CONTINUING MEDICAL EDUCATION
ROLE OF HOMOEOPATHY IN
DIABETES MELLITUS TYPE 2 & ITS
“Medicine is the only profession that labours
incessantly to destroy the reason for its own
TABLE OF CONTENTS
Signs and symptoms
TABLE OF CONTENTS ...
2- LATEST RESEARCH RELATED TOPathology
Control of blood sugar
Diet & supplement
3- SCOPE OF HOMOEOPATHY
4- HOMOEOPATHIC APPROACH
5- RETROSPECTIVE STUDY
6- HOMOEOPATHIC THERAPEUTICS
mellitus is a serious
degenerative disease known as a
WHAT DIABETES MELLITUS IS?
It comprises a group of common
metabolic disorder characterized by
hyperglycemia due to absolute or relative
deficiency of insulin.
INDIA has been dubbed DIABETES
CAPITAL OF THE WORLD according to
World Health Organization.
Diabetes Mellitus can be classified into 4 types namely :
TYPE 1 DIABETES MELLITUS- (IDDM)
Type 1aDM (immune mediated)
Type 1bDM (idiopathic)
TYPE 2 DIABETES MELLITUS- (NIDDM)
This constitutes 95% of Diabetes Mellitus.
It is heterogenous group of disorder characterized bya)
Impaired insulin secretion
Increased glucose production
GESTATIONAL TYPE OF DIABETES MELLITUS
OTHER SPECIFIC TYPES OF DIABETES
In 2011, according to WHO, 171 million
people suffered worldwide from diabetes.
In INDIA, presently 19.4 million individuals
are affected. This is to go up to 57.2 million
As we all know, in a non-diabetic healthy individual
there is a post-prandial rise in serum glucose level
which leads to the stimulation of pancreatic beta-cells
which further stimulates the insulin secretion in blood.
This insulin performs two functions- first being the
stimulation of glucose uptake by the peripheral
tissues and secondly, the suppression of
gluconeogenesis i.e., primary hepatic glucose
But in type 2 diabetes mellitus, this insulin uptake
by peripheral tissues is hampered leading to insulin
resistance and the suppression of gluconeogenesis is
also hampered leading to increased serum glucose
POST PRANDIAL RISE OF SERUM
PANCREATIC BETA CELL
SECRETION OF INSULIN
Stimulation of glucose
Uptake by peripheral
IN TYPE 2 DIABETES MELLITUS
Glucose uptake by
liver is Hampered
Increased free fatty
Dehydration and loss
Coma (Diabetic coma)
HOW WILL A DIABETIC PATIENT PRESENT TO US
IN OUR CLINICS
Symptoms would be present for several years
Symptoms of type 2 diabetes mellitus can be
studies under 3 headings1) Symptoms due to HYPERGLYCEMIAa) Excessive thirst (Polydipsia)
b) Excessive urination (Polyuria)
c) Excessive eating ( Polyphagia)
d) Altered mental status
e) Blurred vision
2) Symptoms due to CALORIE
b) Unexplained weight loss
3) Symptoms due to IMMUNE
DYSFUNCTION –These are:
a) poor wound healing
b) infections-tuberculosis, candidiasis, skin
Revised criteria for diagnosis of Diabetes
Mellitus given by National Diabetes Data Group
Symptom of diabetes + Random blood glucose
Fasting plasma glucose >126mg/dl
2hr.plasma glucose > 200mg/dl during an oral
glucose tolerance test.
FASTING PLASMA GLUCOSE is the most
reliable and convenient test for diagnosing
diabetes mellitus in patients who are
a) Epidemiology studies have proved that
type 2 diabetes mellitus may be present up
to a decade before diagnosing.
b) As many as 50% individuals with type 2
diabetes mellitus have one or more
complications at the time of diagnosis.
