scholarly journals The importance of HbA1C test in prediabetes with special reference to Purvarupavastha of Prameha-A literary review

AYUSHDHARA ◽  
2021 ◽  
pp. 3574-3580
Author(s):  
Archana R.Gharge ◽  
Rajiv Mundane

Diabetes mellitus is a metabolic disorder causing hyperglycaemia with defect in metabolism of carbohydrates, fats, and proteins due to defect in insulin secretion, or its utilization or both. Prediabetes is a condition in which the blood glucose levels do not meet the criteria for diabetes or too high to be considered normal (ADA). It is an early stage of DM. So it is important to diagnose Diabetes Mellitus type 2 in the previous stage that is prediabetes. It is already in practice to diagnose it with laboratory blood tests. But additionally, we can also take help of Prameha purvarupas as premonitory symptoms in patients prediabetes. HbA1C is a useful parameter to diagnose prediabetes. There is mild or no symptoms mentioned for prediabetes. Purvarupas of Prameha mentioned in Ayurvedic samhitas can be useful to know early stage of Diabetes mellitus type 2, clinically. The purpose of this article is to highlight the importance of Purvarupa of Prameha to diagnose prediabetes. So, the need of hour is to focus on screening and diagnosing pre-Diabetes earlier, by spreading knowledge and awareness among society which will play a key role to reduce the conversion of pre-diabetes to diabetes mellitus.

2020 ◽  
Vol 5 (2) ◽  
pp. 67-74
Author(s):  
Diah Ratnawati ◽  
Tyas Aulia Hanani

Background: Elderly as a group at risk of susceptible to health problems due to physiological decline in the body, one of them is diabetes mellitus type 2. Elderly diabetes mellitus type 2 requires good management both pharmacologically and non pharmacologically. Non-pharmacological management that can control blood glucose levels in the elderly is autogenic relaxation therapy with lavender aromatherapy. Autogenic relaxation is mind body therapy that focuses on heart rate and breath regulation. Aromatherapy lavender is a therapy that uses essential oils that can calm the mind. This scientific work aims to analyze effect of combination therapy of autogenic relaxation and lavender aromatherapy to amount blood sugar in elderly people with diabetes mellitus type 2. Methods: This study used a quasi experimental pre test and post test method without control group. Sampling using a purposive sampling method of 16 respondents. Therapy is done 2 times a day for 15 minutes in each session within 30 days with 10 meetings and blood glucose checks. The analysis test used the paired T-Test. Results: The results of the Paired T-Test statistical test showed a significant decrease in average blood glucose levels of 83.75 mg/dL with a value of p = 0.000. Conclusion: Combination therapy of autogenic relaxation and lavenderaromatherapy are effective for reducing blood glucose levels. Therefore, it is expected that the elderly with diabetes mellitus type 2 can perform autogenic relaxation therapy and lavender aromatherapy routinely so that blood glucose levels can decrease.


2021 ◽  
pp. 83-92
Author(s):  
Yusran Hasymi ◽  
. Suwanto

Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia, which occurs due to abnormalities in insulin secretion, insulin action, or both. Most cases of diabetes mellitus are diabetes mellitus type-2. The purpose of this study was to determine the effect of hypnotherapy on reducing blood glucose levels in patients with diabetes mellitus type-2. The research used a quasi-experimental design with a non-equivalent control group design. Purposive sampling was used, and 30 respondents selected. The instrument in this study was a single stick tool. The intervention group was given standard therapy treatment in the form of bio-energy therapy and hypnotherapy, while the control group was only given standard therapy treatment in the form of bio-energy therapy. Univariate analysis of the results indicates that the average blood glucose level before treatment was 234.67 mg/dl and after treatment was 194.67 mg / dl. Bivariate analysis based on the results of the Wilcoxon Signed Ranks Test obtained a p-value of 0.002 (p-value <0.05). This means that hypnotherapy reduced blood glucose levels in diabetes mellitus type-2 sufferers. This study recommends the nursing profession apply hypnotherapy as an alternative or non-pharmacological complementary therapy that can be used to reduce blood glucose levels in people with diabetes mellitus type 2.   Keywords: Hypnotherapy, diabetes mellitus type 2, blood glucose levels


