What is Diabetes Mellitus (D.M.)?

If we try and understand how & why Diabetes Mellitus occurs then I think, we will be able to take care of this condition more efficiently.The concept of Diabetes Mellitus is commonly known as “there is a rise in the Blood Sugar Level & the patient has to follow any dietary restrictions & a definite Workout regimen.”

A large portion of the food we consume is converted into a sugar called Glucose, after digestion. It is this sugar that acts as a fuel for the body & from which we get energy essential for our day-to-day activity. For this, the blood sugar is to be utilized by body cells a hormone called Insulin; which is secreted by beta cells in the pancreas. If due to some reason the amount of this hormone produced by the body becomes less or its quality is not as good as per requirements, then this sugar in the blood can not be utilized by body cells and hence starts accumulating in the blood itself & this results in Diabetes Mellitus(D.M.).

That is to say despite high blood sugar concentrations, the body of a diabetic person remains starving due to the inability to utilize it. Bad effects of these two factors viz.– Excess sugar in the blood and Tissue starvation start taking place gradually in the body of a diabetic.

Vital organs that are primarily affected due to D.M. are the Eyes, Kidneys & Nerves. Although the blood sugar is controlled with the conventional treatment i.e. Hypoglycemic agents / Insulin, these medicines fail to control the effects of tissue starvation as well as the progress of disease & hence, failing to arrest the complications of the disease completely which on the contrary Homoeopathy does.

HOMOEOPATHIC TREATMENT OF D.M.

Yes, Homoeopathy treats Diabetes Mellitus (D.M.) in a better way & avoids complications along with disease control. While treating with Homoeopathy according to standard Homoeopathic principles, prime importance is given to the patient along with his disease pathology.

We study the constitution of the patient (both Physical as well as psychological). Development & alterations in the constitution from the birth of date are studied. Life History is studied for any major diseases & important events giving rise to stress on the constitution to derive it from Normal to Abnormal (i.e. Diseased). Family history is studied in detail for the Genetic background & predisposition to the diseases. Thus the constitution is deeply studied from all angles & in all respects & then the patient is prescribed medicine that is capable of covering all the above-considered factors.

WHAT HAPPENS WITH HOMOEOPATHIC TREATMENT

As soon as we start with Homoeopathic Treatment we don't expect an immediate fall in Blood Sugar Level, because we don’t treat the Blood Sugar Level (BSL), but the patient.

Primarily patient starts feeling well, feeling a bit better in general. This is a very important subjective sensation called the feeling of being well. Homeopathic medicine firstly concentrates on the insulin function so that cells start utilizing the glucose in the blood & their starvation is stopped. As the effect of the medicine is gradually established the troublesome symptoms (e.g. burning of soles, nocturnal urination, excess hunger or thirst, irritability, etc.) start reducing their intensity, although they persist. Then some symptoms start disappearing occasionally. That is to say – the frequency of symptoms gets altered & gradually starts dropping.

Although Blood Sugar Levels remain high in the initial period of treatment the complications due to cell starvation are arrested & even can be reverted as the insulin function is improved. The body’s coping process is improved & thus chances of going into complication are further reduced. Over a period, the patient keeps improving gradually in a general way. His postprandial Blood Sugar Levels & diurnal shoot-ups are controlled first, although fasting Blood Sugar Levels remain on the higher side. This can be well proved at this moment by the drop in Glycosylated Hemoglobin which is a special test internationally approved. Once the Blood Sugar Levels are well-controlled patient’s previous medications (e.g. Oral Hypoglycemic Agents / Insulin etc.) are tapered gradually & if possible, stopped completely.

Once the Blood Sugar Levels are completely controlled with only homeopathic medication for at least 6 months, dietary restrictions can be gradually released over a period, keeping watch on Blood Sugar Levels. If Blood Sugar Levels are within normal limits despite no restrictions, a patient can be considered to be cured & homeopathic medicines can also be gradually tapered & stopped. The patient is observed for at least the next 3 years for general health & recurrence even after stopping the homeopathic treatment. Early detection & early treatment has a definite role in the success rate of curability of the disease.

