an excellent basement to promote many diseases, for example, heart diseases, stroke , blindness, kidney failure, nerve disorders, recurrent boils, etc. One cannot realize, when diabetes had entered their body and where all it had made damages. So, after the age of 40, to have better health, it is always worth to have routine check ups at the least once in a year (especially in those who have family history of diabetes).

Diabetes is named after the Greek word “Diabainein” which means for “passage through”. It actually means that nutrients of food (especially sugar / glucose) just pass through the body with out any utilization accompanied with excessive urination and voracious thirst. Here as glucose required by body is simply passed in the urine, tiredness and loss of weight becomes unavoidable. Many people would think that high intake of sugar causes diabetes. Actually it is not so. It is because of failure to utilize the sugar with failure in production of insulin (hormone secreted by beta cells of Islets of langerhan’s in pancreas) or with the development of insulin resistance in cells. The condition is just like looking for the water in midst of sea. Here, in spite of having good amount of water and glucose, more craving for water and sugar occurs due to body need. Commonly, Diabetes is named as SUGAR against its sweet urine (as it contains glucose).

INCIDENCES 

Over 30 millions of people are suffering (living) with diabetes in India. Diabetes can attack any one at any time. Even though it is commonly seen in elderly people and pregnant ladies, it can occur even in new born babies or even in gestational period. Also, its incidences are more common in stressed out people (upper and middle class people), obese personalities, sedentary workers, hypertensive patients and those who have family history of diabetes. Diabetes is also treated as Ancestor’s treasure where one cannot simply avoid it. Any how, sufferers can surely lead a healthy normal life provided they follow stress reduction, strict diet , adequate physical activities, regular medications, and follow healthy life style.

Diabetes is actually a multidimensional disease. It can be treated as a
Nutritional disease

Glandular disease (pancreas)

Hereditary disease

Life style disorder

Diabetes, in general refers for Diabetes Mellitus . The other form of Diabetes is Diabetes insipidus. It is a rare disease where one will have excessive thirst and excessive urination, but not sweet urine, i.e., glucose will not be there in urine and also there won’t be any elevation in blood glucose levels. Insipidus is named after the Latin word tasteless. Diabetes insipidus commonly occurs due to kidney disorders especially due to lack of Anti-Diuretic Hormone (ADH – also called as vasopressin – secreted by kidney). Here, kidney cannot concentrate the urine and the urine will be in excess in much diluted form. Diabetes Insipidus can also occur due to various prolonged medications (drug induced). Here most of the symptoms are related with dehydration. Simply, more amount of water can maintain this condition.

Further, Diabetes mellitus has two forms

Type I diabetes or Insulin Dependent Diabetes Mellitus (IDDM)

Type II diabetes or Non Insulin Diabetes Mellitus (NIDDM)

Types and Symptoms of Diabetes

Type I Diabetes or Insulin Dependent Diabetes Mellitus (IDDM) – In this type of Diabetes, the pancreas fails to produce hormone insulin due to which food is not properly metabolized resulting in high blood sugar level and the patient need of insulin shots to combat high blood sugar level. This type of Diabetes also called as Juvenile diabetes is more commonly seen in children. It may be because of Auto-immune response against Beta cells of Islets of Langerhans cells in pancreas.

Type II Diabetes or Non Insulin Diabetes Mellitus (NIDDM) - In this type of Diabetes the pancreas produces adequate insulin but here body craves more and more insulin, since cells fail to make use of it due to development of insulin resistance. This type of Diabetes is very common and is commonly seen in elderly people.

Gestational Diabetes - Diabetes may also occur temporarily in pregnancy period called as gestational diabetes. It is just like that of Type II diabetes (NIDDM) troubling mainly because of hormonal changes. Its incidence is around 5% of pregnant ladies. It most commonly begins in second trimester of pregnancy and get subsides once the child is delivered.

