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Diabetes Mellitus
Type 1 diabetes mellitus
It is characterized by loss of the insulin-producing beta cells of the islets of Langerhans in the pancreas leading insulin deficiency. This type of diabetes can be further classified as immune-
mediated or idiopathic. The majority of type 1 diabetes is of the immune-mediated nature, where beta cell loss is a T-cell mediated autoimmune attack.
There is no known preentie measure against type 1 diabetes, which causes appro!imately 1"#
of diabetes mellitus cases in $orth %merica and &urope. 'ost affected people are otherwisehealthy and of a healthy weight when onset occurs. (ensitiity and responsieness to insulin are
usually normal, especially in the early stages. Type 1 diabetes can affect children or adults but
was traditionally termed )juenile diabetes) because it represents a majority of the diabetes casesin children
Type 2 diabetes mellitus
Type * diabetes mellitus is characterized by insulin resistance which may be combined with
relatiely reduced insulin secretion. The defectie responsieness of body tissues to insulin is
belieed to inole the insulin receptor. +oweer, the specific defects are not known. iabetesmellitus due to a known defect are classified separately. Type * diabetes is the most common
type.
In the early stage of type * diabetes, the predominant abnormality is reduced insulin sensitiity.%t this stage hyperglycemia can be reersed by a ariety of measures and medications that
improe insulin sensitiity or reduce glucose production by the lier. %s the disease progresses,
the impairment of insulin secretion occurs, and therapeutic replacement of insulin often becomesnecessary
Diagnosis
lycosylated hemoglobin and lucose tolerance test
1999 WHO Diabetes criteria
Condition 2 hour glucose Fasting glucose
mmol/l0mg/dl mmol/l0mg/dl
$ormal 23.4 0215" 26.1 0211"
Impaired fasting glycamia 23.4 0215" 7 6.10711" 8 23."021*6
Impaired glucose tolerance 73.4 0715" 23." 021*6
iabetes mellitus 711.1 07*"" 73." 071*6
iabetes mellitus is characterized by recurrent or persistent hyperglycemia, and is diagnosed bydemonstrating any one of the following
• 9asting plasma glucose leel at or aboe 3." mmol/L 01*6 mg/dL.
• :lasma glucose at or aboe 11.1 mmol/L 0*"" mg/dL two hours after a 3; g oral glucose load
as in a glucose tolerance test
• (ymptoms of hyperglycemia and casual plasma glucose at or aboe 11.1 mmol/L 0*"" mg/dL.
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Q I am a person with a history of diabetes Type II for the last ten years . 'y age is 55 and I am
facing se! problems for the last one year like &rectile ysfuntion, :re-ejuculation. :resently i am
on medicine for the control of diabetes which is controled now a days. :lease (uggest me some
homeopathic medicine which is aaible here in pakistan rawalpindi. I shall be ery great ful to
you for this act of kindness Thanks 8 <egards=
!ns
1. cephalandra indica >
2. *.syzizium jumbolinum >
?oth medicine *" drops in half cup of water @ times a day and gradualy decreases the dose of
allopathic medicine by regular measuring of ur sugar leel.process of decreasing the dose of
allopathic med start after one month of taking aboe homoeo med.
"ndications (yzygium Aambolanum has marked action on diabetes mellitus as it causes markeddiminution of sugar in urine. reat thirst with weakness, emaciation inspite of proper nutritious diet.
:rofuse urination of high specific graity. (yzygium Aambolanum also helps in prickly heat in the upper
part of the body. (mall red pimples with much itching. (yzygium Aambolanum also helps in treating old
ulcers of skin associated with diabetes mellitus.
Home remedies diabetes #e recommend
Home remedies Diabetes $1 Take %lpha lipoic acid It helps to control sugar leel in the blood.
%lpha lipoic acid is considered among the elite, multipurpose antio!idants.
Home remedies Diabetes $2 Take 5"" mcg. a day of chromium picolinate makes insulin more
efficient helping keep sugar leel low. Bhromium maintains stable blood sugar leels through
proper insulin utilization and can be helpful for people with diabetes and/or hypoglycemia.
Home remedies Diabetes $%Take arlic in capsules it helps circulation and regulates sugar
leel.
Home remedies Diabetes $&;"" mg of L-glutamine and taurine a day to reduce sugar craings
and to help release insulin.
Home remedies Diabetes $' +uckleberry promotes the production of insulin.
