August 23, 2017   
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11healthIn continuation of ongoing series of Endocrinology and Homoeopathty of the Homoeopathic Medical Association of India (HMAI), Delhi State held the latest CME on Diabetes and Homoeopathic  Approach amongst the large gathering of Homoeopathic doctors at Nehru Homoeopathic Medical College & Hospital. Dr.A.K. Gupta, President HMAI Delhi introduced noted Diabetologist , Guinness Book of World Record holder ,Chairman Delhi Diabetes Research Centre , Dr.A.K.Jhingan , Dr. Rahul Tiwari, Homoeopathic Consultant & Dr.Saurav Arora,Founder Initiative to Promote Research in Homoeopathy as speakers for the deliberations on Diabetes & Homoeopathy. Diabetes is prevalent disease.

India has nearly 67 million diabetic patients . Diabetes is a disorder in the utilization of nutrients due to lack of Insulin which results in raised Glucose levels and may lead to vascular complications in long run like Heart disease, Stroke , Blindness, Kidney failure & Gangrene, etc. World over, India ranks 2nd  in number of people with diabetes said Dr. Gupta, Founder Director AKGsOVIHAMS (Om Vidya Institute of Homoeopathy and Allied Medical Sciences). He informed that Diabetes is a disease which can be tackled effectively by creating Awareness, Modification in Lifestyle, Proper Dietry Regulation, Management , Exercise and off course medication. He emphasised that it has been seen that Patients those who were on Anti diabetic treatment for many years and now not responding to the treatment and change for more potent or combination of  medicines are required at that stage patients started homoeopathic treatment and after some time they started responding to same old milder medication.

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Estimated global prevalence of diabetes – In year 2000 it was 151 Million , in 2014 it was 387 Million and in 2035 it is expected to be 592 Million DIABETES COMPLICATIONS Coronary  Artery  Disease  (CAD) -21.4% Peripheral  Vascular Disease  (PVD)- 6.3% Retinopathy – 17.6% Nephropathy – 2.2% Neuropathy – 26.1% Dr.Jhingan described that diabetes mellitus is of Type I  & Type II . Type 1 diabetes results from the body’s failure to produce insulin, and presently requires the person to inject insulin. The symptoms are Frequent urination, Unusual  Thirst, Excessive Hunger ,Unusual weight Loss and Extreme Fatigue and Irritability. Type 2 diabetes results from insulin resistance, a condition in which cells fail to use insulin properly, sometimes combined with an absolute insulin deficiency. Patients  have the Symptoms as Frequent Infections ,Blurred Vision, Cuts/bruises that are Slow to Heal, Tingling/Numbness in the hands/feet , Recurring Skin, Gum, or Bladder infections.

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Type 2 diabetes management involves: Glycemic control , Lipid management, Blood pressure control, Weight management and Management of other cardiovascular risks                For Prevention of Diabetes Lifestyle Modifications are Recommended eg .Weight loss Regular physical activity  & Dietary changes to promote weight loss – More fiber, fruits, and vegetables , – Less “processed” food ,- Smaller portions , – Fewer high-caloric/high-dense foods.

  • How can you reduce your risk? Get physically active
  • Healthy eating
  • Weight management
  • Adopt healthy habits
  • Regular check-ups
  • Manage Stress

Lose weight Gain life . Eat Right And Exercise If overweight, losing 5-10% of body weight can reduce risks for Type 2 diabetes Safely lose weight with:  Healthy eating &  Physical activity

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Adopt healthy habits

  • No tobacco
  • Get plenty of sleep
  • Limit Alcohol intake

Regular Check-ups

  • See your doctor at least once a year for a complete check-up
  • Age/gender appropriate screenings
  • Regular Dental & Eye Check ups

Manage stress Take time to relax Pace yourself and your activities Get enough sleep Make time for fun Regular physical activity Yoga & Meditation

  • While yoga cannot cure diabetes, it can complement the life style changes necessary to keep diabetic symptoms in check.
  • It makes you feel more in control of your health and well being.
  • Yoga exercises gently tone up and shape the body, improve posture and flexibility.

Most yoga exercises have a preformed effect on improving blood circulation, especially to extremities.

  • A yoga exercise helps keep the blood vessels elastic and when combined with relaxation training, reduces high blood pressure.
  • By releasing muscle tension and teaching you how to relax at will, yoga relaxation techniques help reduce the harmful effects of physical and mental stress.
  • Daily practice of meditation shows you a quiet, restful, stable part of yourself that supports everything you do.