Symptoms of Diabetes

Diabetes is usually called as a silent killer, since most often in initial period, there won’t be any alarming symptoms at all. Also patients use to get accustomed to the situation, i.e., with more water and food. So unless otherwise one goes for screening with lab investigations, one cannot rule out the diabetes. Also, its symptoms presentation will differ from one another according to heightened levels of sugar in blood. Any how, common warning symptoms are

• Voracious thirst and excessive fluid intake (medically termed as Polydipsia)
• Increased hunger / appetite (Polyphagia) and craving for sugar
• Excessive urination and frequent trips to toilet – (Polyuria) – especially at night
• Unusual weight loss or obesity
• Exhaustion / tiredness with tremours
• Sleeplessness or disturbed sleep
• Lack of concentration, confused mind, memory loss & irritability
• Vague pain / cramps
• Numbness and tingling sensation in extremities or in any parts
• Burning feet / hands
• Sweet smelly urine
• Dryness of skin (with or without itch) and mucous membrane (example – dryness of mouth)
• Development of recurrent boils
• Delay in wound healing / gangrene formation
• Blurred vision
• Recurrent urinary tract infection
• Development of vascular problems – BP, Stroke, Vasculitis, etc
• Development of foot complaints due to numbness / prone to infection

Symptoms of Diabetes in males

• Development of cracks in the foreskin of penis due to development of dry skin
• Lack of interest in sex
• Erectile dysfunction and Impotency
• Early ejaculation

Symptoms of Diabetes in females

• Development of cracks in the vagina due to development of dry skin
• Recurrent cervicitis with white discharges
• Development of infection with Intra Uterine Contraceptive Devices (IUCD)
• Painful sexual activities
• Lack of interest in sex
• Development of Polycystic ovarian disease (PCOD) due to hormonal imbalance
• Infertility with ovarian dysfunction

Symptoms of Diabetes in pregnancy or gestational period – Sufficient pre-caution and treatment should be taken for this type of diabetes or otherwise

• Miscarriages
• Congenital deformities of foetus
• Respiratory distress of foetus
• Intra uterine death or postnatal death of foetus
• Difficulty in delivering hefty or overweight baby (Macrosomia)
• Jaundice due to hyperbilirubinaemia can occur. To be in safer side, it is better to go for Caesarian section to deliver baby in these conditions. Study shows that these mothers will have tendency to develop diabetes later in their life.

Symptoms of Diabetes in children

• Dullness and Poor concentration
• Behaviour problems
• Flabby child
• Frequent urination
• Abdomen pain
• Nausea and Vomiting
• Changes in vision
• Delay in wound healing
• Fast breathing

As Diabetes, in general can promote infections, boils, ulcers, poor wound healing, heart attack, stroke, nervous disorders, eye disorders, fungal infections, one need to take care of health with proper analysis, treatment and hygienic measures, otherwise complications are inevitable.

Incidence of diabetes is globally alarming due to stressful life style. High level of glucose in blood often remains as a source of infection and lay foundation for many other diseases also. Even though symptoms can give clue to diagnose diabetes (excessive urination / excessive fluid intake / craving for sugar / weight loss / obesity / fatigue / tremour / irritability, etc.), confirmation can be made only after proper testing, since those symptoms can also be a part and parcel of lot of other diseases too. As persistent high level of sugar usually damages nerves, kidney, heart, eyes, etc and many patients used to remain asymptomatic in initial period, routine screening tests / health checkups are absolutely essential to avoid complications, i.e., it is better to get checked if one has

• Crossed the age of 40
• Family history of diabetes
• Past history of gestational diabetes (diabetes during pregnancy)
• Any symptoms of diabetes
• Over weight / drastic weight loss
• Hypertension and High cholesterol levels

In case of diabetic one needs to monitor blood sugar level repeatedly, i.e., at the least once in a month and monitor over all health at the least once in a year (with master health checkups) to combat its complications. It is because, even during medications, blood sugar level can become erratic with much lower levels or higher levels. This sort of erratic nature can cause many complications including coma or stroke (with lowered or high level of sugar). So, one needs to be very cautious and should go for testing / analysis repeatedly to keep the blood glucose at desirable levels.

Diabetes Testing is very simple and can be done very quickly now, i.e., it can be done within a minute. Also it is no way expensive. Tests can be classified in two ways i.e., screening tests and diagnostic tests. Diabetes can be assessed with blood and urine tests. To start with analysis, one can go for urine test ( Semi-quantitative Urine Test / Quantitative 24 hours urine tests) as it is very simple and can showoff the very high level of blood sugar level and elimination / presence of sugar in urine. But it can no way provide confirmation as it is often treated as one of the screening tests. Further in diabetic patients, urine should be screened for protein (microalbuminuria) and ketone bodies. Microalbuminuria in urine indicates diabetic nephropathy and Ketone bodies indicates fat metabolism and ketoacidosis.

