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Role of Low Carbohydrate Diet and Panchakarma Therapy in Reduction of Hba1c with Special Reference to Diabetic Retinopathy in Type 2 Diabetes Mellitus - Case Series

Received: 16 December 2022    Accepted: 11 January 2023    Published: 14 February 2023
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Abstract

Diabetes Mellitus (DM, Type I and II included) are prevalent metabolic disorders that cause high blood sugar levels over an extended period of time due to unhealthy lifestyle modifications. Diabetic retinopathy (DR) is a complication that causes abnormalities in the retina to be seen as early as 10 years after the onset of DM or even earlier. The DR is main cause of visual impairment in patients with DM. Considering the limitations of standard treatments for DR there is a need for complementary medicine. Panchakarma has been documented to be effective in controlling DM. This article explores the role of diet and panchakarma in three different patients suffering with DR. The patients underwent eye assessment and evaluation of the various risk factors for DR followed by study therapy. The eye evaluations post study therapy show improvement in near vision and visual acuity in both eyes of the three patients described herein. In these patients, ophthalmoscopy confirmed that the exudates and haemorrhages were decreased post-treatment. We report no side effects or adverse events related to study therapy in the concerned patients. Hence, DR may be prevented by strict glycemic control and annual dilated eye examination by an ophthalmologist. Therefore, we conclude positive effect of study therapy for DM patients with DR. Studies with larger sample size and follow up are warranted to generalize this finding.

Published in International Journal of Ophthalmology & Visual Science (Volume 8, Issue 1)
DOI 10.11648/j.ijovs.20230801.12
Page(s) 5-9
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Case Series, Panchakarma, Diabetic Retinopathy, Low Carbohydrate Diet, Retina

References
[1] Bakkar MM, Haddad MF, Gammoh YS. Awareness of diabetic retinopathy among patients with type 2 diabetes mellitus in Jordan. Diabetes, metabolic syndrome and obesity: targets and therapy. 2017; 10: 435.
[2] Stewart, Michael W. "Treatment of diabetic retinopathy: recent advances and unresolved challenges." World journal of diabetes 7.16 (2016): 333.
[3] Kumar V K. Ayurvedic Treatment of Diabetic Retinopathy- A Review. International Journal of Ayurvedic and Herbal Medicine. 2018.
[4] Sun J, Jampol L. The Diabetic Retinopathy Clinical Research Network (DRCR.net) and Its Contributions to the Treatment of Diabetic Retinopathy. Ophthalmic Research. 2019; 62 (4): 225-230.
[5] Sane R, Mandole R, Amin G, Ghadigaokar P, Paranjape S. Effectiveness of Comprehensive Diabetes Care (CDC) in Diabetic Patients: an Observational Study. International Journal of Innovative Research in Medical Science. 2020; 5 (08): 314-319. Complementary & Alternative Medicine. 2017; 8 (6).
[6] Critical Review on Area of Research in Standardization of Panchakarma Procedures. Indian Journal of Forensic Medicine & Toxicology; 2021.
[7] Garg D. AYURVEDIC DRUGS USED IN DIABETIC RETINOPATHY. World Journal of Pharmaceutical Research. 2017: 558-570.
[8] Eqbal D. HbA1C Levels and its correlation in Diabetic Retinopathy. Journal of Medical Science And clinical Research. 2020; 08 (09).
[9] PV R. Understanding Diabetic Retinopathy in Ayurvedic Parlance - A Review Article. JOURNAL OF ADVANCED RESEARCH IN AYURVEDA, YOGA, UNANI, SIDHHA & HOMEOPATHY. 2020; 07 (1&2): 12-15.
[10] Sahoo, P. K., & Fiaz, S. (2017). Conceptual analysis of diabetic retinopathy in ayurveda. Journal of Ayurveda and Integrative Medicine, 8 (2), 122–131.
[11] V, K. K., B, V. D., & Manjusha, R. (2022). Ayurvedic treatment protocol for diabetic retinopathy: A randomised controlled clinical study.
[12] Balakrishnan, Sumedhan, V., Sinimol, T., Ahmed, A., Venigalla, S., & Sudhakar, D. (2021). Safety and efficacy of Ayurveda interventions in diabetic retinopathy: Protocol for systematic review. Journal of Research in Ayurvedic Sciences, 5 (2), 95–98.
[13] Kale, Kachre, K., Mahajan, B., Dave, P., Ahmad, A., Suryawanshi, M., Rao, B., & Srikanth, N. (2021). Efficacy and safety of Ayurveda interventions for diabetes mellitus-A systematic review protocol. Journal of Research in Ayurvedic Sciences, 5 (4), 192–196.
[14] Kesavadev, Saboo, B., Sadikot, S., Das, A. K., Joshi, S., Chawla, R., Thacker, H., Shankar, A., Ramachandran, L., & Kalra, S. (2016). Unproven Therapies for Diabetes and Their Implications. Advances in Therapy, 34 (1), 60–77.
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    Pallavi Pawar, Diwakar Pawar, Sandeep Anjankar. (2023). Role of Low Carbohydrate Diet and Panchakarma Therapy in Reduction of Hba1c with Special Reference to Diabetic Retinopathy in Type 2 Diabetes Mellitus - Case Series. International Journal of Ophthalmology & Visual Science, 8(1), 5-9. https://doi.org/10.11648/j.ijovs.20230801.12

