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PVD and diabetic neuropathy
Yes, Endoprotector contains Aamalki Ghana which concentrated form Aamalki. Endoprotector treatment with its high antioxidant action can surely help to reduce load of oxidative radicles. Recent Double blind control trial suggest that Amalki can effectively reduce vascular oxidative stress and inflammRead more
Yes,
Endoprotector contains Aamalki Ghana which concentrated form Aamalki. Endoprotector treatment with its high antioxidant action can surely help to reduce load of oxidative radicles.
Recent Double blind control trial suggest that Amalki can effectively reduce vascular oxidative stress and inflammation in T2DM with microvascular complications.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3735284/
See lessDyslipiudemia
Dear Dr Priti Madam, Higher fasting cholesterol is often associated with vascular inflammation, we need to figure out root causes of inflammation. Here weight loss is indicating that the patient is following diet properly but apart from diet few more points we need to address. Sleep quality. FastingRead more
Dear Dr Priti Madam,
Higher fasting cholesterol is often associated with vascular inflammation, we need to figure out root causes of inflammation. Here weight loss is indicating that the patient is following diet properly but apart from diet few more points we need to address.
1st Line
Nidaan Parivarjan(identify and Eliminate the Root Cause).
2nd Line
Sasnhea Virechan followed by sansarjan kram can be immediate solution to reduce down fasting lipid levels.
3rd Line
24 hrs of Modified Kutipraveshik with Madhavprash as all day food and 2 lit Shadang paaniya for all drinking water, 24 hr Isolation in Room with no Mobile,TV, relatives.
4th line
Use of Jwarmed for Paachna and Aamari oil weekly once for Virechan.
if needed, Take a Help of your ZMH.
We can surely reduce down fasting cholesterol levels.
See lessLow BMI Type 2 DM patient.. how to achieve gtt negative in such patient
Hello Dr. Archana, First of all I will like to congratulate you for your confidence in tapering medications of a Low BMI DM patient keeping his sugar levels in control. Helping such a patient to maintain his HbA1C levels in control without Insulin and OHA is a great task. I would like to clarify onRead more
Hello Dr. Archana,
First of all I will like to congratulate you for your confidence in tapering medications of a Low BMI DM patient keeping his sugar levels in control. Helping such a patient to maintain his HbA1C levels in control without Insulin and OHA is a great task.
I would like to clarify one point here that GTT is not the target for such patients. You should consider Hba1C as the parameter of reversal in such patients.
As you rightly said, to grow the muscle mass you have advised your patient for strength training and you should be aware that growing muscle bulk is a time consuming process.
According to me, you should conduct his GTT after a year of maintaining his HbA1C under 6 and growing his muscle bulk considerably so that the consumed sugars can be well utilized by his muscles.
See lesslow BMI Dm patient losing weight
Hello Doc, You are absolutely right. You can add some Ghee or Til oil to the basti kadha. In the near future, a new Anuvasan basti formulation in trial at present, will be launched to handle such Vata vruddhi related low BMI patients. The new formulation will help the patient to stop weight loss andRead more
Hello Doc,
You are absolutely right. You can add some Ghee or Til oil to the basti kadha. In the near future, a new Anuvasan basti formulation in trial at present, will be launched to handle such Vata vruddhi related low BMI patients.
The new formulation will help the patient to stop weight loss and also help in weight gain also keeping his blood sugar levels in control.
As well this patient you mentioned if has his HbA1C under 6.5, it seem the patient has good control of his blood sugar. In that case, a new oral supplement called PND in trial also can be given to the patient. Contact Dr. Rahul Mandole or your ZMH for the same.
See lessStatins
Hello Doc, Statins have a specific mode of action of inhibiting HMG co A reductase enzyme. This enzyme is known to halt the process of cholesterol biosynthesis in the liver. Thus in simple words, it shuts down the manufacturing factory of Cholesterol. As a result, LDL which transports the CholesteroRead more
Hello Doc,
Statins have a specific mode of action of inhibiting HMG co A reductase enzyme. This enzyme is known to halt the process of cholesterol biosynthesis in the liver. Thus in simple words, it shuts down the manufacturing factory of Cholesterol. As a result, LDL which transports the Cholesterol molecules from Liver to the target organ also reduces down as there is no cholesterol to be transported.
Inspite of this, many patients do present with elevated LDL and Cholesterol levels because Cholesterol is not only manufactured in the Liver, but it is manufactured in almost all cells of the body, brain and intestine also.
Statins are normally branded by certain pharma companies to halt the progress of Atherosclerosis, but that is not completely true. They change the plaque composition to a certain extent instead of reducing down the plaque size considerably. As per Asteroid trial, Statins could reduce the atheroma by 6.8 cu mm only even after intensive statin therapy for 24 months.
Visit this research paper to know more about it.