Home remedies Diabetes $( % tea made with kidney beans, white beans, nay beans, lima
beans, and northern beans remoes to!ins from the pancreas.
Home remedies Diabetes $) ?lood sugar can drop as much as ;" points in the first week using
mangosteen supplements. 'any people, including those with iabetes 1, iabetes *, and chronic
inflammation, hae been ery pleased with the mangosteen juice.
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"*D"C!T"O* FO+ HOM,O-!TH. M,D"C"*,/ FO+ T+,!TM,*T OF
D"!0,T,/
a Diabetes "nsipidus 3 C a phenomena or rare disease caused by disorder of the
pituitary gland, making the patient less pass large Duantities of urine and want to drink
more than normal 0 &!cessie thirst, large olume of freDuent urine .
+emedies
(ymptoms description by indiidual or diabetic person
osage / time
1 3 -hosphoric !cidum (c Diabetes #ith great thirst and debility 6 hourly
23 Mure4 (c 5rine 6re7uent at night 6 hourly
%3 Cantharis (c iabetes complicated with albuminuria, constant desire to urinate. 6 hourly
&3 *atrium /ulphuricum (c 6 hourly
$erous origin, when due to worry, mental oer work and se!ual e!cess
'3 8raphite (c Earious complication of diabetes wehen cause not known 6 hourly
(3 /7il (c :rofuse flow of colourless, urine containing no sugar, if during night
and day. 6 hourly
)3ac:d (c %lbuminuria and other affections of the kidneys 6 hourly
b Diabetes Mellitus ; present o6 glucose in urine and blood
+emedies
(ymptoms description by indiidual or diabetic person
osage/time
1 *atrium phosphoricum (cBondition arising from e!cess of lactic acid, often resulting from too much sugar , atnight 6 hourly
* Opium (c (ugar in blood an urine 6 hourly
@ -lumbum iodatum (c Fric acid increase, albuminous, low specific graity 6hrly
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5 /y<ygium %4 iabetes 'ellitus, increasing the blood sugar , glycosuria.
6 hourly
;5ranium nitricum %4
lycosuria and increase urine, to produce nephritis, diabetes, degeneration of the lier,
high blood pressure and dropsy. 6 hourly
(3 !egle 6olia (c
iabetes 'ellitus, presence of sugar in urine. In diabetes, blood sugar, blood urea 6 hourly
*ote
%s far as diabetes goes, substances such as phosphorous to lo#er blood sugar,
Codenium and /y<ygium may all be useful.
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iabetes
Ajit Kulkarni
Hpathy Ezine, August, 2012 | Print This Post G August 12, 2012
r. %jit Hulkarni discusses homeopathys role in the management of diabetes, using totality of
symptoms, indiidualization, clinico-pathological and miasmatic correlations. +e presents many
concepts along with illustratie cases.
:resented at the &uropean Bongress of +omeopathy, <iga, Latia, 'ay, *"11
“If someone wishes for good health, one must first ask oneself if he is ready to do away with the
reasons for his illness. nly then is it !ossi"le to hel! him.# $ Hippocrates
This sentence truly applies to a patient of iabetes mellitus who is finding it increasingly
difficult to do away with the reasons for his illness, gien the changes in life style, the abundance
of denatured food, stress and strain of modern life and the eddy around which he has to reole
himself=
"ntroductioniabetes 'ellitus is a heterogeneous chronic metabolic disorder characterized by hyper-
glycemia resulting from a defect in Insulin action and or deficiency of Insulin secretion. It is a
systemic and multi-faceted condition that affects each cell in the body and also the mind.
iabetes mellitus is a syndrome C ubiDuitous and dynamic. The prealence of diabetes in adults
was 5 percent worldwideJ this means that oer 15@ million persons are now affected. It is
projected that disease prealence will be ;.5 percent by the year *"*;, with a global diabetic
population reaching to @"" million. K+ predicts that India will hae the largest number of
diabetics, around 4".M million, by *"@". Korldwide, eery ten seconds, at least one person dies
from diabetes and its complications 0(iegel 8 $arayan, *""4.
