scholarly journals HYPOGLYCEMIC EFFECT OF KAIDARYADI KWATHA YOGA IN TYPE 2 DIABETES MELLITUS

2020 ◽  
pp. 47-49
Author(s):  
Archana V S ◽  
N. Subhash Babu ◽  
Aswathy. S

Type 2 diabetes mellitus, previously referred to as ‘Non insulin dependent’ or ‘maturity onset diabetes’ is a heterogenous condition characterised by variable defects in both insulin secretion and insulin action. In conjunction with genetic susceptibility, type 2 diabetes mellitus is brought on by environmental and behavioural factors such as sedentary lifestyle and obesity. Due the resultant microvascular and macrovascular complications, it possess great economic and functional burden. This study was undertaken to clinically evaluate the hypoglycemic effect of the well known Ayurvedic formulation Kaidaryadi kwatha yoga in Type 2 Diabetes mellitus. The study was conducted pre and post without control group in 30 patients. FBS, PPBS and HbA1c was done before and after treatment. Statistical analysis revealed significant reduction in FBS, PPBS and HbA1c levels with a p value <0.001. Thus the formulation was found to be effective in reducing the glycemic levels and symptoms of Type 2 Diabetes mellitus.

2021 ◽  
pp. 20-22
Author(s):  
Shajahan Shajahan ◽  
Koneru Sri Lahari ◽  
P. Kiranmai

BACKGROUND:Type 2 Diabetes Mellitus is a major non-communicable disease resulting from insulin resistance and is associated with cardiovascular,neurological and renal complications.Recent studies show association of hyperuricemia and Diabetes Mellitus.Uric acid increases oxidative stress that leads to vascular dysfunction and high intra glomerular pressure leading to renal complications.High serum creatinine is an indicator of renal compromise. OBJECTIVES: To evaluate serum uric acid and serum creatinine levels in type 2 diabetes mellitus patients and to find association between them. METHODOLOGY: The study was conducted in Osmania general hospital. Fifty cases of established Type 2 Diabetes Mellitus formed the study group and 50 normal healthy individuals formed the control group. Serum uric acid, Fasting Blood Glucose (FBS) and serum creatinine were estimated by colorimetric enzymatic methods on Beckman coulter AU5800.Mean values were compared in cases and controls using student t- test.Study group was further studied under 2 subgroups with serum Uric acid < 7 mg/dl and ≥7 mg/dl.In these 2 subgroups the association of Serum uric acid with FBS and creatinine was analysed statistically. RESULTS: Serum uric acid were found high in cases(7.63+/- 3.36)as compared to controls(4.48+/- 1.09) p value < 0.001.Serum creatinine were also high in cases(1.59+/- 1.39 )as compared to controls ( 0.87+/- 0.29) p value <0.005.Study subgroup with serum uric acid ≥7 mg/dl was associated with high creatinine and high fasting blood sugar levels when compared to subgroup with serum uric acid <7 mg/dl. CONCLUSION: Our study showed increased serum uric acid and serum creatinine levels in cases when compared to controls.There was significant association between high serum uric acid and high creatinine levels in cases.Therefore,it is important to measure serum uric acid and serum creatinine levels in diabetics for early detection of renal pathology.


J-Dinamika ◽  
2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Arief Andriyanto ◽  
Etty Rekawati ◽  
Dwi Cahya Rahmadiyah

Background: Diabetes mellitus is a non-communicable disease that is included in the category of chronic diseases and expected to experience an increase, so that a way to control is needed by the Ministry of Health in the form of clever management of diabetes mellitus. This study aimed to analyze the effect of EMAS (education, nutrition management, physical activity, stress management) on behavior change and adult blood sugar control with diabetes mellitus type 2. Methods: Quasi Experiment Pre-Post Test Without Control Group Design for 6 months, October 2018 to March 2019. Samples were taken by purposive sampling technique, namely adults with type 2 diabetes mellitus in Cisalak Pasar Sub-District Ciamnggis District, Depok City as many as 86 people. Results: Changes in behavior and control of adult blood sugar with type 2 diabetes mellitus through EMAS intervention (p value 0.001 <0.05). Conclusion: Changes in adult behavior with type 2 diabetes mellitus are needed to stabilize the patient's blood sugar. Therefore, it takes the role of the nurse specialist community to provide interventions according to the needs of people with diabetes mellitus to manage the disease.Keywords: Intervention EMAS; Behavior change; Glucose control; Type 2 diabetes mellitus