WE SHOULD MAKE A PARAMETER ON WHO
SHOULD BE TESTED FOR DIABETES MELLITUS
a) those who have family history of diabetes
(i.e. Parent or sibling).
b) persons suffering from obesity (BMI
c) those with age over 45 years.
d) previous identified impaired fasting
glucose or impaired glucose tolerance.
e) women with history of gestational
diabetes mellitus or delivery of baby over 4
f) Those with hypertension ( B.P.>140/90
g) Lab findings of high density lipid
cholesterol level <35 mg/dl and triglyceride
level >250 mg/dl
h) Women with polycystic ovarian disease.
The commonly seen acute complication are diabetic
ketoacidosis, hyperosmolar non-ketoacidosis and
Diabetic Ketoacidosis is more commonly
characterized by breathing which is deep and rapid as the
body attempt to correct the blood acidity. Breath smells like
nail polish remover due to ketones escaping into the breath.
Next encountered acute complication is
Hyperosmolar non-ketotic state which is more commonly
seen in type 2 DM. In hyperglycemic individual (>300 mg/dl),
water is osmotically drawn out of cells into the blood. The
kidneys begin to spill more glucose in urine leading to
increased water loss. This eventully leads to dehydration and
The third most commonly seen acute
complication is hypoglycemia or
abnormally low blood glucose. It usually
occurs due to too much or incorrectly
timed insulin, too much or incorrectly timed
exercise or fasting in diabetics. Patient
become agitated, sweaty, unconscious or
even comatosed. Seizures, brain damage
or even death may occur.
Now the chronic complication which arise
due to microvascular and macrovascular
disturbance, affects the blood supply to vital
organs due to atherosclerosis.
The organs most commonly affected
due to microvascular changes are eyes
causing retinopathy, brain causing
neuropathy and kidney causing naphropathy.
In Diabetic retinopathy, growth of friable
and poor quality new blood vessels in the retina
and macular oedema leads to diminished vision
and ultimately blindness can occur.
In Diabetic neuropathy, hyperglycemia
causes increased levels of glucose in nerves
therefore resulting in demylenation. Patient
present with symptoms such as decreased
sensation, tinglimg, muscle weakness.
Diabetic nephropathy is defined as the
presence of persistent proteinuria (>0.5g/24
hours). Symptoms include oedema of the whole
body especially around eyes and legs, frothy urine
and weight gain due to fluid accumulation.
MACROVASCULAR CHANGES may lead
to cardiovascular disease like coronary
artery disease and myocardial infarction.
Diabetic cardiomyopathy leads to diastolic
dysfunction and eventually heart failure.
Coronary artery disease may lead to
angina and myocardial infarction.
Peripheral vascular disease contribute to
intermittent claudication as well as
diabetic foot caused due to sensory
Due to vascular damage numbness and
insensitivity may occur leading to easy
injuries and even when patient has cuts or
sores he is unaware of it, injuries heal
slowly leading to infection.
Patient become more susceptible to
infections such as urinary, vaginal and
AS A CLINICIAN WHAT SHOULD BE
The aim of any health care professional while
treating a case of diabetes should always be to
A is the level of Hba1c which should be less
B is the blood pressure below 140/90 mm hg.
C is the total cholesterol below 200 mg/dl.
RESEARCHES RELATED TO DIET AND
Bitter gourd (Karela)
Taken as juice or powdered seeds
Most beneficial in treatment of
Active principle- Insulin like principle called
plant insulin which is similar to Insulin and
help in lowering blood and urine sugar level.
FRENCH BEAN POD TEA
Excellent substitute to insulin
1 cup of tea = 1 unit of insulin
Active principle- Silica and hormone
substances analogous to insulin found in
skin of pods of greens beans.
SOLANUM MELONGENA (BRINJAL)
Rich in Phenol
Regulate carbohydrate metabolism
Gives time to insulin to break carbohydrate
Control Blood Sugar
Active principle- Hormone needed by cells
of pancreas for producing insulin.
Helps control Diabetes Mellitus
SCOPE OF HOMOEOPATHY IN DIABETES
Diabetes mellitus a chronic miasmatic state
As classified by Dr.K.P. Majumdar, we
usually receive three categories of patients
of Diabetes mellitus in our clinical practice.
PRE OR POTENTIAL DIABETICSThese are patients in which blood sugar
rise on STRESS and may come down to
a normal level once the stress is removed
or it may remain at slight higher level of
normal. These are PSORIC DIABETES.