In iew of the alarming rise of diabetes, the holistic therapy of homeopathy should not lag
behind and eery effort should be made to utilize its benefits for the sake of ailing humanity. The
Duestions that baffle a conscientious homeopath are C Khat is diabetesN Is diabetes-
increased blood sugar or is it ascular changesN Khich is the cause and which is the effectN Is it
inheritedN Is it psychosomaticN Khat role do emotions playN Khat role does life style playsN
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Khat should the diet beN %re diabetic pills to be lauded or bannedN Is insulin therapy as dramatic
as it was made out to beN Is mere control of blood sugar leel, a real solutionN
<esearch findings in conentional medicine put toward the limitations and side effects of
hypoglycemic agents, insulin therapy, zinc oerdose and also side effects of sweeteners. %
homeopath should know their side effects as he is confronted with people who are consumingthese agents. %rtificial sweeteners such as (accharin, %spartame, %cesulfame potassium,
(ucralose, and $eotame, Byclamate, 9ructose, (orbitol, 9ructofiber, and Biiocid are often used
and some of them are found to be carcinogenic.
ral hypoglycemic agents were clinically tried in %merica. They put *"; patients on placebo and
*"; patients on the pills for an eight-year period. +eart attacks were three times more freDuent in
the e!perimental group, than in those on placebos. It is said that increased ?(L leads to heart
attacks, but researchers found that the ery pills which control the sugar, cause heart attacks.
r. 'anu Hothari, one of the distinguished physicians of India, writes, OKe seem to know that
there is diabetes and there are anti-diabetic drugs. ?ut I think we are kidding= iabetes is a multi
faceted problem. :rotein metabolism is disturbed, fat metabolism is disturbed, sugar metabolism
is disturbed, arterial health is disturbed. %t the moment we hae only one parameter, glucose
leel. (o we gie a drug to bring the glucose to the doctors desired leel, not necessarily to the
patients comfort. %nd you call it curing diabetes, treating diabetes= Poure kiddingQ. r. 'anu
Hothari points out that' is not a specific disease pathology, but the innate program of an
indiidual that embraces protein, fat 8 carbohydrate metabolisms.%s a parallel eent, '
controls the course of a wide ariety of tissues, esppecially blood essels, either primarily and /or
as a conseDuence of the metabolic, ascular and nerous personality of an indiidual. 9or this
ery reason, its course and cure are unknown and shall remain so.
n this background, the success of homeopathy has to be measured in terms of maintaining
blood sugar leel, preention and management of complications C 'acroascular /
'icroascular / $europathic, and their conseDuences in multiple ital organs. The role of
Bonstitutional, Intercurrent and organ remedies and the importance of miasmatic assessment in
the clinical stages of complications should become mainstay of homeopathic management. Thehomeopathic approach towards each patient is essentially holistic and more so in '.
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The /e=en Factors and Homeopathic +emedies
The following seen factors are implicated in the etio-pathogenesis of iabetes mellitus,
according to RThe %merican iabetes %ssociation % new etiologic classification system fordiabetes mellitus is listed below with corresponding prominent homeopathic remedies.
1. 8enetic de6ects o6 >:cell 6unction or in insulin action %eso&yri"onu'lei'um a'idum
(%)A*, )osodes+ ar'ino'inum, -edorrhinum, Tu"er'ulinum, y!hilinum
*. DM resulting 6rom diseases o6 e4ocrine pancreas Ars al", /ar mur, al' ars, ar"
an, ar" eg, onium, ydrastis, Iodum, Iris er, Kali "i'h, Kali iod, -er' sol, )at sul!h,
)u& om, Pan'reatinum, Parathyreoidinum, Phos!horus, ranium nitri'um
@. DM resulting 6rom endocrinopathies /ar3'ar", ar'ino'inum, Pituitaria !osterior,
orti'otro!inum (AT*, ortisonum (ortisone and orti'oids*, Adrenalinum, Iodides,
4errums, )at3mur, e!ia, Thyroidinum, Phos!horus
5. Drug?Chemical induced Agari'us, Agnus 'ast, Arseni' al"um, /ryonia, am!hor,
ar"n3sul!h., ar"3eg, hina off, offea, orti'otro!inum, ortisonum, ydrastis 'an,
Kali3iod, 5a'hesis, 5auro'erasus, -ag3sul!h, )at3mur, )it a'id, )u& omi'a, !ium, Phos3
a'id, Pulsatilla, e'ale 'or, ul!hur, Thuja, Thyroidinum
;. "n6ections ar'ino'inum, -edorrhinum, Tu"er'ulinum, y!hilinum, ili'ea,
Parotidinum, Peni'illinum, tre!to'o''inum, ta!hylo'o''inum
6. 8estational DM 8DM3 5a'ti'um a'idum, elonias, ul!hur
3. "mmune:mediated diabetes The role of constitutional therapeutics and the remedies as
listed under no.1.