Sugar test with urine 

It can be done by any time, but testing after 2 hours of food intake can provide clue about the utilization of foods / glucose in our body. Also collecting of mid-stream urine is important for accurate analysis. Presence of sugar is analyzed by two methods now, i.e. one by old benedict’s reagents and another by latest dipsticks. In case of Benedict’s test, if results shows

• Blue colour – urine sugar is Nil
• Green colour – + (0.1- 0.5 g/dl)
• Yellow colour – ++ (0.5- 1.0 g/dl)
• Orange colour – +++ (1.0- 1.5 g/dl)
• Brick red colour – ++++ (1.5- 2.0 g/dl)

Blood test for sugar – Unlike urine tests, blood test can provide exact sugar concentration of the blood. High blood sugar (Hyperglycaemia) can be clearly monitored from time to time or day after the day with series of blood tests. It can also help physician to adjust the dosage of medicine and to assess the plan of treatment. Blood tests can be done by collecting blood sample from finger prick or from vein in hand.

Finger prick test – is very simple and time saving test. This gives the exact concentration of sugar in blood by analyzing a single drop of blood with glucometer (here for accurate readings, one should wipe off the first emerging blood drop since it may contain tissue fluids). It can be done during fasting / postprandial or in random period.

Even though, blood tests can be done by any time, normally it is analysed with

• Fasting blood sugar (after 8-10 hours fasting) &
• Postprandial blood sugar (2 hours after taking food)

Other than these, if necessary, to have standard value, Glucose Tolerance Test – GTT will also be conducted with series of blood tests with the administration of 75gms of glucose after having fasting blood sugar level. Generally, in random, the values of

• 70 -120mg/dl can be considered for blood sugar under control or normalcy
• 120 – 180mg/dl – can be considered for borderline diabetes
• 180-300mg/dl need to considered for High blood sugar
• Over 300mg/dl needs immediate attention as blood sugar is very high

Fasting sugar test – usually helps to fix the diagnosis. Normally fasting blood sugar level varies between 70-100 mg/dl. The result of fasting blood sugar level over 100mg/dl needs to be closely watched as it may be a borderline or pre-diabetes condition and over 125mg/dl can be taken as confirmation for presence of Diabetes. Any how, it should be re-confirmed after one or two days.

Glucose Tolerance Test – is commonly called as GTT. It is commonly done when there is suspicion for diabetes. This test can help to diagnose the tendency of diabetes or pre-diabetes condition too. It gives better idea about the utilization of glucose in our body. It should be done in continuation of fasting blood sugar test. Here series of blood sample (every half an hourly for 3 hours) will be collected after administering 75gms of glucose to analyse the blood sugar level and body utilization.

In these tests, maintaining high sugar levels after one and half hour needs to be considered for borderline or pre diabetes condition and persistent rise of blood sugar level over 200mg/dl even after 2 hours can be confirmed as Diabetes. For day today management, finger prick test and urine test can provide valid informations, however for analyzing the history of sugar control – Glycated Haemoglobin test comes as a new evolution in diabetes testing.

glycated haemoglobin test – Glycated Haemoglobin test is commonly done after fixing the diagnosis of Diabetes. It is also called as Glycosylated Haemoglobin or HbA1c or Glycohaemoglobin. Unlike other blood tests which reflect blood sugar level or condition then and there, Glycated haemoglobin test can provide better idea about mean / average blood sugar level for the past 2-3 months (around 120 days – supposed to be life cycle period of Haemoglobin). This test measures the sugar concentration attached to the haemoglobin (of red blood cells). So in this test one can have very good idea about sugar control over past 2-3 months. Regarding test results of this Glycated Haemoglobin test, Normal is supposed to be 6.1mmol/l (110mg/dl) or of lower value. Over this value, up to 8mmol/l, one can consider Borderline Diabetes or pre diabetes condition, whereas over 8mmol/l indicates dangerous high sugar levels of diabetes.

Every one should aware that, all positive tests are needed to be re-confirmed by repeat test in a week time since there are various factors which can affect accuracy of the results. Also, o ne should aware that early treatment / early control can avoid complications in future. For that, repeated health assessment / treatment assessment with lab tests are very essential.

Complications of Diabetes

The complications of diabetes usually differ from one person to another. It can arise any where in the body and at any time, i.e., even before diagnosing it or while taking proper treatment. Sometimes heightened dose of diabetic drugs can also cause complications with Hypoglycaemia (lowered sugar level). As both higher and lower sugar levels can damage human body functions or parts, blood sugar level should be always maintained in desirable range. Some people will get alarm of symptoms with changes in values and some other may not.