PREVENTION

  • Proper Homoeopathic Treatment is known to prevent the disease in genetically predisposed individuals. The incidence rate of Diabetes Mellitus (D.M.) can be substantially reduced in Persons with positive Family history by taking the following precautions
  • Dietary habits - Excess of fasting, eating, oily, fatty, sweets, etc.
  • Regular exercise
  • Diabetes mellitus is a disease that is known to everybody nowadays. It comprises a group of common metabolic disorders that share the phenotype of hyperglycemia (Increased level of glucose in blood plasma). It results from defects in insulin secretion (Type 1), Insulin Action (Type 2), or a combination of these factors.
  • PATHOGENESIS

    I. Type 1 Diabetes Mellitus (D.M.):

    This type of Diabetes Mellitus is characterized by an absolute lack of insulin, which is why the patients are always in the need of Insulin. It is previously called Insulin Dependent Diabetes Mellitus(IDDM). The absolute lack of insulin is due to beta cell destruction. There are three main mechanisms responsible for beta cell destruction is Genetic Susceptibility, Autoimmunity, and Environmental Insult. These factors of genetic predisposition and environmental insult cause an unnecessary immune response against normal functioning beta cells. This immune response triggers autoimmunity, which causes beta cell destruction. When the destruction of beta cells occurs, no insulin secretion occurs in the bloodstream that causes Type 1 Diabetes Mellitus.

    II. Type 1 Diabetes Mellitus (D.M.)

    Type 2 Diabetes Mellitus is characterized by a decrease in the beta-cell secretion of Insulin or a decreased response of the tissues which respond to insulin, i.e. insulin resistance. The main factor involved in the pathogenesis of Type 2 Diabetes Mellitus is the environmental factor. Obesity is one of the most important causes although genetic predisposition is also important which causes deranged insulin secretion and cause hyperglycemia. This hyperglycemia causes beta-cell exhaustion and a decrease in insulin secretion. Other metabolic disturbances cause reduced responsiveness of tissues to insulin action called insulin resistance. It is a major factor in the development of type 2 Diabetes mellitus.

    Diabetes mellitus causes secondary pathophysiologic changes in the multiple organ systems. Most likely, the complications of Type 2 Diabetes Mellitus are adult blindness, non-traumatic lower extremity, amputation of the foot (diabetic foot), end-stage renal disease (ESRD), Neuropathy, etc.

    COMPLICATIONS OF D.M.

    The complications of Diabetes Mellitus are categorized into two main groups i.e. Acute and Chronic complications. The acute complications are due to metabolic disturbances. These include DKA (Diabetic Ketoacidosis) and Nonketotic Hyperosmolar state.

    The chronic complication are also categorized into two broad groups:

    1. Microvascular complications:

    These include Ophthalmic Disorders (Retinopathy, Macular edema, Cataract, Glaucoma), Neuropathy (Peripheral neuropathy, Sensory and Motor polyneuropathy), and Nephropathy (ESRD).

    2. Macrovascular complications:

    These include Coronary Artery Diseases (CAD), Peripheral Vascular Disorders, and Cerebrovascular Diseases.

    3. Other complications:

    These include Coronary Artery Diseases (CAD), Peripheral Vascular Disorders, and Cerebrovascular Diseases. Gastroparesis, Diarrhoea, Uropathy, Sexual dysfunction, and Dermatologic complications like Eczema, Cellulitis, and Gangrene of the distal part of the Limbs (Diabetic foot). These include Ophthalmic Disorders (Retinopathy, Macular edema, Cataract, Glaucoma), Neuropathy (Peripheral neuropathy, Sensory and Motor polyneuropathy), and Nephropathy (ESRD).

    PATHOPHYSIOLOGY

    The earliest morphologic abnormality in diabetic nephropathy is the thickening of the glomerular basement membrane (GBM) and expansion of the mesangium due to the accumulation of the extracellular matrix. The glomeruli and kidneys are typically normal or increased in size initially, thus distinguishing diabetic nephropathy from most other forms of chronic renal insufficiency, wherein the renal size is reduced (except renal amyloidosis and polycystic kidney disease). Electron microscopy provides a more detailed definition of the structures involved. In advanced disease, the mesangial regions occupy a large proportion of the tuft, with prominent matrix content. Further, the basement membrane in the capillary walls (the peripheral basement membrane) is thicker than normal.

    Three major histological changes

  • Mesangial expansion is directly induced by hyperglycemia, perhaps via increased matrix production or glycosylation of matrix proteins. GBM thickening occurs. Glomerular sclerosis is caused by intraglomerular hypertension.
  • The exact cause of diabetic nephropathy is unknown, but various postulated mechanisms are hyperglycemia (causing hyperfiltration and renal injury), advanced glycosylation products, and activation of cytokines.
  • Hyperglycemia increases the expression of transforming growth factor-beta (TGF-beta) in the glomeruli and of matrix proteins specifically stimulated by this cytokine. TGF-beta may contribute to both the cellular hypertrophy and enhanced collagen synthesis observed in persons with diabetic nephropathy.
  • SIGNS AND SYMPTOMS

    Kidney failure provoked by glomerulosclerosis leads to fluid filtration deficits and other disorders of kidney function. There is an increase in blood pressure (hypertension) and fluid retention in the body (edema). Other complications may be arteriosclerosis of the renal artery and proteinuria (nephrotic syndrome). Throughout its early course, diabetic nephropathy has no symptoms. They develop in late stages and may be a result of the excretion of high amounts of protein in the urine or due to renal failure, swelling, usually around in the mornings, later general body swelling may result, such as swelling of the legs foamy appearance or excessive frothing of the urine, unintentional weight gain (from fluid accumulation), (poor appetite) and (general ill feeling), headache frequent hiccups, and generalized itching.

