INSULIN-DEPENDENT DIABETES MELLITUS

#51Endocrine System

INSULIN-DEPENDENT DIABETES MELLITUS

RCZBKLGI
The patient, born in 1963, was admitted to the clinic with newly diagnosed rapidly progressing Type 2 Diabetes Mellitus, complicated by retinopathy. Comorbid pathology includes chronic hepatitis in the acute stage, chronic cholecystitis, hypertensive disease stage II-A, chronic cystitis in the acute stage.

Complaints: purulent rashes all over the body and face, poor wound healing, burns over the last 2 years, occasional increases in blood pressure, vision loss, temperature rise up to 37.5°C.

History: Family history is burdened on the maternal side, the patient considers herself ill for 2 years, associates the onset of the disease with a previous hepatitis. Previous treatment: Essentiale-forte, antibiotics, general strengthening therapy, antispasmodics.

Objective data: General condition is relatively satisfactory, skin is yellowish, spine is deformed, kyphosis TIII-TIV, painful on palpation in the lumbar area, lower limbs are swollen, inspiratory shortness of breath with increased blood pressure, blood pressure 180/110, tongue coated with yellow film. Abdomen is tender to palpation in the epigastric region, right and left hypochondria, the liver protrudes from the costal margin by 3-4 cm, painful on palpation, medium density, smooth surface, sharp edge. Painful urination, frequent, polyuria.

Laboratory-instrumental studies: Blood sugar 10 mmol/l, urine sugar 0.7%. Eye fundus – angiopathy of retinal vessels, arteries narrowed, veins tortuous, uneven caliber. Visual acuity OD/OS — 0.9/0.8. EAF indicators decreased on all meridians (12-34), pancreas meridian (5-24).

Treatment was conducted once a day, daily for 2 weeks: GI general according to the schedule, locally for all zones for 5 minutes; RC general according to the schedule, locally on the head, spine, pancreas, gallbladder for 2 minutes, ZB general for 5 minutes, locally for all zones for 3 minutes, KL general for 10 minutes, locally on the pancreas 5x5 minutes twice a day before and after treatment, head 1 minute, spine 2 minutes, heels 15 minutes, thymus 2 minutes.

Therapy specifics: By the end of the first week of therapy, a paronychia developed on the foot, which resolved within 8 days (drainage phenomenon).

Results: By the end of the first week of therapy, the overall condition improved, skin regained its normal color, blood pressure normalized (120/80), body temperature normalized, urination improved, blood sugar was 8.9 mmol/l, urine sugar 0.3%. After 2 weeks, purulent rashes disappeared, kyphotic spinal curvature was corrected, swelling disappeared, abdomen was painless on palpation, liver was non-palpable, protruding 0.5-2 cm from the costal margin, blood sugar was 5.6 mmol/l, urine sugar absent, eye fundus – diabetic retinal angiopathy, moderate venous dilation, slight unevenness of their caliber, Vis OD/OS – 1.0/1.0. EAF parameters normalized.