Can Hba1c Prove Helpful in Diagnosis of Type 2 DM in India

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A study conducted by Manisha et al., shows that the HbA1c cut off in newly diagnosed diabetic in north and south India is found to be ≥ 5.8% which is much lower than the proposed value by the international expert committee (≥6.5 %). They also depicts that a value of ≥ 5.5% or ≥ 5.6% defines IFG in Indian setting[32]. In this context we can at least assume that HbA1c cut off for Indian will vary from the ADA recommendation and though some study have provided some preliminary data, a pan Indian study suggesting the variation of HbA1c among the diverse ethnicity in India is to be conducted.

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Diabetes

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cureAdministrator

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AYURVEDIC VIEW

Ayurvedic physiology explains this biochemical problem with much more clinical basis. Asthi dhathu, when affected by dhathwagni mandya or srothorodha, becomes defective in taking up its required nutritive part from the common circulating pool of rasadhathu, and results in malformation of asthi dhathu i.e. bone deformities as discussed in head Para.

CLINICAL INTERPRETATION

In such a clinical context, loading a patient with immense calcium can never yield good results. The clinical approach in such cases can be better aided by correction of biological fire and there by the correcting the metabolic errors in the body. Biological fire regulation followed by Drugs which possess specific action on asthidhathwagni, so that asthi dhathu is formed perfectly- is the method to be adopted. Also, rasayanas, which can influence deeper dhatus like asthi dhathu are proved to have commendable results in such clinical conditions. To support such internal medications, VITAMIN D support externally, like basking morning and evening sunlight, proper exercise can support the treatment to a greater extend.

Along with this internal medication strategy, bedside treatment methods like vasthi, udvarthana, abhyanga are all found very effective in correcting asthi dhathwagni

However, in those cases where, severe bone deformity is diagnosed, ie, the sthayi asthi dhathu is affected, oral or para-enteral VITAMIN D supplement or simply a direct supplement of asthi dhathvagni is vital. Along with this Ayurvedic assistance for metabolic correction is proved to have good results and obviously, not only a vitamin supplement corrects the issue from root level.