Biomedicine ◽  
2021 ◽  
Vol 41 (1) ◽  
pp. 150-152
Author(s):  
M Rasheed Khan ◽  
S Vinod Babu ◽  
V. KuzhandaiVelu

Introduction and Aim:The atherosclerosis is the major cause of morbidity and mortality among diabetes population. Diabetes mellitus can accelerate atherosclerotic processes. Adenosine deaminase (ADA) plays a significant role in both glucose and lipid metabolism through adenosine. This study aimed to correlate the atherosclerotic index with adenosine deaminase levels in Type 2 diabetes mellitus patients. The aim of the study is to find the association between serum ADA levels with atherosclerotic index.   Materials and Methods: A cross sectional study conducted in 100 subjects (50 control and 50 T2DM patients). The following biochemical parameter were estimated:total cholesterol, triacylglycerol, HDL- C and ADA. VLDL, LDL and other atherosclerotic index were calculated using formulae. Statistical analysis such as Student’s‘t’ test and Pearson’s correlation were performed.   Results: We found significant increase (p value <0.001) in lipid profile, Non-HDL-C and lipid ratio when compared to T2DM with control group. The correlation of serum ADA with lipid profile and lipid ratio didnot show any correlation.   Conclusion: Serum ADA used as a biomarker for evaluation of glycemic status. ADA was insignificant, when correlated with dyslipidemia and atherosclerotic index.


Author(s):  
Márquez-Rivero S ◽  
◽  
Márquez-Contreras E ◽  
López-García-Ramos L ◽  
Castaño-Durán C ◽  
...  

Objective: To assess whether the combination of fixed-dose Oral Antidiabetic drugs (OA) in a single tablet compared to OA separated into 2 or more tablets is an effective strategy to improve adherence in insulin-dependent patients with Type 2 Diabetes Mellitus (DM2). Methods: This was a prospective, longitudinal, multi-center study, carried out in 3 primary care centers in Spain. One hundred and twenty patients treated with OA and insulin prescribed for insulin-dependent DM2 were included. A cluster randomization was performed based on two groups: (1) Control Group (CG): Sixty patients treated with two OA prescribed separately in different tablets, and (2) an Intervention Group (IG): Sixty patients treated with OA were with 2 drugs in combination at a fixed dose, in a single tablet. Three visits took place. AO Adherence was measured by using electronic monitors (MEMS). Average adherence percentage (%; Average AP) and daily compliance (%; Daily AP) was calculated. A patient was considered adherent when AP was 80–100%. Insulin adherence was measured by counting. Results: One hundred and ten patients completed the study (79 in the IG and 31 in the CG). Global adherence was 92,59% and 79,62% in IG and 82,85% and 48,21% in CG at 6 and 12 months, respectively (p<0.05 by groups). Daily adherence was 79,62% and 62,96% in IG and 17,85% and 10,71% in CG at 6 and 12 months, respectively (p<0.05). Global adherence with insulin by count was 77,78% and 70,37% in IG and 57,14% and 60,71% in CG at 6 and 12 months, respectively with significant differences. In the non-adherent group, the number of concomitant medications and glucemia and haemoglobin A glycosylate levels at 6 and 12 months, were significantly higher than in the adherent population. The NNT was 4,42 patients to prevent one non-adherence. Conclusions: The combination of fixed-dose OA in a single tablet compared to OA separated into 2 or more tablets is an effective strategy to improve AO therapeutic adherence in patients with insulin-dependent DM2.


2019 ◽  
Author(s):  
Ernawati . ◽  
Agus Sustiyono ◽  
Mulyati .