Yoga also teaches us how to draw on these inner resources for the strength and health.

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Hypoglycemia – When the Blood sugar level goes Lower than the minimal  normal range. It can be a dangerous condition . Which can happen in people with diabetes who take medicines that increases Insulin levels in the body. Taking to much medication , skipping meals eating less than normal , or exercising more than usual can lead to low blood sugar for these individuals.when Sugar level goes down to 30-40. Symptoms –  Blurred vision, Rapid Heartbeat, Sudden Nervousness,  Profound unexplained weakness, Dizziness, sweating ,Unconsciousness, Seizure or coma. Rule of 15 –    Give 15 gms of easily digestible carbohydrates  eg . 1 tablespoon of  Honey. Diabetes “ABCs” A for A1C Test B for Blood Pressure C for Cholesterol Helping patients manage their “ABCs” will help lower their risk of having a heart attack, a stroke, or other complications (eye disease, kidney disease, nerve damage) “CHANGE YOUR LIFESTYLE BEFORE DIABETES CHANGES YOU”

11health4 Dr. Rahul Tewari gave an overview of the effect of Homoeopathic Medicine with multidimensional approach to Diabetic patients with various symptomatology .  Homoeopathic Medicines like Acid Phos , Acetic Acidhas the marked indication of dehydration & Thirstlessness. Abies  Candensis  in the cases with increased appetite  with tendency to eat beyond the capacity of abdomen. Syzygium Jambulosum for Frequent Urination.  For fatigue etc. Cinchona Officinalis, Alfa Alfa has been found very effective.  Avena Sativa , Gentian Lutae with the indication of Weight loss . Patient with Frequent infections can be helped with Echinacea and Hydrastis. Another common problem of diabetics is Erectile Dysfunction or Impotency  where Homoeopathic medicines like Damiana, Ginseng  etc.  with their indications has been  found very effective . Diabetic patients  may have Psora , Syphillis and Sycosis all three  Miasms and are being treated with corresponding remedies selected on Miasmatic predominance. RESEARCH CAPSULE BY HMAI DELHI STATE  (First Ever)

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Dr.A.K. Gupta President HMAI Delhi introduced the  RESEARCH CAPSULE  for the first time in CME and said that it would be a regular feature in future and apprise about the Research in Homoeopathy all around. Dr.Saurav Arora, Founder Initiative to Promote Research in Homoeopathy threw light  upon t the various research and studies conducted pertaining to Diabetes.