2019 ◽  
Vol 8 (2) ◽  
Author(s):  
Chalida Irma Akbar ◽  
Firlia Ayu Arini ◽  
A’immatul Fauziyah

Rambut jagung merupakan salah satu limbah tanaman jagung yang kurang pemanfaatannya namun mengandung antioksidan (flavonoid) yang dipercaya dapat menurunkan kadar glukosa darah. Penelitian ini secara umum bertujuan untuk mengembangkan formulasi teh dari rambut jagung dengan penambahan daun stevia sebagai alternatif minuman fungsional bagi penderita diabetes melitus tipe 2. Metode yang digunakan adalah eksperimental dengan menggunakan desain rancangan acak lengkap. Penelitian meliputi proses pembuatan ekstrak rambut jagung, pembuatan formulasi teh rambut jagung, analisa organoleptik meliputi uji hedonik dan mutu hedonik dengan parameter uji warna, aroma dan rasa, dan analisis zat gizi teh. Terdapat tiga konsentrasi teh rambut jagung, yaitu 20, 30, dan 40%. Formula terbaik hasil uji organoleptik adalah formula penambahan ekstrak rambut jagung sebesar 40% dengan kandungan air, abu, protein, lemak, karbohidrat masing-masing sebesar 99,6, 0,20, 0,14, 0, dan 0,06%, sedangkan total flavonoidnya sebesar 0,03%. Kesimpulannya, kandungan flavonoid dalam teh rambut jagung dapat memenuhi kebutuhan konsumsi flavonoid laki-laki per hari sebanyak 51,7% dan 37,5% untuk perempuan dengan takaran saji 250 ml. Kandungan kimia yang dimiliki teh rambut jagung dengan penambahan daun stevia berpotensi untuk dijadikan alternatif minuman fungsional.Corn Silk Tea with Additional of Stevia Leaves as an Alternative Functional Beverage for People With Diabetes Mellitus Type 2AbstractCorn silk was known as one of the corn waste that lacks utilization but contains antioxidants (flavonoids) that were believed to suppress blood glucose levels. The purpose of this study was making tea from corn silk with the addition of stevia leaves as a functional beverage for people with diabetes mellitus type 2. This study used experimental method and completely randomized design. The research included the process of manufacture corn silk extract, compose corn silk tea formula, organoleptic analysis including hedonic testing and hedonic quality with color, aroma and taste, and lastly, analysis of tea nutrition. Three silk corn tea formulas were composed in a various concentrations, i.e. 20, 30, and 40%. The best formula from organoleptic test was formula with the addition of 40% corn silk extract which was containing of 99.6% water, 0.20% ash, 0.14% protein, 0% fat, 0.06% carbohydrate, and flavonoids total of 0.03%. In conclusion, the flavonoid content in corn silk can meet the consumption needs of male flavonoids per day by 51.7% and 37.5% for women with a serving dose of 250 ml.


2020 ◽  
Vol 22 (6) ◽  
pp. 504-514
Author(s):  
Marina V. Shestakova ◽  
Alexey S. Kolbin ◽  
Oleg I. Karpov ◽  
Gagik R. Galstyan ◽  
Alexander Y. Mayorov ◽  
...  