As a silent killer, diabetes can run its symptoms silently to end in its complications. For example – one might not show any symptoms until he / she develop a heart attack or stroke. So, one need to go for proper analysis and check ups yearly or with any mild discomfort then and there to tackle any presumed complications. Also, in diabetic patients, when there arises any discomfort or tiredness or any alarming symptoms, sufferers should care for those symptoms immediately and should maintain sugar levels at desirable level always. In case of improper care or ignorance, development of damages to heart, kidney, eyes, feet, and skin are inevitable.

Some complications may be very mild (i.e. just tiredness), some may be very annoying (for example – burning pain of feet and hands) and some may be life threatening (for example – coma, heart attack, stroke, etc). Also some complications will be very acute in nature (for example – Coma, Stroke, etc) and some other may be very chronic and slow in progress (for example – Diabetic nephropathy / Renal failure, Diabetic neuropathy, Diabetic Retinopathy, etc). Most often, Diabetic symptoms gets started with tiredness, urinary tract infections or skin lesions. In due course it affects heart, kidney, blood vessels, nerves, fertility, etc.

Common complications in infants / children are

• Jaundice due to hyperbilirubinaemia
• Dullness and poor concentration
• Behaviour problems
• Flabbiness
• Vision problems

Common complications in adults are

In males

• Development of cracks in the foreskin of penis due to dry skin and painful sexual activities.
• Erectile dysfunction and Impotency

In females

• Development of cracks in the vagina due to dry skin
• Recurrent cervicitis with white discharges
• Painful sexual activities
• Development of Polycystic ovarian disease (PCOD) due to hormonal imbalance
• Infertility with ovarian dysfunction

• Miscarriages / Intra uterine death or postnatal death of foetus
• Congenital deformities of foetus
• Jaundice due to hyperbilirubinaemia

Common complications in elderly people are

• Exhaustion / Tremours / profuse sweating / dizziness / fainting
• Depression
• Distorts figure with drastic weight loss or obesity
• Sleeplessness or disturbed sleep
• Lack of concentration / confused mind / memory loss / irritability
• Numbness and tingling sensation in extremities (impaired sensations – sometime there will be loss of sensations)
• Development of foot complaints due to numbness or loss of sensations
• Development of recurrent boils
• Delay in wound healing
• Vascular problems in extremities / gangrene formation
• Blurred vision or loss of vision due to retinal problems / Glaucoma / Cataract /
• Diabetic coma / Heart attack (Triple vessel disease) / Stroke

Almost all the complications of diabetes are irreversible unless otherwise cared in initial period itself. The most horrible of all are

• Gangrene (leading to amputations)
• Retinopathy (leading to blindness)
• Triple vessel disease (leading to heart attack)
• Nephropathy (leading to renal failure)

To prevent diabetic complications, one needs to

• Control sugar level in blood and maintain it in desirable level
• Should never ignore treatment or medicine
• Need to work actively
• Need to take advised / diet food at regular intervals
• Finally, foot care need to be essentially followed by diabetic patients, since any damage can curb one’s movement.

Regarding treatment of diabetic complications, Homeopathy with its symptomatic and constitutional treatment can treat these complications very well. Some times, in spite of keeping good readings with proper treatment / medications, complications can crop up (for example – impotency, burning feet, etc). In those occasions also, Homeopathy can work well not only to control sugar level but also to arrest those complications..

Management and Treatment of Diabetes

Now-a-days, as we advance fast in this fast world with fast foods and tensed life with lack of sleep and exercise, every one use to get ageing disorders (Musculoskeletal, hormonal, etc) somewhat early. As a hormonal disorder, Diabetes can also come early in one’s life (if there is tendency) as a reward for lifestyle changes / tension culture. The persistent job tension, lack of sleep / exercise, worries, anxiety, tension-filled life, overeating, fatty diet, fast foods, smoking, drinking alcohol can often provide a ladder to diabetes to complicate life. So, certainly it needs modification with life style and food along with treatment to keep it under control.

Usually, when high blood sugar is detected in blood / urine, sufferer will get upset and worry a lot for this incurable condition. Actually, they need not be bothered at all, since nothing will go wrong unless until they ignore diabetes and its treatment. Anyhow, one needs to be more cautious, when diabetes joins hands with hypertension and high cholesterol levels, since they can damage heart and kidney at a faster rate. So it is better to go for regular yearly checkups after the age of 40 to detect them early and get treated properly in initial stage itself. Also sufferers need to aware well about Diabetes and Diabetes related disorders to maintain body in good health.