    LAB FINDINGS

  • Urinalysis: proteinuria varying from 150 mg/dL to greater than 300 mg/dL, glucosuria, and occasional hyaline casts. Microalbuminuria is defined as albumin excretion of more than 20 mcg/min. A 24-hour urinalysis for urea, creatinine, and protein is extremely useful in quantifying protein losses and estimating the GFR.
  • Renal Ultrasound: Observe for kidney size, which is usually normal to increase in the initial stages and, later, decreased or shrunken with chronic renal disease. Rule out obstruction to Kidney biopsy.
  • Homeopathic Approach to Diabetic Nephropathy: Each patient has a specific constitution. By this, we mean that each person has a specific, individual body, mind & disease. That is why different people get diabetes at different times, of different severity, with different complications & varying responses to the same treatment. Each patient suffering from diabetic nephropathy is differently presented in front of us. The cause is different as well as the effects are different & the course is different. Hence the treatment must be different in each patient with Diabetic Nephropathy.
  • STRESS

    Recent findings in modern medicines emphasize the psychosomatic factor in Diabetes Mellitus (DM). It has been repeatedly verified that stress is a primary contributor to the Diabetic process. If stress is removed, there is a significant improvement in health, With every stage of diabetic complication, the stress factor gets increasing so stress causes diabetic nephropathy & which again increases the stress. Each patient has its stress factors, whether minor or major, that is aggravating all his sufferings. We should identify all these stresses & other causative factors which are the root cause of the disease & treat it with minimum. Homeopathy is the only way to take over all the stressors & causative factors of a patient with diabetic nephropathy & can control his glucose level & restore health. It also prevents the patient to enter into further complications of diabetic nephropathy. That is also without any side effects so Homoeopathy makes his life peaceful though along with Diabetes Mellitus (DM).

    When we diagnose a patient with Diabetic Nephropathy, we are considering only the tip of the iceberg, which we can see, but the origin is much deeper & hidden. Here we need a holistic approach. Where diabetic nephropathy is not the thing to be treated; it is the man suffering from it. In Homoeopathy, we try to find a medicine to suit the constitution of the patient, the physical attributes as well as the various complications of the patient. That is why a homeopath prescribes a different remedy for different patients with diabetes. Homeopathy treats the constitution of a person. The Constitution of a person is a combination of his mind & body. His mind and body have to work in synchronization with each other.

    Every constitution has its characteristics. They are to be identified and the treatment should be based on these characterizing features.

    INCLUDES STUDY

  • Life Space (Psycho-Sexual & Socioeconomic Status) Thoughts
  • GENETIC PREDISPOSITION
  • INTERPERSONAL RELATIONSHIPS
  • BEHAVIORAL TYPE
  • PHYSICAL CONSTITUTION
  • PHYSICAL GENERAL SYMPTOMS
  • Particular Symptoms To achieve control over Diabetes Mellitus, We prescribe:
  • Acute indicated remedy
  • Anti-miasmatic remedy
  • Deep acting constitutional therapy
  • Correction in diet and regimen
  • Usually, every patient with DM is advised to be in strict control of his diet all through his life. But I suggest them to strictly control diet only for 3-6 months according to his improvement. Once the patient settled with Homoeopathic medicine by getting control & maintaining the glucose levels, I used to suggest them to have their normal diet with a limitation on starchy food. The purpose behind this is only, that my patient should get a full nourished diet. The continuous, long time strict diet control may hamper his heart, circulation, his energy levels & it may produce hypoglycemia & which can be more dangerous to his health.

    WHY SEARCH CLINIC?

    Dr. Shailesh Deshpande Search Homeopathic Clinic is the Best Diabetes Mellitus treating Homeopathic Clinic in your City. It not only provides remedies to Diabetes Mellitus but also to the disorders you are facing other than that. The solutions are provided by our Homeopathic practitioners who are experts in this field for years. They have been helping people with their care and knowledge. In Search Clinic, you will experience the difference in your health in approximately 1- 3 months. Though Homeopathy is slow working medicine you will see guaranteed results in due course of time. You will get the perfect Diagnosis for Diabetes Mellitus Treatment in PCMC, Pune at Search Clinic.

    Don’t Suffer in Pain, Get your sickness cured as us permanently.