Exercise, diet and counselling will help to
keep these under normal state and no
medication may be required.
B) CONFIRMED DIABETICS
These patient with either Type1 or Type2
diabetes. Here we need to determine the
cause of his disease. Cases with type1 are a
resultant of destruction of beta cells of
pancreas from the beginning. The
predisposition to destruction is due to
hereditary miasmatic influence of
TUBERCULAR or PSEUDOPSORIC
The scope of homoeopathic treatment is
very much limited here as the lacking in one
of the vital secretion of the body necessary
for preservation of health.
Homoeopathic treatment is very helpful
in cases with Type2 until cellular
destruction has taken place. The condition
is REVERSIBLE and can be successfully
managed by homoeopathic drugs.
C) ADVANCED STAGES of
COMPLICATION of DiabetesThe acute complication of metabolic
disturbances are PSORIC in nature, while
chronic complication have SYPHILITIC
background or mixed miasmatic disease
with strong syphilitic nature.
Homoeopathic treatment is partially helpful
in such cases as may not be achieved.
HOMOEOPATHIC APPROACH IN CASE OF
Now let us see what should be our approach as
homoeopaths in treating a case of Diabetes
1) If a case of Diabetes mellitus come to us for
treatment, our first duty is to decide whether the
case is curable or not. This may generally be
assessed from the aetio-pathology of the
condition, the family history, the age of onset, the
severity of present condition, the assessment of
renal function and the presence of complication.
But the final prognosis of course depends on
observing the effect of the well indicated medicine
In Non-insulin Dependent Diabetes
Mellitus the situation is all together different. In
such cases oral hypoglycaemic drugs may be
stopped from the very beginning of
homoeopathic treatment. Because,
homoeopathic constitutional medicine may
perform the function of oral hypoglycaemic
drugs may be correcting the miasmatic
dyscrasia, checking destruction of cells as also
by stimulating cells to act much more efficiently.
This , at the same time, may help in reducing
obesity supported by adequate exercise and
dietetic control. Thus the insulin resistant state
or the defect in insulin receptor may be
corrected and the patient may be completely
SELECTION OF MEDICINE
Our principle is to select constitutional
medicine covering the totality of symptoms of
the patient including the miasmatic
background. We are to take care of the
fundamental cause and the disease process
and not the ultimate of the disease. The
environmental causes must at the same time
be taken proper care of.
POTENCY & REPETITION OF DOSES
In non-insulin dependent cases without any
organic destruction anywhere in the system,
centesimal potency may also safely be used in
medium high potency like 200th. But as repeated
stimuli are necessary to stimulate the beta cells
without causing further destruction, it is better to
use 50 millesimal scale which can gradually be
increased to successive higher potencies. Even
if there is any aggravation in this scale, it can
easily controlled by further dilution and
increasing the duration in between the doses.
NEW OBSERVATION NOTED IN TREATING
It has been observed that after the
administration of a well selected medicine, the
patient as a whole feels much better and all the
outward symptoms are nicely ameliorated but the
blood sugar level steadily increases to an alarming
level of 300 to 400 mg% or even more. If it is
observed only in the beginning of treatment, then
the prognosis may finally turn to be favourable, but
if the condition of hyperglycaemia goes on
persisting to an increasing severity, the prognosis
is undoubtedly grave and the patient should be
considered as incurable. Palliation should be the
method of choice in such cases.
PREVENTION OF DIABETES MELLITUS
It may be difficult or impossible to cure an
advanced cases of Diabetes but its
prevention is not so difficult if we know
when and how to do it.
a) Constitutional treatment of Diabetic
parents: Antimiasmatic constitutional
treatment of diabetic father, mother or
both of them will undoubtedly help to
eradicate the miasmatic dyscrasia
responsible for Diabetes to a great extent,
if not completely cured.
b) Constitutional treatment of potential
diabetes: Children are born of diabetic
parents or in other cases where a
predisposition to diabetes is suspected,
constitutional treatment will undoubtedly in
eradicating the tendency and there will be
less chance of developing overt diabetes in
c) Treatment of latent diabetes: Patient with
impaired glucose tolerance only but no
active clinical symptoms of diabetes must be
treated constitutionally to avoid developing
RETROSPECTIVE STUDY ON DIABETES MELLITUS
( It was done on 5000 cases of BAKSON
COLLEGE OPD from year 2008-2009.)