Diet and Management – Undoubtedly, nutrition plays a major role in the treatment of diabetes – But many people will do mistake here.

To avoid high glucose level

• Some may starve by avoiding all the foods
• Some may intend to skip meals
• Some may do overeating at one time and compensate with skipping meals other time
• Some may go on with excess sour / salty / chilly foods to combat sugar in blood(???)
• Some may take medicines in empty stomach and skip meals to lower the sugar level in good manner(?)
• Some may do exercise vigorously without food to lower sugar level
• Some may intend to take overdose of prescribed medicines

Actually all the above are wrong and will complicate the condition more with giddiness and tremor due to high variation of blood glucose level. Everyone needs to aware that too much or too little sugar in blood can cause fainting and coma.

The right way of control is

• Having sugar free or low sugar diet
• Having regular small meals at regular interval
• Having fiber rich and protein rich foods
• Having regular exercise

Further regarding management, one should

Take Care for

• Hypertension
• Cholesterol levels
• Vision with regular checkups for cataract and glaucoma
• Foot and genitals to prevent ulcers
• Numbness and burning in extremities

with proper medications from qualified medical professionals.

Avoid

• Smoking
• Drinking
• Fatty foods
• Obesity
• Ignoring wounds
• Bare foot walking (to care foot)

If everyone follows regular balanced small meals with prescribed medicines and exercise, surely there won’t be any melting down situation in their life.

Treatment – In allopathy, Treatment of diabetes usually varies depending upon the type and intensity of sufferings. Concern of the treatment is to keep the blood glucose levels under desirable levels. As cure cannot be expected in Diabetes, for good control medicines will be prescribed for life time. Dosage may need to adjust at variable time according to attained control and complaints. In case of

• Type I diabetes, insulin will be provided (as injections) as hormonal replacement.
• Type II diabetes, treatment will be provided with anti-diabetic drugs, i.e., with oral anti-hyperglycaemic drugs.

After starting treatment no one should discontinue diabetic medications for any reason. In case of any other complaints, concerned drugs should need to be added along with these drugs and concerned medical professional need to be informed about diabetes and its drugs.

Homeopathic Approach 

Prevention is always better than cure – every sufferer should always have this in mind and should never ignore the treatment to avoid complications. Homeopathy with its symptomatic and constitutional treatment can treat Diabetes and its complications very well. When all the hope is given up, Homeopathy can surely open up a new avenue to comfort one’s life.

In case of startup period of Diabetes or Pre-Diabetes, Homeopathy with treatment can delay or prevent the startup for few more years. If you happened to provide hormone supplement for body requirement in the startup phase itself, it is just like giving poor man money instead of giving him a job or extracting work from him. What you gave will be enough for him for that day only. You need to give him again the next day and in fact life long dependency will be created there itself. In initial phase, homeopathy can help islets cells of pancreas to revive function and can help cells to combat insulin resistance.

Some times, in spite of keeping good readings with proper treatment, food habits and exercise, complications can crop up (for example – impotency, burning feet, etc). In those occasions also, Homeopathy can work well, not only to control sugar level but also to arrest complications. As homeopathic constitutional treatment strengthens our vital stamina and stimulates natural defense mechanism to gain resistance, it can able to combat and curb Diabetes and its complications in a better way.

Homeopathic medicines commonly used in Diabetes patients are Acid flour, Acid phos, Ars alb, Bryonia, Calc carb, Carbo animalis, Carbo veg, Gymnema sylvestra, Kali brom, Kali carb, Lycopodium, Moschus, Nat mur, Nat phos, Nat sulf, Opium, Phosphorus, Sulphur, Syzygium jambolanum, Thyroidinum, Uranium nit, etc. These medicines should be taken under the advice and diagnosis of a qualified Homoeopath.

for new hope

Dr. S. Chidambaranathan, BHMS, MD (Homeo)

Laxmi Homeo Clinic

24 E. New Mahalipatti Road

Madurai, TN 625 001

India

Tel:  +91-452-233-8833 | +91-984-319-1011 (Mob)

Fax: +91-452-233-0196

E-mail:  drcheena@yahoo.com

www.drcheena.in

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(Disclaimer - The contents of this column are for informational purpose only. The content is not intended to be a substitute for professional healthcare advice, diagnosis, or treatment. Always seek the advice of healthcare professional for any health problem or medical condition.)