Background: DM (Diabetes Mellitus) is a chronic/chronic metabolic disorder characterized by an increase in blood glucose levels (hyperglycemia) caused by insufficient amounts of insulin or insufficient amounts of insulin, sometimes even more effective, this condition is called insulin resistence. Objective: This study aims to determine the effectiveness of ma’tsurat dhikr therapy in reducing blood sugar levels in type 2 diabetes mellitus patients at dr. Dradjat Prawiranegara Hospital Serang in 2018. Methods: The number of samples of this study was 34 respondents and the method was quasi-experimental. The data was analyzed by independent T-Test. The respondents of experimental group received DM exercise and morning-evening dhikr intervention, while the control group only received DM exercise intervention. Results:The results of the study showed that ma’tsurat dhikr affects significantly on the decrease of bloods ugarlevelsinpatienntswithtype2DMatdr.DradjatPrawiranegara Hospital Serang with p value<0.005. Conclusion: Intervention of ma’tsurat dhikr can be recommended for type 2 DM patients with elevated blood sugar levels in patients.


Author(s):  
A. Haris ◽  
Jubair Jubair ◽  
Julhana Julhana

Diabetes mellitus hyperglycemia is a chronic disease characterized by the absence of insulin or a relative decrease in cell insensitivity to insulin that requires continuous treatment and ongoing self-management to prevent acute complications and reduce the risk of chronic complications. Type 2 diabetes mellitus is particularly by physical activity. This study aims to understand the difference between two exercise regimens on blood glucose levels reduction in patients with type 2 diabetes mellitus. This was a quasi-experimental study with a pre-test post-test control group design. 60 respondents were selected via random sampling and divided evenly into two groups of 30 individuals: 1) the treatment group; and 2) the control group. A Wilcoxon test performed on the treatment group yielded P-value = 0,005 < ? = 0,05 and a Wilcoxon test performed on the control group yielded P-value = 0,046 < ? = 0,05. The conclusion that can be drawn from this study is that physical activity has an effect of reducing blood glucose levels in patients with type 2 diabetes mellitus, and, when comparing the differences in blood glucose level reduction, a combined regimen of putu sila and Tai Chi is more effective than Tai Chi alone.


2021 ◽  
Vol 4 (8) ◽  
pp. 167
Author(s):  
Danik Martirosyan ◽  
Hamid Ghomi ◽  
Mohammad Reza Ashoori ◽  
Alireza Rezaeinezhad ◽  
Afsaneh Seyed Mikaeili ◽  
...  

Background: Uncontrolled type 2 diabetes mellitus can have devastating consequences. The role of functional foods in controlling and even preventing diabetes mellitus is prominent, and adjunct therapies can be helpful in controlling some of the consequences of diabetes.Objective: The aim of this study was to investigate whether gallic acid, as a functional food, as well as cold atmospheric plasma, as an adjunct therapy, have an effect on the levels of some antioxidant enzymes, inflammatory factors, and the levels of oxidizing agent and blood glucose.Methods: In this study, 30 healthy individuals, as the control group, and 30 individuals with type 2 diabetes mellitus were selected. Samples of people with diabetes were examined before and after treatment with gallic acid and cold atmospheric plasma (cold argon plasma jet for 10 minutes). Levels of interleukin 2 and 13 and NF-κB, as inflammatory factors, glutathione reductase, paraoxonase, and lipoprotein lipase, as antioxidants, hydrogen peroxide and blood glucose were assessed in untreated and treated diabetic groups and control group according to kit instructions.Results: Comparison of the results of the levels of inflammatory factors, antioxidants, blood glucose, and hydrogen peroxide showed a significant difference (P value < 0.05) between the diabetic and control groups. Treatment of diabetic specimens with plasma and gallic acid showed a significant increase (P value < 0.05) in glutathione reductase, paraoxonase, and NF-κB levels compared to the untreated diabetic group.Conclusions: The results showed that concomitant use of gallic acid, as well as plasma therapy, could be effective on NF-κB, glutathione reductase, and paraoxonase levels.Keywords: Diabetes mellitus, Cold plasma, Inflammatory factors, Gallic acid


2021 ◽  
Author(s):  
Eman Ahamed Almakey ◽  
Ahmed Mohamed Makeen ◽  
Osman Khalafalla Saeed ◽  
Khalid Abdelsamea Mohamedahmed

