RESUMO
Background: The occurrence of Diabetes Mellitus (DM) has been creating a havoc since past few decades on a global platform. As per available literature, prevalence of DM in Mumbai is around 10%. Comprehensive Diabetes Care (CDC) is a form of Ayurvedic therapy which combines panchkarma and diet management. The present study was planned to evaluate the effectiveness of CDC in patients of DM by analysing changes in body mass index (BMI), body weight, OGTT, HbA1c, etc.Methods: The present study was of retrospective design, conducted at Madhavbaug clinics in western Mumbai. The duration of study was of one year, conducted from October 2018 to September 2019. It included patients diagnosed with type 2 DM i.e. HbA1c>6.5%, who were given CDC therapy.Results: In the present study, out of 183 type 2 diabetic patients, 99 were males (52%), while 84 were females (48%), thus male: female ratio was 1.17:1. On analysing the results of HbA1c in patients who had completed 12 weeks of CDC therapy, it was found that controlled DM status was seen in 109 patients (59%), while uncontrolled DM status was noted in 33 patients (19%) as compared to 102 patients (58%) at baseline.Conclusions: From the findings of the present study, it is clear that CDC is effective in the form of increasing number of euglycemic patients at the end of study period, as well as reduction in all glycaemic and anthropometric parameters, and reducing dependency on conventional medicines.
RESUMO
Background: Increased body mass index (BMI) is associated with dyslipidemia, but relevant data in patients withcardiac morbidity is scarce. This study assessed lipid parameters in chronic heart failure (CHF) patients and theirstatistical correlation with BMI.Methods: The retrospective study utilized data of CHF patients who visited Madhavbaug clinics in India betweenJuly-December 2018. Serum lipid profile noted were total cholesterol (TC), triglycerides (TG), low-densitylipoproteins (LDL), high-density lipoproteins (HDL) and very low-density lipoproteins (VLDL). Patients wereclassified based on BMI (normal, overweight, obese) and their mean lipid parameters were compared.Results: Out of 147 patients, 74.15% were males with mean age 59.15±10.28 years and mean BMI 26.69±4.97kg/m2. 56 patients had normal BMI, 60 were overweight and 30 were obese. Mean TC, TG and LDL levels in thenormal-BMI group were significantly lower than that in overweight and obese groups (p<0.05). Mean HDL andVLDL were found to be higher in overweight group as compared to that in normal-BMI and obese group (p<0.05).Weak positive correlations were found between BMI and TC (R=0.09, p>0.05), BMI and TG (R=0.07, p>0.05), BMIand LDL (R=0.09, p>0.05) as well as BMI and VLDL (R=0.02, p>0.05). There was inverse correlation seen betweenBMI and HDL (R=-0.12, p>0.05).Conclusions: Increase in BMI was associated with dyslipidemia in CHF patients. There was positive correlation ofBMI with LDL, TG, TC as well as VLDL while there was negative correlation between BMI and HDL levels.