BACKGROUND: Diagnostic of diabetes mellitus type 2 (DM2T) in time is very actual for treatment and prevention of potential complications of illness. Fasting blood glucose test (FBG) is a widely used method of primary DM2T diagnose. Glycated hemoglobin (HbA1c) test is an alternative and used more rarely due to expensive. AIM: Modelling of comparative expenditures for DM2T control in cases of primary diagnostic by HbA1c test or FBG test usage in 20-years horizon. METHODS: Retrospective analysis of aggregated epidemiological Russian NATION study data in 810 patients with prediabetes and DM2T with both analysis performed, with sensitivity and specificity of each is detected. The simulation model of DM2T outcomes has been used for Health Technology assessment (direct and indirect costs of Diabetes control during 20 years). Three algorithms of the DM2T treatment were investigated for understanding of expenditures in case on diagnostic on-time and case of late verification with metformin, gliflozines, gliptins, Glucagon-like peptide-1 receptor agonists, basal insulin analogs and their combinations. RESULTS: FBG test has more negative results for DM2T diagnostics in compare with HbA1c analysis (77,4% and 36,5% accordingly). Amount of false negative results in FBG test in 3 times more often occurred in comparison with HbA1c. HbA1c test in 3 times more precisely than FBG test for carbon metabolism abnormalities detection. Diagnostic in time with HbA1c test in compare with late process of illness detection by FBG can cut common expenditures on 26,3-27,7% depending on treatment option due to macrovasular complications decreasing. Disability rate is expected decrease on 21% to 20-th year in case of diagnostic with HbA1c performing instead FBG test. CONCLUSION: HbA1c test has diagnostic advantages in compare with FBG test for primary investigation (dispanserization). Direct and indirect expenditures in average for one patient with DM2T on 20-years horizon including cost of drugs, analysis, complications, disabilities are less in case of diagnostic in time with HbA1c test in comparison with late diagnostics in case of FBG test execution.


2019 ◽  
Vol 4 (2) ◽  
pp. 155
Author(s):  
Ayu Dinda Fatimah

<p>One of the main causes of death in Indonesia is non-communicable diseases. One of the most common non-communicable disease is diabetes mellitus. Type 2 diabetes mellitus is a category of diabetes that most people in the world suffer from. Diabetes mellitus is a chronic disease characterized by high levels of blood glucose which can lead a number of symptoms and complications if there is no regular monitoring of blood glucose levels and not paying attention to things that can affect blood glucose levels. Things that can affect blood glucose levels are adequate nutritional intake and physical activity.</p><p>Indonesia is a religious country because it recognizes 6 religions. Indonesia is also a country with the largest Muslim population in the world. One of the activities carried out continuously every year by a Muslim is fasting during the month of Ramadan. Fasting is one form of spiritual awareness that has many benefits, such as, heightening consciousness of God, adopting healthier lifestyle, loving and charity, increasing community spirit, and raising people to become a better version of themselves.</p><p>However, people with type 2 diabetes mellitus have to know that changes in nutritional intake and physical activity can affect their bodies. Therefore, people with diabetes mellitus have to know the management of diabetes mellitus during Ramadan fasting and they have to do self-management properly to avoid complications that can occur, such as hypoglycemia, hyperglycemia, diabetic ketoacidosis, dehydration, and thrombosis.</p><p> </p><p><strong>Keyword:</strong><strong> Diabetes Mellitus Type 2, Spiritual Awareness, Self-management, Ramadan Fasting, Glucose Blood Level, Complication</strong></p>


2020 ◽  
Vol 2 (2) ◽  
pp. 361-368
Author(s):  
Heironimus Billy Febriyan

Diabetes Mellitus Type 2 is a disease characterized by high glucose levels in the blood exceed the standard value. The condition causes the disruption of the function of organs, causing all sorts of problems, among others such as eye disorders, heart, healing wounds, and stroke. Diabetes mellitus type 2 has some risk factors such as gender, age, family history, diabetes, obesity, hypertension, dyslipidemia, less activity, fat and carbohydrate intake high. The residence also can be a risk factor for type 2 diabetes mellitus where urban areas are associated with a change in lifestyle and dietary habits compared with the countryside. It became one of the causes of the increase in type 2 diabetes mellitus in urban areas. Conclusion It was found that type 2 diabetes mellitus is very influential, especially in decreased quality of life, especially in urban areas.


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