Factor 1
'ost genetic defects in insulin action inole the insulin receptor. The metabolic conseDuences
of these defects range from modest hyperglycemia to seere diabetes. %lthough the
constitutional remedy approach has to be underscored here, the use of intercurrent remedies must
be emphasized. iabetes has also been regarded as an autoimmune disease and the role
of %)A has been increasingly obsered in genetic and autoimmune disorders. :. <obbins who
did a wonderful proing of %)A suggests, OThis remedy would be good for genetic damage.Q?ladder C urination C urging to urinate C freDuent and scorbutic gums are reliable proing
symptoms of %)A. 9amily history of serious diseases and past history of multiple infections
0like ar'ino'inum are key indicators for selecting %)A. I recall a case of Auenile iabetes
with non-healing ulcer on the dorsum of the leg, where the best indicated remedies failed to act,
but a dose of %)A *"" healed the wound.
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The $osodes, the multi-polychrests, assume a ery important place in clinical practice. % nosode
is a blend of the disease-potential and the host-responseJ hence, it represents the dynamic
potential of germ, host and their inter-action to become a powerful and comple! healing force to
meet the ineterate morbific conditions like '. The incidence of cancer is increasingly foundin the family tree and in order to deal with the cancer miasm, which is responsible for bringing
onto the fore a condition like diabetes, ar'ino'inum must be used. In a case of diabetic ulcer
with a history of cancer in the family, where the life and death issue was the prominent
one, rotalus horridus 1"', three hourly, during acute crisis, followed by ar'inosinum not
only saed the amputation of the feet but has kept the patient alie and healthy until now 0see
photographs. Kho can forget the inter-relation between tuberculosis and diabetesN % diabetic
person is prone to infections and more to tubercle bacilli. 9urther, the emaciation which a '
patient e!hibits is typically tubercular in nature as are also the many complications. +ence the
intercurrent use of Tu"er'ulinum helps a diabetic patient in many ways.
% case of carbuncle that was being partially helped by Tarentula 'u"ensis finally resoled under
the action of Tu"er'ulinum. y!hilinum, a representatie of syphilitic miasm, is a major remedy
that can be interpolated when a case manifests syphilitic miasmatic complications that carry a
patient towards destruction. I remember a case of a young pererted psychotic with homose!ual
and incendiary impulses, addicted to narcotics and diagnosed as a juenile diabetic, who
presented with fistula-in-ano, that yielded finally to y!hilinum, when 4luori' a'id did only lip
serice.
Insulin is reDuired in this group and no homoeopath should try to reduce it in an abrupt way.
+oweer, side effects of Insulin can be treated with homoeopathic remedies and Insulin in
potentized form can be used. %part from side effects like allergic reactions, thickening of skin,
weight gain, peripheral oedema, lipodystrophy at injection sites, and Ig and
Ig' antibodies against insulin 0I- Insulin antibodies of high leels lead to immune-mediated
Insulin resistance, new research suggests that Lantus, an artificial form of insulin, may increase
the risk of deeloping cancer.%notherstudy suggeststhatinsulin use increases the risk of colon
cancer. +ence,ar'ino'inum and 'irrhinum should assume a place in all diabetics who becomeinsulin dependent.+yperinsulinemia, a side effect of insulin, is known to cause ascular changes
and it is suspected that at least some of the ascular complications in diabetics could also be due
to insulin therapy. % point of note is that the long-term safety of Insulin analogues has not yet
been established and there is growing eidence of mitogenic effects.
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Sinc plays a key role in the synthesis and action of insulin, both physiologically and in the
pathologic state of diabetes. I must mention zinc to!icity. &!cess of zinc may lead to copper
deficiency and may also inhibit the anti-carcinogenic effect of selenium. The other to!ic effects
are electrolyte imbalance, respiratory distress, pulmonary fibrosis, intestinal bleeding,
thrombocytopenia, hypotension, tubular necrosis with renal failure, pancreatitis, gastric ulcer,muscular Inco-ordination, dizziness, anemia, reduction in chemo-ta!is, phagocytosis, and platelet
aggregation.
