Although most people with T2DM have no symptoms in the early stages, the condition is still a concern. Long-term sugar ki dawai can lead to dehydration, and macro, and microvascular complications, and it can damage peripheral nerves, muscles, bones, and joints. Random plasma glucose tests should be performed regularly to monitor the patient’s condition. Hyperglycemia, or high blood glucose, is another complication to watch for.
TCM treatment for diabetes has been proven to help improve insulin sensitivity, stimulate insulin secretion, and decrease carbohydrate absorption. It also acts to address metabolic problems holistically, addressing all contributing factors. This holistic approach to diabetes management is especially helpful in patients with metabolic syndrome, who are often on complicated medications.
The first stage, called stagnation, is the earliest stage of diabetes. Patients with diabetes usually have both stages present. TCM does not measure blood glucose levels, preferring to treat symptoms and patterns of disharmony.
Chinese physicians use a variety of techniques to treat diabetes and associated conditions. One of these is the Five Phases model, which correlates elements with organs. In the TCM model, “deficient” blood is associated with the liver, while “congealed” blood is associated with the spleen and pancreas. Other TCM techniques incorporate your favorite seasons and color, and your predominant emotions. In addition to the Five Phases model, TCM also uses Meridians, which are pathways through which Qi flows throughout your body. Twelve meridians correspond to the major organs in your body, including your heart, lungs, and kidneys.
Pharmacotherapeutic approach to treating diabetes
In the early stage of diabetic disease, a pharmacotherapeutic approach may be indicated to prevent complications. With better screening efforts, the frequency of hypoglycemia in type 2 diabetes has decreased and the use of insulin is often indicated as an initial treatment. Reducing carbohydrate intake and insulin use may also help control glucose levels. While this approach has several benefits, it is not appropriate for all patients.
Currently available therapies for diabetes range from insulin to glucagon-like peptide receptor agonists. These medications target specific enzymes in the pancreas that cause insulin resistance. These therapies also inhibit glucose reabsorption in the proximal tubule. Consequently, they lead to increased excretion of glucose in the urine. Moreover, new ADA guidelines recommend SGLT-2 inhibitors for patients with ASCVD or heart failure. Furthermore, they are mild diuretics and can be useful in fluid reduction.
Another important aspect of a pharmacotherapeutic approach is to reduce the amount of time spent in sedentary activities. Most people with diabetes should aim to do thirty to sixty minutes of aerobic activity a week, or at least 60 percent of their VO2 max, three days per week. However, patients should avoid two days of no exercise.
Intensive glucose control
Large-scale trials conducted among high-risk participants of the Action in Diabetes and Vascular Disease–Preterax and Diamicron Modified Release Controlled Evaluation and Veterans Affairs Diabetes Trial have found that there is no significant difference in cardiovascular outcomes between the groups.
In these studies, HbA1c levels in the intensive group were lower than those in the conventional group. In four studies, the difference was more than 1%, while in three studies, it was less than 7%.
The Diabetes Control and Complications Trial (DCCT) demonstrated that intensive glycemic control reduced the risk of microvascular complications in type 2 sugar bimari ka ilaj by 60% compared to the standard group. The relationship between glucose control and complications was log-linear and extended down to a normal level.
The Chinese medicine approach to diabetes has recently been discovered as a possible alternative treatment for blood stasis syndrome. Blood stasis syndrome is associated with microcirculation disorders, abnormal hemodynamics, and connective tissue metabolism. Patients with DPN suffer from limb numbness, elevated lipids, increased fibrinogen levels, and abnormal rheology. Chinese doctors often combine herbal treatments with acupuncture to achieve better results.
Chinese physicians have added the blood stasis stage to their list of diabetes stages and groups. Although it is not a standard diabetes treatment, modern Chinese physicians have found a significant effect from herbal injections of blood-vitalizing herbs. They found that blood-vitalizing herb injections helped nearly 45% of patients achieve a significant improvement. The results are not conclusive, however.
Various studies have shown that blood stasis is an important pathological feature of chronic DM. It can even lead to blindness. In addition, DPN often results from a lack of yang in the kidney and liver. Consequently, treatment of blood stasis is based on improving blood circulation and clearing collaterals.
There are some good reasons to take chromium supplements for diabetes. In the U.S., chromium intake is low and Americans only get about 50-60 percent of the recommended daily allowance. A recent study revealed that the average intake of chromium for both men and women in the U.S. is only twenty-five and thirty-five milligrams, respectively. Therefore, an adequate daily intake may be less than what a person with diabetes needs.
In a meta-analysis of 28 studies, chromium supplementation significantly reduced fasting glucose, postprandial glucose, and A1C. In another meta-analysis, chromium supplementation reduced fasting blood glucose, triglycerides, and HDL cholesterol. However, there is still a need for randomized clinical trials to prove the effectiveness of chromium supplements for diabetes treatment.
Although the FNB has not established a safe upper limit of chromium in dietary supplements, excessive intake could lead to side effects. Chromium supplements are available over-the-counter in capsule and powder form.
Although some studies show positive results, many have failed to show a significant change in insulin resistance or glucose levels. A recent study conducted in China found that chromium supplements helped improve insulin resistance in people with diabetes. However, such results may not apply to other populations. If you have diabetes, your doctor may prescribe chromium supplements as an adjunct to treatment.
It can improve insulin sensitivity, reduce blood sugar, ease stress, and burn calories. Some benefits of aerobic exercise include improving mood and overall health and building stronger muscles. Regardless of the benefits, you may experience, regular aerobic exercise will improve your overall health and well-being. For more information about the benefits of aerobic exercise for diabetes, visit the American Diabetes Association.
While there are many benefits of aerobic exercise for diabetics, a key point to remember is to keep your blood glucose levels under control. In addition to controlling blood glucose levels, exercise also helps control blood fats, overall weight, and blood pressure. To achieve your goal, aim for 150 minutes of aerobic exercise each week.
Before beginning a fitness program, discuss your goals with your doctor. It’s important to follow the doctor’s recommendations for exercise intensity and duration. Always remember to monitor blood glucose levels before and after exercise. A proper activity plan can help you control your diabetes without increasing your risk of complications. When you are ready to begin your exercise routine, discuss it with your doctor and other healthcare providers. You may need to consult a specialist in exercise physiology or a diabetes educator.