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    ACS Style

    Pallavi Pawar; Diwakar Pawar; Sandeep Anjankar. Role of Low Carbohydrate Diet and Panchakarma Therapy in Reduction of Hba1c with Special Reference to Diabetic Retinopathy in Type 2 Diabetes Mellitus - Case Series. Int. J. Ophthalmol. Vis. Sci. 2023, 8(1), 5-9. doi: 10.11648/j.ijovs.20230801.12

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    AMA Style

    Pallavi Pawar, Diwakar Pawar, Sandeep Anjankar. Role of Low Carbohydrate Diet and Panchakarma Therapy in Reduction of Hba1c with Special Reference to Diabetic Retinopathy in Type 2 Diabetes Mellitus - Case Series. Int J Ophthalmol Vis Sci. 2023;8(1):5-9. doi: 10.11648/j.ijovs.20230801.12

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  • @article{10.11648/j.ijovs.20230801.12,
      author = {Pallavi Pawar and Diwakar Pawar and Sandeep Anjankar},
      title = {Role of Low Carbohydrate Diet and Panchakarma Therapy in Reduction of Hba1c with Special Reference to Diabetic Retinopathy in Type 2 Diabetes Mellitus - Case Series},
      journal = {International Journal of Ophthalmology & Visual Science},
      volume = {8},
      number = {1},
      pages = {5-9},
      doi = {10.11648/j.ijovs.20230801.12},
      url = {https://doi.org/10.11648/j.ijovs.20230801.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijovs.20230801.12},
      abstract = {Diabetes Mellitus (DM, Type I and II included) are prevalent metabolic disorders that cause high blood sugar levels over an extended period of time due to unhealthy lifestyle modifications. Diabetic retinopathy (DR) is a complication that causes abnormalities in the retina to be seen as early as 10 years after the onset of DM or even earlier. The DR is main cause of visual impairment in patients with DM. Considering the limitations of standard treatments for DR there is a need for complementary medicine. Panchakarma has been documented to be effective in controlling DM. This article explores the role of diet and panchakarma in three different patients suffering with DR. The patients underwent eye assessment and evaluation of the various risk factors for DR followed by study therapy. The eye evaluations post study therapy show improvement in near vision and visual acuity in both eyes of the three patients described herein. In these patients, ophthalmoscopy confirmed that the exudates and haemorrhages were decreased post-treatment. We report no side effects or adverse events related to study therapy in the concerned patients. Hence, DR may be prevented by strict glycemic control and annual dilated eye examination by an ophthalmologist. Therefore, we conclude positive effect of study therapy for DM patients with DR. Studies with larger sample size and follow up are warranted to generalize this finding.},
     year = {2023}
    }
    

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    T1  - Role of Low Carbohydrate Diet and Panchakarma Therapy in Reduction of Hba1c with Special Reference to Diabetic Retinopathy in Type 2 Diabetes Mellitus - Case Series
    AU  - Pallavi Pawar
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    UR  - https://doi.org/10.11648/j.ijovs.20230801.12
    AB  - Diabetes Mellitus (DM, Type I and II included) are prevalent metabolic disorders that cause high blood sugar levels over an extended period of time due to unhealthy lifestyle modifications. Diabetic retinopathy (DR) is a complication that causes abnormalities in the retina to be seen as early as 10 years after the onset of DM or even earlier. The DR is main cause of visual impairment in patients with DM. Considering the limitations of standard treatments for DR there is a need for complementary medicine. Panchakarma has been documented to be effective in controlling DM. This article explores the role of diet and panchakarma in three different patients suffering with DR. The patients underwent eye assessment and evaluation of the various risk factors for DR followed by study therapy. The eye evaluations post study therapy show improvement in near vision and visual acuity in both eyes of the three patients described herein. In these patients, ophthalmoscopy confirmed that the exudates and haemorrhages were decreased post-treatment. We report no side effects or adverse events related to study therapy in the concerned patients. Hence, DR may be prevented by strict glycemic control and annual dilated eye examination by an ophthalmologist. Therefore, we conclude positive effect of study therapy for DM patients with DR. Studies with larger sample size and follow up are warranted to generalize this finding.
    VL  - 8
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Author Information
  • Anatomy Department, Bhausaheb Mulak Ayurved Mahavidyalaya, Nagpur, India

  • Medical Department, Madhavbaug Medical Square Branch, Nagpur, India

  • Ophthalmology Anjankar Eye Care, S. D. Hospital, Nagpur, India

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