Abstract Background Adiponectin is associated with improved systemic insulin sensitivity and profound positive effects in adipose tissue, such as increasing mitochondrial density in adipocytes, reducing adipocyte size, and effective esterification of free fatty acids on lipid storage The factor performs forward transcriptional regulation. Diabetes and its complications are considered to be one of the main causes of morbidity and mortality worldwide. Objectives The aim of this study was to correlate serum levels of adiponectin with insulin resistance in Sudanese males' type 2 diabetes mellitus. Methodology: A case-control community-based study carried out among 126 patients with T2DM as cases group (mean ages 45.2 ± 5.4 years); and 126 normal healthy individuals as controls group (mean ages 44.7 ± 5.4 years as) in Aldaraga Diabetic Center, Wad Medani, Gezira State, Sudan. About Five mL of fasting venous blood was obtained from all participants. HbA1c, FPG, FPI, serum Adiponectin, and (HOMA)-IR were analyzed. SPSS (v 20.0) was used for data analysis. Results The mean of serum adiponectin in the cases group (3.03 ± 0.90µg/ml) was lower than the control group (6.02 ± 4.24µg/ml) giving highly significant differences -between them (P = value ≤ 0.000). HbA1c and Homeostasis Model Assessment of Insulin Resistance index (HOMA-IR) differed significantly between the two groups (P-value ≤ 0.000). Serum adiponectin concentrations correlated significantly negative with HOMA IR (r = -0.149, P-value = 0.002). Conclusion We concluded that low plasma adiponectin level was predictive of future development of Insulin resistance in Sudanese males.


2020 ◽  
Vol 8 (1) ◽  
pp. 69
Author(s):  
Kartika Yuliani ◽  
Nyoman Kertia ◽  
Lily Arsanti Lestari

Background : As one of important markers of cardiovascular complication in patients with type 2 diabetes mellitus, low density lipoprotein (LDL) shall be maintained to be in normal range. Based on previous research, consumption of probiotic yogurt contains Lactobacillus acidophilus and Bifidobacterium animalis subsp. Lactis is presumed can improve LDL in patients with type 2 diabetes mellitus but the scientific evidence is still few.Objectives: To investigate the effect of probiotic yogurt on LDL in patients with type 2 diabetes.Methods: This study was double blinded randomized controlled trial which was conducted on 32 patientss with type 2 diabetes mellitus. Subjects were divided randomly into 2 groups and given 4 weeks intervention. Subjects in control group were given conventional yogurt while subjects in intervention group were given probiotic yogurt contains L. acidophilus LA5 and B. animalis subsp. Lactis Bb12. Food intake data was collected 4 times using 24-hour recall method during intervention period. LDL of subjects was measured before and after intervention.Results: There was no significant difference between LDL before and after intervention in control group (128 – 148.5 mg/dL) and intervention group (130 – 120.5 mg/dL). Meanwhile, LDL after intervention in control group and intervention group were significantly different (p<0.05). LDL between energy and macronutrients intake categories were not significantly different.Conclusion: Probiotic yogurt has a better LDL reduction effect in patients with type 2 diabetes mellitus than conventional yogurt, although the reduction is not significant.


QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
M R Halawa ◽  
M M Abushady ◽  
M M Abdelsalam ◽  
N R Mohamed ◽  
A S S Basabbea ◽  
...  

Abstract Objective The aim of the present study is to investigate the association of urinary calprotectin levels with lower extremities peripheral arterial disease (LEPAD) in patients with type 2 diabetes mellitus (T2DM). Background calprotectin is formed by two different calcium- binding proteins; it constitutes about 40% of neutrophils all cytosolic proteins. Calprotectin or its components (S100A8/S100A9) consider as a potential therapeutic target in inflammatory conditions including diabetes mellitus. The ankle-brachial index of less than 0.9 was applied for LEPAD diagnosis. Method we recruited 60 patients with T2DM; half of them had LEPAD and a healthy control group consists of 30 participants. Urinary Calprotectin and high sensitivity CRP (hsCRP) were measured by enzyme-linked immunoassay kit. Results Urinary calprotectin level was statistically significant higher among the three participating groups (p value &lt;0.001), however, in post-hoc analysis there was no difference between patients with type 2 diabetes mellitus with or without LEPAD (p value =0.993). However, urinary calprotectin was weakly associated with LEPAD severity (p value = 0.175, p value = 0.06 respectively).There was a statistically significant positive correlation between urinary calprotectin level and hsCRP (r = 0.65, p value 0.001). Conclusion Urinary calprotectin cannot be used as a biomarker for LEPAD in T2DM.


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