Diabetes Mellitus: Salient Points To Remember & Role of Homeopathy in Diabetes Mellitus

Diabetes mellitus: Salient Points to Remember
&
Role of Homeopathy in Diabetes mellitus
By
Dr. Saurav Arora, BHMS (Gold Medalist), Founder: Vivid Homeopathy
Dr. Bharti Arora, MD (Hom.), BHMS (Silver Medalist), Co-Founder: Vivid Homeopathy
Issued in Public Interest by
Aroras Homeopathic Clinic

An establishment under
www.arorasclinic.com | vividhomeopathy@gmail.com | +91 9811425214
On the occasion of
This article does not intend to replace the in-person consultation. The facts are for general purpose and public awareness only, and must
not be taken as Medical Consultation in any form. For consultation, treatment and specific queries you need to contact your healthcare
professional. Not for Medico-legal purposes. Vivid Homeopathy & Aroras Homeopathic Clinic 2017. For reprint and collaborations
please contact vividhomeopathy@gmail.com
Diabetes mellitus | 14 November 2017 | P a g e 1 of 11
Diabetes mellitus: Salient Points
Diabetes mellitus is now an established multi-system and challenging syndrome. It is attributed to
various risk factors including lifestyle, stress and genetic predisposition. Diabetes mellitus is
prevalent in almost every part of the world in todays scenario. Once thought to be a disease of
sedentary origin, it is now one of the most common endocrine disorders prevalent amongst every
strata, sexes and ethnicity.
Given below are some of the quick points which may help us to understand and thus tackle
diabetes mellitus in a better manner:
Diabetes mellitus (DM) is an endocrine disease syndrome characterized by persistent

hyperglycaemia (high blood sugar levels), resulting either from inadequate secretion of the
insulin, or an inadequate response of target cells to insulin, or a combination of both
factors.
DM has been recognized since antiquity, and treatments of various efficacies have been
known since the middle ages, but the elucidation of the pathogenesis of diabetes occurred
mainly in the 20th century.
Diabetes is a metabolic disease syndrome that requires right medical

diagnosis, treatment and lifestyle changes.
The DM is commonly divided into Type 1 and 2 DM.
Image source: http://www.startstemcells.com/img/diabetes1.jpg http://danii.org.au/wp-content/uploads/2016/01/Type-2-Diabetes-1.jpg
Other types of DM are Gestational and other specific types.
Image source: http://myremedysource.com/wp-content/uploads/2017/01/insulin-for-type-2-diabetes.jpg
Type 1 DM
The type 1 DM is also known as Insulin dependent DM or IDDM or Juvenile diabetes has
an early onset (usually 2nd or earlier decade of life). It is characterized by beta cell
destruction caused by an autoimmune process, usually leading to absolute insulin
deficiency. The onset is usually acute, developing over a period of a few days to weeks.
Over 95 percent of persons with type 1 DM develop the disease before the age of 25, with
an equal incidence in both sexes and an increased prevalence in the white population.
A family history of type 1 DM, gluten enteropathy (celiac disease) or other endocrine disease is often found.
Most of these patients have the "immune-mediated form" of type 1 DM with islet cell
antibodies and often have other autoimmune disorders such as Hashimoto's thyroiditis,
Addison's disease, vitiligo or pernicious anemia.
Type 2 DM
This is the most common form of diabetes mellitus and is highly associated with
a family history of diabetes, older age, obesity and lack of exercise. Insulin
resistance and hyperinsulinemia eventually lead to impaired glucose tolerance.
Type 2 DM (formerly called NIDDM, type II or Adult-onset) is characterized by insulin

resistance in peripheral tissue and an insulin secretory defect of the beta cell.
The defective secretion of insulin and/or defective uptake fuel the cycle of glucose
intolerance and hyperglycemia.
Risk Factors
The following risk factors increase the chances of developing Type 2 DM:
o Genetic factors, usually family history, are present in many patients.
o Increasing age
o Altered food habits
o Sedentary lifestyle
o Obesity; and
o Lack of physical activity.
Other (or rarer) causes include:
Certain medicines;
Pregnancy (gestational diabetes); and
Any illness or disease that damages the pancreas and affects its ability to produce insulin
e.g. pancreatitis.
Type 2 DM now affects a higher proportion globally!
Symptoms
The classical symptoms of DM may be polyphagia, polydipsia, polyuria, weight
loss, fatigue etc., but in the majority of the patients, symptoms are variable in the
presentation.
Many a time patients are diagnosed on the routine investigation or on the basis of non-
specific and trivial symptoms.
Complications
The complications of diabetes are far less common and less severe in people who have
well-controlled blood sugar levels. In fact, the better the control, the lower is the risk of
complications.
Acute complications may be Diabetic ketoacidosis, hypoglycaemia, amputation etc.
The major chronic complications may be diabetic retinopathy, neuropathy,

nephropathy, cardio-vascular accidents etc.
Diagnosis and Investigations

DM is diagnosed on the basis of clinical presentation and biochemical/specific investigations. The
following tests are done in routine clinical settings:
1. Blood sugar fasting and postprandial (PP)

