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Efficacy of Comprehensive Diabetes Care (CDC) Therapy in Patients of Type II Diabetes Mellitus: Relapse of the Disease
Nilesh Kulthe,
Karishma Khair,
Rahul Mandole,
Pravin Ghadigaonkar
Issue:
Volume 8, Issue 4, December 2023
Pages:
45-49
Received:
16 September 2023
Accepted:
4 October 2023
Published:
14 October 2023
Abstract: Diabetes mellitus (DM) prevalence is rising worldwide at an alarming rate, with India leading the pack with the highest percentage of people with diabetes. The typical diabetic treatment solutions that are currently accessible have some drawbacks, so some alternate treatments are needed. The traditional medicine of India, Ayurveda, contains many treatments for diabetes and its consequences. This study was conducted to study the CDC's effectiveness in treating T2DM relapse in patients with restored glycemia. A total of 25 patients with restored Euglycemia of either sex and aged between 30-70 years suffering from T2DM and completed 1-year follow-up were included in the study. The Comprehensive Diabetes Care (CDC) therapy, a three-step detoxification procedure- Snehana, i.e. oleation, Swedana, i.e. passive heat therapy, and Basti, i.e. per rectal drug administration and food therapy was administrated to the patients. The data of their clinical parameters were evaluated. The weight, BMI, ABG, SBP, and DBP values were seen to be reduced after 90 days of the treatment but slightly increased after 1-year post-treatment of CDC therapy. Also, HbA1c was found to be reduced after 90 days, and after one year of follow-up, a slight increase in HbA1c value was seen. The overall change was -21.11% (p-value=0.00). The reduction in allopathic medicines was observed after 90 days and also after 1 year of follow-up. Even though 8% of the patients experienced a Type 2 DM relapse, the other 92% were still non-diabetic after one year.
Abstract: Diabetes mellitus (DM) prevalence is rising worldwide at an alarming rate, with India leading the pack with the highest percentage of people with diabetes. The typical diabetic treatment solutions that are currently accessible have some drawbacks, so some alternate treatments are needed. The traditional medicine of India, Ayurveda, contains many tr...
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Research Article
Analysis of C-reactive Protein as an Inflammation Biomarker in Type-2 Diabetes Mellitus Patients at Minahasa, North Sulawesi, Indonesia
Diana Shintawati Purwanto,
Sylvia Ritta Marunduh,
Stefana Helena Margaretha Kaligis
Issue:
Volume 8, Issue 4, December 2023
Pages:
50-53
Received:
16 September 2023
Accepted:
9 October 2023
Published:
28 October 2023
Abstract: C-reactive protein is a non-specific acute phase reactant produced by the liver and endothelial cells. Inflammation or acute infections cause a rise in C-reactive protein, which can be measured to determine the risk of cardiovascular disease. The hs-CRP test can detect CRP at lower concentrations because it is more sensitive, making it more effective than conventional CRP testing methods. This study aimed determine the relationship between hs-CRP levels and fasting blood glucose, and to examine whether there were differences in hs-CRP levels in patients with type-2 diabetes mellitus with or without hypertension, in Minahasa, North Sulawesi, Indonesia. A total of 123 diabetes mellitus patients were included in this cross-sectional study. Subjects were tested for blood pressure, body mass index, fasting blood glucose, and hs-CRP levels. The correlation between hs-CRP and fasting blood glucose had a correlation coefficient (r) 0.404 and p-value 0.000 (<0.05). The average hs-CRP level in type-2 diabetes mellitus patients with hypertension was 148.8 ± 24.9 mg/dL and 55.1 ± 54.0 mg/dL without hypertension. In conclusion, there was a significant relationship between hs-CRP and fasting blood glucose levels, and type-2 diabetes mellitus patients with hypertension also had greater hs-CRP levels than those without hypertension. This suggests that hs-CRP can be used to evaluate a diabetic patient's risk for cardiovascular disease.
Abstract: C-reactive protein is a non-specific acute phase reactant produced by the liver and endothelial cells. Inflammation or acute infections cause a rise in C-reactive protein, which can be measured to determine the risk of cardiovascular disease. The hs-CRP test can detect CRP at lower concentrations because it is more sensitive, making it more effecti...
