“Better Glycemic Control Through Consistency & Integrated Care”

🌿 ARTICLE OF THE DAY 🌿

👩 Patient: 62-year-old Female

🩺 Clinical Profile

• HbA1c: 10.5%
• P/H/O:
• Diabetes Mellitus – 20 years
• SHTN – 1 year
• Dyslipidemia – 2 years
• CAD – from 2018
• Lumbar Spondylosis – 4 years

⚠️ Presenting Complaints

• Back pain radiating to the left thigh
• Numbness & burning sensation in both feet, especially at night

💉 Diabetes Management

The patient had been advised insulin therapy:

• Pre-meal insulin – 12 units, 3 times/day
• Lantus (insulin glargine) – 22 units

However, the patient was not taking insulin regularly.

📊 Progress During Admission

Parameter Day 1 Day 6
FBS 272 mg/dL 154 mg/dL
PPBS 306 mg/dL 180 mg/dL

With regular insulin intake, a diabetic naturopathy diet and lifestyle-based care, blood glucose levels showed significant improvement within 6 days.

🌿 Integrated Pain Management

Back pain gradually improved with:

• 🤲 Therapeutic Massage
• 🏃 Physiotherapy
• 📍 Acupuncture
• 🥗 Therapeutic Diabetic Diet
• 💉 Regular prescribed insulin

💡 Learning Point

Insulin should not be stopped abruptly in a patient with poorly controlled diabetes.

As glycemic control improves, insulin requirements may decrease, but any reduction in insulin dose should be done gradually and only under the treating doctor’s supervision, based on glucose monitoring and overall clinical status.

🌱 Key Message

“Consistency in treatment + proper diet + lifestyle modification + appropriate medical care = Better outcomes.”

A holistic approach can support diabetes management while continuing essential medical treatment.

#DiabetesManagement #Naturopathy #InsulinTherapy #LifestyleMedicine #IntegratedCare #PatientProgress