Efficacy of Comprehensive Diabetes Care (CDC) Management Program in Elderly Male Patients of Type II Diabetes Mellitus: A Retrospective Study

Abstract

Globally, Diabetes mellitus (DM) prevalence has created menace, being a major culprit of increased mortality and morbidity and health care expenditures. India is the 2 nd country with maximum number of diabetic patients, with an estimated prevalence of around 10%. Comprehensive Diabetes Care (CDC) is a combination of Panchakarma and Diet management. This study was conducted to evaluate the effect of CDC on glycosylated haemoglobin (HbA1c), body mass index (BMI), body weight, abdominal girth and dependency on conventional therapy in DM Patients. This retrospective study was conducted from July 2017 to January 2018, wherein the data of elderly male type 2 DM patients (HbA1c >6.5%) who attended Madhavbaug clinics in Maharashtra, India were identified. Data of patients who were administered CDC (60-75 minutes) with minimum 6 sittings over 90 days (± 15 days) were considered. Variables were compared between day 1 and day 90 of CDC. Out of 48 enrolled elderly male patients, 34 were included for analysis. CDC showed significant improvement in HbA1c from 8.27 ± 0.96to 7.1 ± 1.30; p=0.0001), BMI from 27.65 ± 3.20 to 25.91 ± 3.29, p< 0.0001), weight from 73.75 ± 10.76to 69.46 ± 10.39, p<0.0001). Abdominal girth (from 100.0 ± 9.08 to 95.36 ± 9.10; p<0.0001), also showed significant reduction. Dependency on concomitant medicines was reduced, with number of patients on no concomitant medicines increasing from 3% to 15%. CDC and allopathy both are found to be efficacious; but CDC acts dually, by reducing HbA1c, as well as reducing dependency on allopathic medications.

Role of Comprehensive Diabetes Care in Known Diabetes Patients from Vidarbha Region

“…Basti. All these procedures acts by reducing glucose production in the liver by inhibit the process of gluconeogenesis, reduction in wear and tear of vascular endothelium, optimization of deranged lipid levels, etc [10].…”

“…Swedana exposes the diabetic patients to high temperature of 40-42 degree Celsius through steam. Such passive heat therapy is postulated to sooth the patient and induce sweating, which get rid of excess of sodium and water load in diabetic patients, which maintains the vascular health and thus reducing the chances of vascular complications [10]. Basti is per rectal administration of herbal drugs like 40% Gudmaar (Gymnema sylvestre), 20% Daruharidra (Berberis aristate) and 40% Yashtimadhu (Glycyrrhiza glabra).…”

“…Basti is per rectal administration of herbal drugs like 40% Gudmaar (Gymnema sylvestre), 20% Daruharidra (Berberis aristate) and 40% Yashtimadhu (Glycyrrhiza glabra). These drugs are known to stimulate insulin release by stimulating the production of islets of Langerhans and beta cells in the pancreas [10].…”

“…The CDC is a 3-step procedure which was performed on the patients of type 2 DM after a light breakfast. One sitting of the procedure took 65-75 minutes, as described in table 1 [10].…”

Role of Aahar and Panchakarma on restoration of euglycemia in known type II diabetes mellitus

“…7 Sane et al reported decrease in HbA1c levels from 8.27±0.96 at day 1 to 7.1±1.30 at day 90. 8 Shingan et al documented a decrease in HbA1c levels from 7.87±1.90% to 5.79±0.51% at day 90. 9 Sane et al observed a decrease in HbA1lc levels from 9.02±1.79% to 6.86±1.24%.…”