2. Blood sugar random
3. Glycated Hb HbA1C
4. Serum insulin level
5. Other tests: Liver function test, Lipid profile, Kidney function test, Eye examination etc.
6. In addition, specific tests are also done depending upon symptoms and signs.
Goals of DM Medication
Whatever the form of medication you opt, the broad goal of medication remains the same
o Normalcy of blood Sugar levels

o Improvement in overall Health.
o Prevention of Complications.
Levels of blood sugar for Normal and Diabetic Patients

Blood Sugar (mg/dl) Normal ADA IDF
Fasting <110 70 99 for Non diabetics <100
80 130 for Diabetics
2 hours after meals <140 <140 for Non diabetics <140
(postprandial) <180 for Diabetics
HbA1C (Glycated Hb) <6.0 (136) < 5.7 for Non diabetics <6.5
(gm %) 7 or less for Diabetics
ADA: American Diabetes Association; IDF: International Diabetes Federation
Oral Hypoglycaemic and Insulin Preparations

A major challenge and equal confusion exist in general population regarding conventional
treatment of DM i.e. whether to take oral hypoglycemic or insulin. In this regard following points
may be noted:
It is a common practice for a physician to start oral hypoglycemic drugs in initial stages.
The oral hypoglycemic drugs lower the blood sugar levels after entering bodys digestive
system.
On the other hand, when oral drugs fail to achieve the desired blood sugar levels, or there
is lack of compliance on part of patient or due to side effects oral drugs etc., various insulin
preparations are advised. The Insulin is injected directly into the bloodstream. The insulin
preparation and units are decided by the physician keeping in mind average level of blood
sugars, the age of patient, compliance, complications, if any etc.
Insulin is also advised where blood sugar levels are abnormally high and there is a chance
of developing pathological changes in the body.
It is also commonly observed that patients keep on taking oral hypoglycemic drugs or
insulin without monitoring of blood sugar levels for longer times.
Therefore, it is not advisable at all to experiment with your health. The blood sugar levels
must be controlled under the supervision of a medical practitioner only. It is also equally
important to know which kind of medication especially insulin preparation you are taking
because it lowers blood sugar levels faster and a patient may end up in acute hypoglycemia
rather than control.
Following are the common types of insulins and the duration for which they work:
Type Brand Onset Peak Duration

Name (length of time before (time period when (how long insulin
insulin reaches insulin is most effective) works for)
bloodstream)
Rapid-acting Humalog 10 - 30 minutes 30 minutes - 3 hours 3 - 5 hours
Novolog
Apidra
Short-acting Regular (R) 30 minutes - 1 hour 2 - 5 hours Up to 12 hours
Intermediate- NPH (N) 1.5 - 4 hours 4 - 12 hours Up to 24 hours
acting
Long-acting Lantus 0.8 - 4 hours Minimal peak Up to 24 hours
Levemir
Source: http://www.joslin.org/info/insulin_a_to_z_a_guide_on_different_types_of_insulin.html
Hypoglycaemia
Hypoglycemia is commonly encountered in diabetic patients and can be life-threatening. To treat,
one simply needs the presence of mind and alertness to the condition. Here too, prevention is
better than cure. It is advised to take sufficient food with anti-diabetic medications especially
insulin to avoid sudden fall in blood sugar levels.
Even if someone suffers from it apply the Rule of 15! When the blood sugar level falls beyond
70 mg/dl a diabetic is given 15gm of carbohydrates and after 15 minutes sugar is again checked.
This is done until the sugar comes to a normal range. The following items contain approx. 15
grams of carbohydrates:
cup of orange juice
1 tablespoon of honey or syrup
1 tablespoon of sugar or 5 small sugar cubes
Management
The management of DM has four thumb rules:
Education: The DM and its outcome must be taught to the patient is a simple language.
Patient has the equal right to have the right knowledge of the disease, its progression, and
complications.
Understanding: DM, its present situation, and prognosis must be understood keeping
in mind background of the patient, presenting complaints, occupation, history,
environment (family and working) and mental state. Not every diabetic land up in
complication.
Participation in health activities and treatment is the key rule. The patient is advised to
take active interest and participation in timely medication, exercise, and dietary restrictions.
Activities may include smoking cessation, controlling elevated cholesterol levels, reducing
obesity, maintaining blood pressure etc.
Save your Eyes, Kidneys, and Nerves. Undergo a routine check-up at regular intervals.
By changing diet, blood glucose levels can be controlled

