CENTRE OF EXCELLENCE FOR THE TREATMENT OF CHRONIC DISEASE
CLINICAL STUDY: An invitation to join us in Moscow during 2008
Special diagnostic and treatment programmes in return for the right to the use of academic information obtained during the course of treatment.
Case Study No.3
Case Study No.3
Patient Male ‘SP’ Born 1970
This patient came to the clinic complaining on pain in the legs at rest and while working, dryness of the mouth, frequency of urination at night.
From anamnesis:
The patient was diagnosed with diabetes in 2005 and obesity (100kg weight, height 180cms). At this time he complained of dryness in the mouth and blood glucose levels of 18.0 mmol/l. The patient was recommended insulin therapy/ HbA1c and micro-albumin tests were not carried out. He also was not seen by either a podiatrist or an ophthalmologist.
Treatment
On arrival in the clinic the patient was being treated with intensive insulin therapy by frequent injections of Aktrapid 10 units p/z, 12 units p/o, 10 units p/u; Lantus 18 units mornings. He had come to the clinic seeking further investigation and treatment. The following laboratory analyses were made:
Blood Analysis for infections made on 05.08.2006
Smear Tests for infection made on 05.08.2006
Colour duplex scanning of the arteries of the lower limbs.
1. The ‘intima-media’ complex of both femoral arteries – no thickening (up to 1.0mm, (normal range up to 1.2mm) ; Intima condensed.
The walls of the mouths and proximal divisions of the deep femoral arteries are not thickened or condensed.
The walls of the upper femoral and popliteal arteries are not thickened or condensed. Blood supply is unchanged in the major, general, deep and superficial arteries.
2. The walls of the rear and front tibial arteries and the arteries of the feet are not thickened or condensed.
Results
Following a full analysis of the patient’s results we carried out systematic treatment in order to act on all the elements of the pathogenesis of his illness (insulin resistance, hyper production of glucose, glucose toxicity) and also treated his infections. All the above enabled the patient to stop insulin therapy and change to an oral sugar reducing prescription.
In order to check the results of this treatment, control checks were made of the main clinical/laboratory analyses: НвА1 dropped twofold to 8,3% (normal 4-6 %), the patient felt much better generally and had lost the sensation of a dry moth and pain in his legs. He also lost 8 kgs in weight bringing his BMI down to 28 (Kg/M2).
Conclusion
Summarising in brief these results, we have come to the conclusion that we have established an optimal type of treatment for patients with diabetes, enabling them to improve their metabolism of carbohydrates which significantly reduces the risk of further complications.
This patient came to the clinic complaining on pain in the legs at rest and while working, dryness of the mouth, frequency of urination at night.
From anamnesis:
The patient was diagnosed with diabetes in 2005 and obesity (100kg weight, height 180cms). At this time he complained of dryness in the mouth and blood glucose levels of 18.0 mmol/l. The patient was recommended insulin therapy/ HbA1c and micro-albumin tests were not carried out. He also was not seen by either a podiatrist or an ophthalmologist.
Treatment
On arrival in the clinic the patient was being treated with intensive insulin therapy by frequent injections of Aktrapid 10 units p/z, 12 units p/o, 10 units p/u; Lantus 18 units mornings. He had come to the clinic seeking further investigation and treatment. The following laboratory analyses were made:
|
Blood Analysis for infections made on 05.08.2006
|
Smear Tests for infection made on 05.08.2006
|
1. The ‘intima-media’ complex of both femoral arteries – no thickening (up to 1.0mm, (normal range up to 1.2mm) ; Intima condensed.
The walls of the mouths and proximal divisions of the deep femoral arteries are not thickened or condensed.
The walls of the upper femoral and popliteal arteries are not thickened or condensed. Blood supply is unchanged in the major, general, deep and superficial arteries.
2. The walls of the rear and front tibial arteries and the arteries of the feet are not thickened or condensed.
Results
Following a full analysis of the patient’s results we carried out systematic treatment in order to act on all the elements of the pathogenesis of his illness (insulin resistance, hyper production of glucose, glucose toxicity) and also treated his infections. All the above enabled the patient to stop insulin therapy and change to an oral sugar reducing prescription.
In order to check the results of this treatment, control checks were made of the main clinical/laboratory analyses: НвА1 dropped twofold to 8,3% (normal 4-6 %), the patient felt much better generally and had lost the sensation of a dry moth and pain in his legs. He also lost 8 kgs in weight bringing his BMI down to 28 (Kg/M2).
Conclusion
Summarising in brief these results, we have come to the conclusion that we have established an optimal type of treatment for patients with diabetes, enabling them to improve their metabolism of carbohydrates which significantly reduces the risk of further complications.
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