Type 2 diabetes and vascular complications a pathophysiologic view,diabetes cure hidden objects,can erectile dysfunction due to diabetes be cured permanently - PDF Books


Diabetes macrovascular complications are diseases of the blood vessels caused in diabetes patients, influenced by factors like high cholesterol, insulin resistance, smoking, high blood sugar, high blood pressure and blood clotting disorders.
Atherosclerosis risk increases manifold with increasing age, obesity, poor control of blood glucose, high fat diet, inactivity, high blood pressure and smoking. Diabetic patients have two times higher risk of developing stroke than those, who are non diabetics. Diabetic patients usually show high blood pressure, which further leads to pressure in small vessels of the brain, leading to stroke. When the blood vessels get damaged, the excess fat gets deposited in form of foam cells on the walls of blood vessels, furthering narrowing them.
These atypical symptoms could be the reason for misdiagnosis and delay in medical assistance that could have prevent serious trouble or death, if symptoms have been recognized early. Usual symptoms include shortness of breath, reduced tolerance of physical activity, chronic fatigue, palpitations, swollen ankles or legs and chest pain.
In patients, with peripheral diabetic neuropathy, there is a chance of developing peripheral arterial disease.
Macrovascular complications are more commonly seen in diabetics with type 2 form than patients with type 1 diabetes. Diabetes is a systemic disease which is characterized by an inability to produce insulin, with its respective hyperglycemia. In my clinical observation, significant number of diabetic patients had a history of liver disease in the past, before the onset of diabetes. Maybe your point regarding the liver works with some enzymes diminishing lipoproteins and tryglicerids. Patients. Do you repertorize your patients' rubrics or prefer to prescribe their remedies according to their keynotes?
Yes, In personal opinion, I think the best way to treat our patients with DM is diminishing the dosis of the conventional medicine BUT progresively.
People with diabetes are at risk of developing ulcerations and infections within their feet, which have the potential to require an amputation of the foot or leg. Our podiatrists are very experienced in the care of people with diabetes, and Anthony Short is a consultant podiatrist to the Queensland Diabetes Centre at the Mater Hospital in Brisbane. One of the lesser known, but most devastating, complications of diabetes is known as a Charcot neuroarthropathy (or a Charcot joint). Charcot neuroarthopathy is a situation where one or more joints within the foot can ‘collapse’ and cause serious deformity and instability, often after a seemingly trivial or inconsequential injury.
Most typically, neuropathic foot ulcers are painless wounds under the joints of the front of the foot, or around the toes. The use of special dressings to heal these wounds is typically not of great importance, and simple sterile dressings are usually sufficient because the focus is on removing pressure from these areas. Our podiatrists will need to see the wound regularly for wound debridements, and to evaluate the effectiveness of pressure offloading approaches. By contrast, ischaemic ulcers are due to a lack of blood supply (caused by peripheral arterial disease) reaching the foot, and necrosis of the skin following often trivial injury. Science, Technology and Medicine open access publisher.Publish, read and share novel research. Inadequate Coping Attitudes, Disordered Eating Behaviours and Eating Disorders in Type 1 Diabetic PatientsRicardo V. Although metformin is first-line therapy for patients with type 2 diabetes, glycemic control fails with metformin alone in many patients. There are three main macro vascular complications of diabetes that happen due to an increased risk of atherosclerosis. By controlling these vital factors one can reduce the possibility of atherosclerosis and inturn the macrovascular complications of diabetes. The symptoms include immobility, impaired speech, tingling or numbness, paralysis in half portion of the body and double vision or blurred vision in one of the eyes.
Diabetics are known to be at five time greater risk of developing heart attack than the normal individuals.
The moment one suspects of heart troubles, should inform doctor, in spite of atypical symptoms.
This poor circulation inturn hinders the healing process and even a little injury may develop into a really serious infection.
Symptoms include leg hair loss, untreatable leg ulcers, calf pain while walking, feet pain at rest and coolness in the lower extremities. Patients with type 2 diabetes normally undergo other cardiovascular risks, owing to obesity, hypertension and extra lipid or fat accumulation. Diabetic patients tend to have complications such as hiperosmolar condition due to lost electrolytes, and basically problems at the neural level (diabetic neuropathy) and complications in eyes, kidneys, lower limb and vascular system. You know, when these lipids are increased then the receptors for insulin are going to be diminished with its outcome hyperglycemia. Have you cured most of your patients completely or controlled them along with allopathic medicines ? Unfortunately, in acute flare ups of the chronic disease I have not seen big changes using only the deeper remedies, therefore, in those cases I use the most characteristic symptoms (Keynotes) to choose a remedy, later I keep on using the deeper remedy (sorry, but is how i have found better results).