Despite diabetes being a condition of sugar regulation, specific restriction of sugars is not
necessary, except as part of ensuring a balanced diet overall.
The best thing is to reduce the amount of simple sugars and refined carbohydrates and
increasing the amount of complex carbohydrates and fibre in the diet.
The body needs time and energy to break and use complex carbohydrates such as fruits,
vegetables, and whole grains. This leads to the slower release of glucose into the
bloodstream.
Simple carbohydrates, such as sugars and highly processed or refined foods, are broken
down quickly, leading to a rapid rise in blood sugar.
A diabetic may consult a dietician for specific and customized diet plans.
Exercises yield following benefits

Exercise causes contracting of muscles thereby using the circulating sugar and hence
decrease the pancreas' burden.
Exercise consumes much of accumulated fat and thus weight is maintained, which in itself
may ameliorate most symptoms of diabetes.
Exercise gives a psychological boost.
A diabetic can opt for any light exercise like walking, jogging, swimming, cycling,
gardening, etc.
A middle-aged diabetic should desist from doing heavy or tiring exercises.
Role of Homeopathy in Diabetes mellitus

Homeopathy heals holistically!
Homeopathy has been used for a long time to control the blood sugar levels
Homeopathic medicines directly act on nervous system thereby stimulates the immune
system. They stimulate the pancreas function and release of quality pancreas secretions,
and at the same time improves the uptake and metabolism at the cellular level.
The homeopathic treatment of diabetes is divided into three major parts:
o Initial stages (detected early): Constitutional treatment and/or specifics to
control (and cure in some case) blood sugar levels, usually given for few weeks to
few months.
o Developed stages: Specific medicines to control blood sugar levels, usually given
for few months to years.
o Complicated cases: Specific medicines repeated too often and given for years.
The pathology cant be reversed but progression can be checked with
improvement in the quality of the life of the patient.
Homeopathic medicines can be taken safely along with other/conventional medications
(ADD-ON Therapy).
The patient is asked to maintain a gap of approx. 30 mins between different medications.
The key point of treating holistically is to keep a regular check on blood sugar levels.
In addition to constitutional or individualized medicines the following specific medicines
are used frequently in homeopathy:
o Syzygium jambolanum
o Cephalandra indica
o Uranium nitricum
o Lycopodium
o Acid phosphoricum
o Abroma augusta
o Insulinum
o Natrum sulph.
o Etc.
As a common myth, mother tinctures are not always superior to potencies. The right
potency may be mother tincture, trituration or a dilution depending on severity and
presentation of the case.
One should not take medicines for DM without supervision. It is a common practice
amongst general public to take anti-diabetic medications for long without checking their
blood sugar levels.
The success of treating diabetes is directly proportional to its understanding.
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Diabetes mellitus: Salient Points to Remember

Dr. Saurav Arora, BHMS (Gold Medalist), Founder: Vivid Homeopathy

Issued in Public Interest by

Aroras Homeopathic Clinic

www.arorasclinic.com | vividhomeopathy@gmail.com | +91 9811425214

Diabetes mellitus (DM) is an endocrine disease syndrome characterized by persistent

Diabetes is a metabolic disease syndrome that requires right medical

Image source: http://www.startstemcells.com/img/diabetes1.jpg http://danii.org.au/wp-content/uploads/2016/01/Type-2-Diabetes-1.jpg

Other types of DM are Gestational and other specific types.

Image source: http://myremedysource.com/wp-content/uploads/2017/01/insulin-for-type-2-diabetes.jpg

Type 2 DM (formerly called NIDDM, type II or Adult-onset) is characterized by insulin

Type 2 DM now affects a higher proportion globally!

Acute complications may be Diabetic ketoacidosis, hypoglycaemia, amputation etc.

The major chronic complications may be diabetic retinopathy, neuropathy,

Diagnosis and Investigations

1. Blood sugar fasting and postprandial (PP)

o Normalcy of blood Sugar levels

Levels of blood sugar for Normal and Diabetic Patients

Oral Hypoglycaemic and Insulin Preparations

Type Brand Onset Peak Duration

By changing diet, blood glucose levels can be controlled

Exercises yield following benefits

Role of Homeopathy in Diabetes mellitus

The success of treating diabetes is directly proportional to its understanding.

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