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DIABETES MELLITUS ITS TYPE AND ITS HOMOEOPATHIC MEDICINE
  •   Dr. Sujata Singh |
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  •   27-Sep-2020

DIABETES MELLITUS ITS TYPE AND ITS HOMOEOPATHIC MEDICINE




Diabetes Mellitus is a most common 'Endocrine disease'

It is a metabolic syndrome.

DM characterized by hyperglycemia, due to absolute or relative insulin deficiency.

It is a clinical syndrome characterized by mainly-

Polyuria

Polyphagia

Polydipsia


This alter metabolism of carbohydrates, fat, protein.

Long term complications involving - eye, kidney, nerves, blood vessels.


Prevalence

The prevalence of diabetes mellitus increasing sharply in developing countries because of more sedantary lifestyle.

India and China have largest prevalence of diabetes mellitus.


Classification

Diabetes Mellitus is classified into 2 groups

Primary

Secondary


Primary Diabetes Mellitus

It is subdivided into two types.

Type1

Type 2


Type 1

It is Insulin dependant diabetes mellitus (IDDM)

These are called as "Juvenile type of diabetes mellitus

Absolute deficiency of insulin

Destruction of beta cells

Age <40 years

It is associated with any other autoimmune disease.

Hereditary - HLA-DR3

                     DR4>90%


Sex - common in men

Family history - absent

Onset - sudden

Built - usually thin built

Metabolic decompensation- Acute metabolic decompensation leads to sudden death.

Clinical Feature- Marked Emaciation

Ketoacidosis- Prone

Hyperosmolar coma- less,Nil

Duration of symptoms- Days or week


Type 2

Non Insulin dependant diabetes mellitus (NIDDM)

These are called as maturity onset type of diabetes mellitus.

Partial or relative, Resistance Deficiency of insulin.

Impaired insulin secretion

Increased glucose production

It is due to several genetic and metabolic syndrome.

Age - >40

Hereditary- no HLA connection

sex- common in women

Family History- present

It is associated with obesity and activity

Complication

Slowly resulting irreversible disability

       Death gradually

Built- usually obese

Metabolic decompensation- Chronic Metabolic Decompensation

Clinically - Marked obese

Hyperosmolar coma - may be less or more

Treatment - Oral hypoglycemic drugs

                     Rarely insulin

Duration- month or years


Secondary Diabetes Mellitus

It is other specific type of diabetes.

These is due to damage and disease of pancreas by another disease factor.


Diabetes due to genetic defect

Down syndrome

Turner's syndrome

Muscular dystrophy


Pancreatic disease

Chronic pancreatitis

Cancer of pancreas


Drug Induced

Thiazide diuretic

Steroids

Contraceptive pills


Gastational diabetes

Non pancreatic endocrine disorder

Endocrinopathy

Acromegaly

Cushing syndrome

Hyperthyroidism


Clinical Feature of Type 1st Diabetes Mellitus

Polyuria

Polydipsia

Polyphagia

Weight loss

In severe case - ketoacidosis

Plasma insulin is low

C peptide level is low

Glycogen level is raised


Clinical Feature of Type 2nd Diabetes Mellitus

Polyuria

Polydipsia

Unexplained weakness

Obese individual

Hypoglycemic

Glycosuria

Ketoacidosis in infrequent, mild

Insulin level in plasma- normal to high

Glucagon level raised but resistance to insulin.


Diagnosis

Oral Glucose Tolerance Test

Fasting plasma glucose- 110-126 mg/dl

Random plasma glucose- 140- 198 mg/dl


Patient complaints of symptom suggesting diabetes

Test urine for Glucose and ketone

Fasting plasma glucose- 126mg/dl

Random plasma glucose- 200mg/dl


Preparation before the diet

Unrestricted carbohydrates diet for 3days

Fasting over night for at least 8 hours

Rest for 30min

Remain steated for duration of test, with no smoking


Sampling 

Plasma glucose is measured before and 2 hours after a 75gm oral glucose drink.



Interpretation ( venous plasma glucose)

Fasting hyperglycemia

Fasting- 110-125mg/dl

2hours after Glucose level  <140mg/dl


Impaired glucose tolerance

Fasting<126mg/dl

2hours after 140-198mg/dl


Diabetes

Fasting>126mg/dl

2hours after Glucose level>200mg/dl.



Complications

Diabetic ketoacidosis

Hperglycemic hyperosmolar state

Hypoglycemia

Lactic acidosis

Retinopathy

Nephropathy

Neuropathy

Atherosclerosis

MI

Stroke

Cataract

Coronary artery disease

Peripheral vascular disease



Management of diabetes

Regular physical activity

Observing a healthy diet

Reducing a alcohol consumption

Improving glycaemic control

Nutritional advice

Weight management

Antidiabetic drrug- Metformin,  Thiazolidinediones

Insulin

Alpha glucosidase Inhibitors



Homoeopathic medicine for Diabetes Mellitus

  1. Acidum phosphoricum
  2. Aceticum Acidum
  3. Syzygium Jambolanum
  4. Helonias Dioica


Acidum phosphoricum

It is highly effective medicine for Diabetes Mellitus.

Frequent, profuse, watery, Milky.

Micturition, preceded by anxiety and followed by burning.

Frequent urination at night.

The common acid debility is very marked in this remedy, producing a nervous exhaustion.


Aceticum Acidum

Aceticum Acidum is very important remedy for Diabetes Mellitus.

Large quantities of pale urine.

Diabetes with great thirst.

Debility is very marked symptom of this medicine.

Profuse urination and sweat.

Especially indicated in pale, lean person, with lax flabby muscles.

Great wasting.

Aceticum Acidum  has the power to liquefy albuminous and fibrinous deposits.


Syzygium Jambolanum

Jambol seeds- Enlexing, active principal.,

Syzygium Jambolanum has an immediate effect of increasing the blood sugar, blood sugar, glycosuria results.

There is a great emaciation.

A most useful medicine in diabetes mellitus.

No other remedy cause in so marked degree of diminution and disappearance of sugar in urine.

Great thirst.

Weakness

Diabetic ulceration

Very large amount of urine, specific gravity is high.

Old ulcer of skin.

The seeds powdered, ten grains three times a day, also the mother tincture.


Helonias Dioica

Helonias is very useful medicine for Diabetes Mellitus and insipidus.

Urine is albuminous, phosphatic, profuse and clear, saccharine.

Feet feels numb when sitting in case of diabetes.

Sensation of weakness.

Light colour urine.

Weight, languor, weight in the region of kidney.

Dull ache and heat in region of the kidney.

Worse from fatigue, motion.

Dose- Tincture, to sixth attenuation.


The selection of homoeopathic remedies based on symptom similarities and doses according to the Susceptibility of patient.

Don't take homoeopathic medicine without any prescription / without any advise of physician.

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