In case of type II, Only 15 % of my patient reach not to use conventional medicine (only homeopathy), the other percentage reach to use only a minimal dosage of ther conventional medicine (optimization).
In fact, the most common reason a person with diabetes will require hospitalisation is for a foot complication.
We have also been involved in Diabetes Programs with the Divisions of General Practice, and training programs for doctors involved in the Royal Australian College of General Practitioners, along with community education seminars with Diabetes Australia (QLD).
The name is derived from a French physician, Dr Jean-Martin Charcot, who first identified this condition in patients with peripheral neuropathy (in this case, due to syphilis) whilst working in Paris in the 1800’s.
The foot can change appearance quite dramatically over the course of a few months, and it is difficult to diagnose at first – as it is often confused with infection or gout. These wounds can be difficult to heal unless a good understanding of the cause of the problem is taken into consideration. They are primarily caused by unremitting pressure over bony prominences, altered biomechanics, and the lack of ability to feel pain.


They are far more difficult to heal unless restoration of blood flow to the foot can be achieved. Garcia-Mayor1 and Alejandra Larranaga[1] Eating Disorders Section, Endocrinology, Diabetes, Nutrition and Metabolism Department, University Hospital of Vigo, Spain1. An open-label randomized controlled trial was conducted, which compared add-on exenatide with add-on glimepiride in patients who had failed to achieve glycemic control with metformin alone.
Carrero (Stockholm, Sweden) gives an overview about the prevalence, pathophysiology, outcomes and monitoring of protein energy wasting. Bernard Charbonell (University of Nantes, France) discussed new options in diabetes management.
We recognised that there was underlying moderate-severe insulin resistance affecting muscle and the liver, and this, coupled with beta cell failure, formed the classical triumvirate (1). Blockage leads certain parts of the brain to die, which do not undergo regeneration anytime again, referred as cerebrovascular stroke. Patients with diabetic neuropathy, where internal organs may get affected (autonomic neuropathy), will not show any heart associated symptoms and may remain unnoticed. Macrovascular diseases are enhanced by smoking, dyslipidemia (abnormal amount of lipids), and are the most common cause of premature death in diabetic adults.
When I think more about the homeopathic approach in DM, it is always good to go ahead with constitutional approach.
Of all of the foot problems our patients can present with, there is little that is more serious to life or limb than a foot complication due to diabetes. Even trivial or minor injuries to the foot have the potential to become very serious and threaten a limb. Long term, patients with a Charcot joint can be left with a severely deformed foot and high risk of ulceration or amputation. If blood flow is still good, they are usually relatively easy to heal once suitable pressure offloading is done with either special footwear, orthotics, bracing or casts.
We will often work with your GP and vascular surgeon to look for ways to get better blood flow back into the foot, in order for these to heal. IntroductionDiabetes mellitus has been found to be the sixth leading cause of death for those living in the United States affecting the young and old at an alarming rate (National Center for Health Statistics, 2011). The insulin resistance in muscle primarily was responsible for the excessive postprandially rise in plasma glucose concentration, while insulin resistance in the liver, in combination with accelerated gluconeogenesis, resulted in an excessive rate of hepatic glucose production which led to an increase in the fasting plasma glucose concentration (2-4). The selected remedy or therapeutic method will work in DM but as you stop allopathy drug they will come up with symptom again. There is usually a preponderance of hyperkeratotic tissue (hard skin callus) around the wound, along with non-viable tissue that needs removal by surgical debridement. It may be important to use protective footwear or bracing during this period to protect these fragile tissues from any further pressure or injury. Individuals with special genetic predisposition, immune destruction of the insulin-producing cells determines a progressive loss of endogenous insulin.
Our main goal using the homeopathic remedy is to prevent complications and get sugar levels in balance.
It primarily develops when the body’s own immune system attacks and destroys pancreatic beta cells, which produce the hormone insulin that regulates blood glucose levels.
Therefore requires exogenous insulin to gain control of glucose, prevent Diabetic Cetoacidosis and sustain life.
Type 2 diabetes affects mainly adult subjects, its prevalence around the world has increased in relationship with the increase of the prevalence of overweight and obesity, attributed to lifestyle changes such as sedentary habits and overeating.
There has been observed a genetic predisposition, but pathogenesis is different from the type I diabetes patients; most patients are obese and many show the action of insulin resistance. Consequently, diabetes is one of the most challenging and burdensome chronic diseases of the 21st century, and it is a growing threat to the world's public health (King et al, 1995; King et al, 1998). Usually, endogenous insulin production should be sufficient to prevent cetoacidosis, but when the stress is very intense, they may receive cetoacidosis. Diabetes mellitus, especially type 1 form represent a very hard experience that requires subsequent psychological adaptation.