Asteroid Trial
https://www.ahajournals.org/doi/full/10.1161/hc2901.093188
Secondly, Statins are marketed to reduce down the mortality rate by reducing down the incidence of heart attack. If possible, click the following link to understand things better.
The above trial says that if 217 patients consume Statins for 5 years, only 1 patient can avoid a Heart attack.
In such a scenario, one should not fear to taper Statins for your patients. Having said this, we need to follow a specific guideline to taper Statins.
Taper statins as per the protocol in a compliant patient under your regular monitoring if,
Along with tapering, every clinician has to regularly monitor for lipid profile, Vit D3 and relevant vitals at specific frequency. Guide the patient for the diet restrictions and regular exercises with cessation of smoking and control on alcohol intake.
Few patients who are non compliant to above guidelines, its advisable to refrain from tapering Statins and antioxidant medicines or supplements.
For more details about tapering medications talk to your ZMH for specific protocols.
See lessBasti Matra
Hello Doc, Initial trials that were performed had achieved good results with the said quantity of basti in treating CHF and DM. As you know CHF patient needs to follow fluid restriction. At the same time if the basti kwatha dravya infused in proportion of a 960 ml gets retained by any chance, it couRead more
Hello Doc,
Initial trials that were performed had achieved good results with the said quantity of basti in treating CHF and DM.
As you know CHF patient needs to follow fluid restriction. At the same time if the basti kwatha dravya infused in proportion of a 960 ml gets retained by any chance, it could lead to deleterious effects. Moreover, we expected the basti to be absorbed through the distal part of large intestine and energize the myocardium to improve the force of contraction of heart so as to reverse the pathophysiology of CHF. That was achieved well with the 100 ml basti decoction.
Now, the recent trials in pipe line have shown that 240 ml of Herbal oil in basti can help to improve ischemia better than the existing IRP treatment. Trials on basti preparations of 960 ml did present with some adverse effects related to abdominal cramps but 450 ml has proven to be effective in controlling Blood sugar levels. So, as you mentioned Dr. Akshata, as we go further we will be thinking about the same. Thanks for the suggestion.
All the Best!
See lessFramingham heart risk score
Yes Doc! We can use Framingham risk score for initial screening. No doubt. It is calculated on the basis of whether the patient is Diabetic, HTN, Smoker and his Lipid levels. As an initial screening, we can use this as a home based questionnaire. Infact, the branding and lead generation team in ourRead more
Yes Doc!
We can use Framingham risk score for initial screening. No doubt.
It is calculated on the basis of whether the patient is Diabetic, HTN, Smoker and his Lipid levels. As an initial screening, we can use this as a home based questionnaire. Infact, the branding and lead generation team in our organization screens the patients on the same criteria before sending the patients to the clinic. Limitations of the score lies in it being a very preliminary screening process, nothing else.
When it comes to screening inside the clinic by a doctor, further investigations like ECG, Stress test and ECHO can be better tools to diagnose the patient better.
See lessTYPE 1 DM
Yes. Can be. Based on the strategy to gain weight and do bruhan, we can plan Keto.
Yes. Can be. Based on the strategy to gain weight and do bruhan, we can plan Keto.
See lessTYPE 1 DM
Hello Doc, This 28 year old patient with Type 1 DM needs to be treated in a different format as compared to Type 2 DM. Type 2 DM is generally considered very similar to Kaphaj Diabetes, while right opposite could be Type 1 DM and this patient thus can be considered in Vataj Diabetes. This patient shRead more
Hello Doc,
This 28 year old patient with Type 1 DM needs to be treated in a different format as compared to Type 2 DM.
Type 2 DM is generally considered very similar to Kaphaj Diabetes, while right opposite could be Type 1 DM and this patient thus can be considered in Vataj Diabetes.
This patient should be treated with Bruhan concept. We have developed a preliminary guideline to treat such patients which is showing good improvement in initial few patients.
The treatment consist of a Diet plan of > 1400 Cal of food along with Snehan, Swedan and A special bruhan Anuvasan basti of 240 ml. Kindly reach out to your ZMH to enroll this patient for this treatment and make the related treatment kit available in your clinic.
Parameters to be assessed regularly will be
Weight gain will be considered as a good sign in this patient along with control of his BSL during simultaneous reduction of insulin doses.
See lesswhat would be treatment for raise creatinine? sr. creat is 7
Hello Doc, As per our treatment protocols, we have not finalized with guidelines for Renal failure. Hence such a patient can be treated for DM and HTN only. While treating so, clear instructions need to be given to the patient to meet her Nephrologist. As of now, Madhavbaug doesn't have clear defineRead more
Hello Doc,
As per our treatment protocols, we have not finalized with guidelines for Renal failure.
Hence such a patient can be treated for DM and HTN only. While treating so, clear instructions need to be given to the patient to meet her Nephrologist.
As of now, Madhavbaug doesn’t have clear defined treatment guidelines for reversing Renal failure.
See less