48 cases of DIABETES MELLITUS
Initial stages of
Later stages of
STUDY WAS DONE IN TWO
1st study- cases of initial stages, where
presenting complaint was related to
2nd study- cases of later stages and
FIR ST STU D Y
24 C ASES
IN ITIAL STAGES
Si ngl e medi ci ne
More than one
medi ci ne
w i th patents
w i thout
Conclusion of 1st study
9% cases are
B) SECOND STUDY
In late stages, with complication
more than one
few with patents
SYSTEM INVOLVED IN
1) G.I.T.- 38% Cases
2) SKIN- 38% Cases
3) URINARY SYSTEM- 8% Cases
4) MUSCULOSKELETAL SYSTEM- 5%
5) CENTRAL NERVOUS SYSTEM- 5%
CONCLUSION OF 2ND STUDY
MEDICINE WHICH ARE FREQUENTLY
HOMOEOPATHIC THERAPEUTICS OF
Some of the important homoeopathic medicines are listed
Mother tinctureSyzygium jambolanum
Most useful remedy in diabetes mellitus. No
other remedy causes in so marked degree the
diminution and disappearance of sugar in the
Great thirst, weakness, large amount of
Specific gravity of urine-high.
Skin covered with small red papules which
Sugar killer excellent medicine for diabetes mellitus.
Burning all over the body.
Sexual power is loss
urination, weakness and exhaustion after
in urine with dryness of mouth with great thirst.
They have distended abdomen with thin hands & legs
Fat, fair,flabby,sourness,craves for eggs ,sluggish
Hunger soon after eating
Great emaciation, gradual weakness and prostration
Patient is tall, stooped shoulder ,slender, sickly face,
earthy, sunken and pale
Craving for cold food and water which is vomited out
as soon as it become warm
Lively, cheerful, mixes with all
Desire to be magnetized
Burning in general and urine in particular
Increased urine during night
Wounds refuse to heal
Adapted to old person or children, premature old age,
weak body but sharp mind, intellectually keen but weak
Red sand in urine
Predominantly right sided medicine
All complaint <4-8 p.m.
Weeps when thanked
Of nervous origin.
Useful in early stages.
Urine milky in colour, containing sugar in
Mental symptoms- grief, anxiety, indifferent,
Physical symptoms- great debility, bruised
feeling in muscle, unquenchable thirst, loss of
Small doses given by mouth, as larger
doses and hypodermic injections has no
effect on ordinary diabetes. (dr. Cartier)
Baker advises to give Insulinum in 3x and
30x for good result.
Deficient secretion and affection of
pancreas, can be given for symptoms like
diarrhoea containing undigested food
particles, indigestion, pain in stomach or
upper abdomen after one hour of eating.
Diabetes with assimilative derangements.
Polyuria, dryness of mouth, and skin.
SOME OTHER DRUGS WHICH IS FREQUENTLY OR
DIET AND REGIMEN
Low caloric and high residual diet should
The standard caloric requirement is 30
K.Cal. Per kg of body
Our aim should be to stop weight loss in
patient who are progressively emaciating
and to encourage weight loss in patient
who are becoming progressively obese.
To avoid mental worries and anxiety
To avoid alcohol
Moderation in all sphere of life
Regular check-up of blood sugar
Regular urine examination
Harrison’s Principle of Internal Medicine
Davidson’s Principle and Practice of Medicine
Boerick William,Homoeopathic Materia Medica
Kent J.T., Lectures on Homoeopathic Materia
Khan L.M, Pleasure of Prescribing
Vijayankar Praful, Predictive Homoeopathy
Dev. S.N., Scope of Homoeopathy
Monograph on Diabetes mellitus (CCRH)
ARTICLES British Journal of Homoeopathy
Quarterly CCRH Journal.