Unfortunately, this often does not occur and it is followed by frustration and the non-acceptance of the disease.
Problems with coping are one of the important consequences of the disease and the cause of uncountable problems in the future.The management of type1 diabetes and its associated health-risk factors are often complex and require considerable patient education and frequent medical monitoring (Koopmanschap, 2002). The other diabetes mellitus (secondary) show hyperglycemia associated with another cause, such as a pancreatic disease, pancreatectomy, pregnancy, drugs or chemicals, syndrome cushing, acromegaly, and many rare congenital disorders. The participation of the patients is basic in order to obtain a correct degree of metabolic control; however, this carries as a consequence considerable amount of stress. The most useful homeopathic remedies in the treatment of diabetes are: • Phosphorus • Arsenicum album • Lycopodium clavatum • Phosphoricum acidum • Lacticum acidum • China officinalis • Silicea • Sulphur • Calcarea carbonica • Nitricum acidum • Aceticum acidum • Ignatia • Chimapila • Sizygium • Argentum nitricum • Arsenicum iodatum • Lachesis • Natrum sulphuricum • Argentum metallicum • Bryonia • Aceticum acidum • Thuja It is important to mention that in the case of type I diabetes all what we can do is to improve the symptomatic box and complications that may be treated, since this type of diabetes is incurable. People on insulin must learn how to regulate their blood sugars by monitoring blood glucose levels daily while carefully attending to their food intake and an exercise regimen.
In diabetes type II homeopathic remedies  help achieve very good results in the most of patients; even sometimes, the dose of oral hipoglicemiant seems to be optimized, even reducing the drugs and even they might be withdrawn. Careful blood glucose monitoring is necessary to prevent wide variations in blood sugars that affect both short term and long term health and functioning. Of course, it will depend if the patient takes a proper diet, exercise routine, handles stress through meditation or otherwise, takes timely homeopathic medication; and also receives a good education to alert the patient of revisions, which should be with a monthly check-up, including a check of their retinas (with an ophthalmologist consultation at least every 6 months). Hypoglycaemia reactions are a concern in the short run not only because they are frightening and disruptive, but also because, when severe, they can lead to unconsciousness, coma and death (Cox & Gonder-Frederick, 1992).
Furthermore, caring of their feet using soft, comfortable shoes, with a size at least a half number larger can be recommended. The constant stress of maintaining tight glycaemia control can result in two types of psychological distress (a) subclinical emotional distress, and (b) diagnosable psychological disorders (Rubin & Payrot, 2001). Teach full care of the body and notations of any alarm when our patient notices ulcers, dark colors in fingers or swelling, immediately goes to the homeopath (or doctor), and logically also making use of resources which must include a chemistry laboratory blood full for evaluation of glucose, kidney filtration, metabolic, as well as the serum electrolyte, full blood biometrics and General urine test. Additionally, psychiatric conditions can occur independently without being a consequence of diabetes.


It is worth mentioning the hiperosmolar condition usually found when the diabetics condition is not regulated or being diagnosed. The serum electrolyte imbalances is the diagnostic tool, as well as, the arterial blood gases. However, one of the symptoms most frequently involved in this condition is tiredness or weakness, it would be practical to mention that the most of the homeopathic acid remedies used in homeopathy have those symptoms as common denominators. This is evidenced by research showing high rates of psychiatric disorders, particularly depression and anxiety, for example, Fettahoglu et al., (Fettahoglu et al, 2007) found over 40% increased risk in having any type of psychiatric disorder in patients with diabetes, and Gulseren et al. Next presentation shows the basic aspects of the "Weakness" symptom found in some homeopathic medicines, which have been proven useful in the treatment of diabetes 1.
These results show the negative impact that diabetes can have on an individual's psychosocial adjustment, and the need for research to determine the most appropriate and common coping strategies to deal with the stress of illness. The classical ED are anorexia nervosa (AN) and bulimia nervosa (BN), but recently another entity was recognized, the so called eating disorders not otherwise specified (EDNOS), which are incomplete forms of classical ED that are diagnosed when patients did not fulfill the classical ED diagnostic criteria. Type 1 diabetic patients have a high risk of suffering from ED due to these patients have to select the food they eat carefully in an early period of their development and because both entities, type 1 diabetes and ED, often affect adolescents and young adults. Furthermore, type 1 diabetic patients suffer from other eating behavior anomalies, which mainly appear in girls, that consist in spliting insulin doses or restricting food intake in order to reduce their body weight, but with the high price of the metabolic disturbance and subsequent chronic vascular complications if such behavior persists over time.