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Research Article
Effect of Health Education Based on Transtheoretical Model on Frailty and Self-Management in Patients with Diabetic Nephropathy
Wei Qing,
Jiquan Zhang*,
Fan Xu,
Zhaohua Zou,
Xingying Xu,
Hong Xiong
Issue:
Volume 8, Issue 4, December 2023
Pages:
54-59
Received:
31 October 2023
Accepted:
20 November 2023
Published:
29 November 2023
Abstract: Background: In the past 30 years, the prevalence and mortality of chronic kidney disease in China have increased significantly, the Transtheoretical Model and health coaching technology are widely used in the self-management process of patients with chronic diseases, and have achieved good application results. However, there is no research to explore the effect of this model on the frailty and self-management ability of non-dialysis patients with diabetic nephropathy. Objective: To investigate the effect of health education based on Transtheoretical model of change on frailty and self-management in patients with diabetic nephropathy. Methods: In this study, a randomized controlled trial was adopted. from December 2022 to February 2023,80 patients with non-dialysis diabetic nephropathy in the Department of Nephrology of a tertiary hospital in Sichuan Province from December 2022 to February 2023 were selected by convenient sampling method. According to the random number table method, they were randomly divided into control group (n = 40) and experimental group (n = 40). The control group was treated with routine nursing program, and the experimental group was treated with the Transtheoretical model combined with health coaching technology on the basis of the control group, and evaluated by self-management behavior scale and frailty scale. Results: After 6 months of intervention, the self-management score of the experimental group was higher than that of the control group, The frailty score of the experimental group was lower than that of the control group, and the difference was statistically significant (P<0.05). Conclusion: This project improves the level of self-management behavior of non-dialysis patients with diabetic nephropathy and reduces the frailty state, which is worthy of further promotion.
Abstract: Background: In the past 30 years, the prevalence and mortality of chronic kidney disease in China have increased significantly, the Transtheoretical Model and health coaching technology are widely used in the self-management process of patients with chronic diseases, and have achieved good application results. However, there is no research to explo...
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Research Article
Hyperthyroidism at Kara Teaching Hospital About 33 Cases Studies
Djalogue Lihanimpo*,
Mossi Komi Edem,
Tchamdja Toyi,
Djagadou Kodjo Agbeko,
Balaka Abago,
Djibril Mohaman Awalou
Issue:
Volume 8, Issue 4, December 2023
Pages:
60-63
Received:
10 November 2023
Accepted:
27 November 2023
Published:
6 December 2023
Abstract: The objective of this study was to describe the epidemiological, clinical, paraclinical and etiological profiles of hyperthyroidism at Kara Teaching Hospital. This was a retrospective study of the records of patients followed for hyperthyroidism in the internal medicine and endocrinology department of the Kara Teaching Hospital from June 2021 to March 2023. During this study period, 33 (2.24%) of the 1476 patients had hyperthyroidism. Women accounted for 81.82% of cases. The mean age was 44.72 +/- 15.76 with extremes ranging from 10 to 71 years. Goiter was found in 78.79% of cases, followed by asthenia 72.73% and tachycardia 60.61%. The causes of hyperthyroidism were Graves' disease in 36.36% of cases, thyroiditis in 30.30% of cases, toxic multinodular goiter in 27.27% of cases, and toxic nodule in 6.06% of cases. 6% of patients had complications such as cardiothyreosis. The course with synthetic antithyroids was favorable with normalization of thyroid hormones. Finally, 30% of the patients had been operated on. Hyperthyroidism is very common in hospitals in Kara with a female predominance. The clinical signs are varied and the main cause is Graves' disease.
Abstract: The objective of this study was to describe the epidemiological, clinical, paraclinical and etiological profiles of hyperthyroidism at Kara Teaching Hospital. This was a retrospective study of the records of patients followed for hyperthyroidism in the internal medicine and endocrinology department of the Kara Teaching Hospital from June 2021 to Ma...
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