  1. Effect of homoepathic preparation of syzygium jambolanum and cephalandra indica on gastrocnemius muscle of high fat and high fructose – induced type 2 diabetic rats.     Homeopathic preparations of S. jambolanum and C. indica in mother tincture, 6c and 30c were used to examine the molecular mechanism of antidiabetic effects in the skeletal muscle of rats with high fat and fructose-induced type-2 diabetes mellitus. • After 30 days treatment, fasting blood glucose, serum insulin and insulin signaling molecules in the skeletal muscle (gastrocnemius) were measured • In the present study homeopathic preparations of S. jambolanum and C. indica, including ultramolecular dilutions exhibit antidiabetic effects, improving insulin action through activation of insulin signaling molecules in skeletal muscle of type-2 diabetic rats. Homeopathy 2013; 102(3): 160–71 http://www.homeopathyjournal.net/article/S1475-4916(13)00036-2/abstract
  2. Ameliorating effect of mother tincture of syzygium jambolanum on carbohydrates and lipid metabolic disorder in streptozotocin – induced diabetic rat: homoeopathic remedy.   An attempt was made to investigate the remedial effect of Szygium jambolanum on carbohydrate and lipid metabolic disorders on streptozotocin induced diabetic rat. • S jambolanum significantly decreased fasting blood glucose levels and improved carbohydrate metabolic key enzyme activities in hepatic tissue i.e., hexokinase, glucose-6-phosphate dehydrogenase and glucose-6-phosphatase in diabetic rats. • Alongside, serum lipid profile biomarkers (TG, total cholesterol, LDL, VLDL and HDL were significantly ameliorated in homeopathic drug supplemented diabetic animals. • The results of the present study indicate the promising role of homeopathy on induced diabetic, carbohydrate and lipid metabolic changes in mice. Journal of Natural Science, Biology and Medicine 2013; 4(1): 68–73 Full Text Link: http://bit.ly/2jMZrYt
  3. Syzygium jambolanum and cephalandra indica homeopathic preparation inhibits albumin glycation and protect erythrocytes: an in vitro study.    The study investigated the antiglycation potential of Syzygium jambolanum (Sj Q, 30c, 200c), Cephalandra indica (Ci ф, 30 c, 200c) in human erythrocytes. • Sj Q inhibited glycation, structural modifications except amino group protection. • Sj preparations showed notable reduction of glycation, structural modifications. • All homeopathic preparations showed significant erythrocyte protection. • Sj Q preparation exhibited antiglycation and cell protection ability. Homeopathy 2015; 104(3): 197–204 http://www.homeopathyjournal.net/article/S1475-4916(15)00012-0/abstract
  4. A prospective multi-centric open clinical trial of homeopathy in diabetic distal symmetry polyneuropathy     A prospective, multi-centre, observational study where 247 patients were followed. Lyco, Phos and Sulph were most commonly used. This study suggests homeopathic medicines may be effective in managing the symptoms of diabetic polyneuropathy patients. Further studies should be controlled and include the Quality of life (QOL) assessment. http://www.sciencedirect.com/science/article/pii/S147549161300009X
  5. Observational study of homeopathic and conventional therapies in patients with diabetic polyneuropathy.  Complementary homeopathic therapy of diabetic neuropathy was feasible and promising effects in symptom scores and cost savings were observed. http://www.sciencedirect.com/science/article/pii/S147549160800129X
  6. Role of complementary medicine in type 1 DM in two swiss centres    Insulin replacement is the only effective treatment of type 1 Diabetes mellitus (T1DM). • In this study the author assessed by questionnaire that out of 342 patients with T1DM, 48 (14%; 13.4% adult, 18.5% paediatric; 20 male, 28 female) used complementary medicine (CM) in addition to their insulin therapy. • The purpose of the use of CM was to improve general well-being, ameliorate glucose homeostasis, reduce blood glucose levels as well as insulin doses, improve physical fitness, reduce the frequency of hypoglycaemia, and control appetite. • The modalities most frequently used are cinnamon, homeopathy, magnesium and special beverages (mainly teas). • Thus, good collaboration between health care professionals will allow optimal patient care. Praxis (Bern 1994). 2009 Sep 9;98(18):1001-5. http://bit.ly/2l7a1KF
  7. Use of complementary and alternative medicine in children with type 1 DM – prevalence, patterns of use and costs.  A self-completed anonymous questionnaire was administered to parents of children with type 1 diabetes in four pediatric diabetes centers in Germany (Leipzig, Berlin, Stuttgart, and Bonn). • Two hundred and twenty eight (65.9%) of 346 families completed the survey. • Mean age of the diabetic patients was 11.9 +/- 3.8 yr. • The conclusion was that the use of CAM in children with type 1 diabetes is less common than that documented for adults. Parents using CAM do not question the need for insulin. When using CAM, improved well-being and quality of life are important considerations where CAM can have a role. Pediatr Diabetes. 2008 Jun;9(3 Pt 1):228-35. https://www.ncbi.nlm.nih.gov/pubmed/18331412

Journal  of Evidence Based  Complimentary & Alternative Medicine 2156587215593656  first published on  July 7 , 2015 273 diabetics and 355 non diabetic subjects were interview in this cross sectional survey. Lack of insulin, frequent urination, hypertension, and poor wound healing were identified most frequently as the cause, symptom, association, and complications. A total of 35.5% to 46.5% said that diabetes was preventable; 14.1% to 31.9% knew that diabetes was controllable rather than curable. Consumption of planned diet, avoiding sugar, and testing blood sugar were the most frequently identified components of healthy lifestyle, diabetic diet, and diagnostic domain. While summing up Dr.A.K.Gupta, President HMAI Delhi & Director AKGsOVIHAMS said that Daibetes is a controllable disease. Patients are advised not self medicate with medications instead must be taken under the guidance of qualified homoeopathic doctor. All experts suggested   Change Lifestyle Before Diabetes Changes you  and  integrated  treatment with Homoeopathy and Exercise can add years to the lives of diabetics. For more log on to www.ovihams.com

                                                                                                Dr.A.K.Gupta, MD(Hom.)

                                                                                                President HMAI Delhi

                                                                                                drakgupta@ovihams.com

                                                                                                M – 9811341238