In this chapter we will review these psychological anomalies suffered by type 1 diabetic patients, especially problems with coping attitudes, disordered eating behaviors (DEB) and eating disorders (ED), and also discuss some aspects of their forms of presentation, management and prevention.2. Search strategy for identification and selection of studies We identified relevant studies published in English by searching MEDLINE from January 1990 to December 2010.
We included randomised and quasi-randomised controlled studies, clinical series, reviews and systematic reviews on type 1 diabetic patients with inadequate coping attitudes, disordered eating behaviors and eating disorders, in which children, adolescents and young adults with type 1 diabetes were properly defined. Inadequate coping attitudes in type 1 diabetic patientsPeople suffering from any type of chronic disease, need to make minor or major lifestyle adjustments. Diabetes, in particular, can eventually take its toll on the emotional, psychological, and physical well being of any person. These adjustments can lead to either successful adherence to medical regimens and control of the disease, or among other things, ineffective or maladaptive coping. The literature reveals that successfully adjusting to a chronic illness yields the following outcomes: successful performance of adaptive tests, absence of psychological disorders, low experience of negative affect, improved functional status, and appraisals of well-being in varying life domains (Stanton et al, 2001). Weakness General: Silicea, arsenicum album, hyosciamus Niger, kali carbonicum, baptista, gelsemium, picnic acidum, iodum met, selenium, cocculus indicus, carbo animalis, sulphuricum acidum, ferrum metallicum, natrum muriaticum. The quality of the coping strategy and process is evaluated according to its impact on the outcome of interest. These coping categories described efforts to either alleviate the personal emotional stress induced by the stressor or alter the source of stress in the environment. Diabetic patients initially experience high levels of depression and anxiety (Lustman et al, 1997; Tuncay, 2008). Within their sample, one in every three individuals had a level of depression that impaired their ability to function on a daily basis which in turn affected quality of life, regimen adherence, and blood glucose control. Regarding to coping strategies, it has been shown that problem-focused coping was positively associated with glycaemia control and negatively associated with anxiety and depression (Maes et al, 1996). Smari and Valtysdottir (Smari & Valtysdottir, 1997) also found that problem-focused coping was associated with lower blood glucose levels—indicative of better adjustment. On the contrary, individuals who engaged in more emotion-focused types of coping experienced more anxiety, depression, and higher levels of glycaemia.
It is obvious that any deviation from a normal routine or health status serves as a continual source of stress that leads to the individuals’ inability to care for themselves (White et al, 1992).
Therefore, management of this stress via coping strategies is crucial for psychological and physical health.
An author found that treating depression through therapy is effective for individuals with diabetes so they may regain confidence and abilities to control the disease, leading to improved quality of life and social and physiological functioning (Eisenberg, 1992). The treatment includes the development of coping skills through training programs (Grey & Berry, 2004) as well as patient empowerment (Anderson et al, 1995).
DeRidder and Schreurs (DeRidder & Schreurs, 2001) observed that diabetic patients in particular are inclined to use coping strategies that are aimed at reducing the negative emotions surrounding the disease and its maintenance. If this suggestion was found to be empirically true across diabetes studies and patients, it may portend a particularly problematic issue since these strategies were generally viewed as less adaptive.
It is apparent that stress permeates the management of diabetes and thus use of effective coping skills is imperative not only in illness management but general stress management as well. At present, there is no systematic quantitative review of the stress and coping literature in diabetes that links coping strategies to indices of adjustment. Thus, a summary statement of the adaptive versus maladaptive strategies identified for these coping-adjustment relations cannot be made with any degree of confidence. Epidemiology of disordered eating behavior and eating disorders in type 1 diabetic patients Disordered eating behavior (DEB) is common in young women living in westernized countries, where thinness is valued and dietary restraint is pursued (Attie & Brook-Gunn, 1989). It is also a large drug bleeding anywhere body by avoiding significantly the cerebral vascular event. At present, there is no information on the effect of culture and race on eating disorders in people with diabetes.
Diabetes management imposes some degree of perceived dietary restraint, particularly patients who eat according to a predetermined meal plan, rather than in response to internal cues for hunger and satiety. Such neglect of internal cues may contribute to dietary dysregulation in susceptible individuals (Polivy & Herman, 1985). The relationship between higher weight and DEB presents a management dilemma for clinicians, since both dietary restraint and higher weight are clear risk factors for the development of ED and their negative health consequences. The right side conditions works well and thus improve the liver and kidney functioning as conditions Neuropathy above all of the autonomic nervous system where there is constipation due to inactivity of the rectum.



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