The relationship between diabetes, insulin and zinc 0Sn is comple! with no clear cause and
effect relationships. (ince Sn plays a clear role in the synthesis, storage and secretion of insulin,
as well as conformational integrity of insulin in the he!americ form, the decreased Sn, which
affects the ability of the islet cell to produce and secrete insulin, might then compound the
problem, particularly in Type * diabetes. (ome researchers conclude that zinc atoms, not the
insulin molecule itself, proide the switch-off signal from the beta cell to the alpha cell to initiate
glucagon secretion during hypoglycemia.
I recommend 6in'um salts in homeopathy for the states of both deficiency and e!cess of zincum.
Factor 2
iseases that damage at least 6"-3"# of the pancreas 0islet cells can cause diabetes in any
indiidual. Indiiduals with genetic risk factors for T*' are more susceptible to deeloping
diabetes from pancreatic damage. Trauma/pancreatectomy, :ancreatitis, +emochromatosis,
Bystic fibrosis and $eoplasia are implicated in '.Ke hae on our record a case of chronic
pancreatitis where pain in abdomen was present at @-5 am and it was associated with Type* ',
and Kali "i'h helped the case not only in controlling blood sugar leel but also in alleiating the
pain and discomfort in the abdomen. %nother case of chronic pancreatitis with uncontrolled
diabetes, characterized by profound weakness and emaciation improed
with raniumnitri'um@" gien once daily for oer @ months. The following indications of ran3
nit . are worth mentioning.
• Bauses glycosuria and increased urine.
• Is known to produce nephritis, diabetes, degeneration of lier, high blood pressure anddropsy.
• &normous appetite and thirst, yet the patient continues to emaciate.
• ebility, languor and tendency to ascites.
• (uited to ' originating in dyspepsia or assimilatie derangements.
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• Bhronic pancreatitis 0<ef. % (elect +omoeopathic 'ateria 'edica :art III and
<epertory, unpublished
Factor %
Bounter regulatory hormones 0epinephrine, glucagons, cortisol and growth hormone antagonizethe action of insulin. iabetes and insulin resistance are associated with a number of endocrine
disorders of these hormones, like %cromegaly, Bushings syndrome, lucagonoma etc., largely
through their stated counter regulatory effects.
The author has no e!perience in treating a case of diabetes with this cause. ?ut a case can be
cited where a patient deeloped Bushings syndrome and aascular necrosis of the head of the
femur and diabetes due to prolonged systemic therapy with corticosteroids for (arcoidosis. +is
chronic constitutional remedy was fished out as -agnesium muriati'um and intercurrents
were Thyroidinum and ortisone, for antidoting the crude steroids. These three remedies helped
to tide oer the crisis though the drug-induced pathologies were irreersible.
Factor & ; Drug?Chemical induced
There are numerous drugs that are associated with either diabetes or impaired glucose tolerance.
They act either by decreasing insulin production and secretion, decreasing insulin sensitiity, or
altering the ability of insulin to regulate metabolism.
rug/chemical induced ' is a cause of concern today and many culprits hae been recognized
$icotinic acid, lucocorticoids, Thiazide diuretics, -adreneric agonists, :rotease inhibitors,
:entamidine, Thyroid hormones, %lpha-interferon, Blozapine, %llo!an, ?eta-blockers etc.
<ecent eidence suggests that een in normal doses the most freDuently used N-
blocker %tenolol 0Tenormin carry an unacceptable risk of prooking type * diabetes. $umerous
medications used to treat +IE infection hae been associated with diabetes. The research study
with the oral drug R%andia has reealed that it increased the risk of heart attacks by 5@ percent
and of death from heart problems by 65 percent
ur homeopathic pharmacy should possess all tautopathic remedies to deal with diseases brought
on by the drug miasm. %part from the heay metals that are indicated for chemical damage, I
reDuest our readers to focus on ar"oneum sul!h as it coers the causatie elements and
degenerating pathologies. % (elect +omeopathic 'ateria 'edica lists under ar"n3s., OThe jet-
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set, addicts of alcohol, tobacco, narcoticsJ absorbing aluminium, lead 0from cosmetics etc. and
other chemicalsQ.
Factor ' ; "n6ections
The host resistance to infection in diabetes and the influence of an acute infection upon theendocrinologic-metabolic status of the diabetic patient is an interesting study for a homeopath.
Infection tends to occur with greater freDuency and seerity in diabetic patients than in non-
diabetic. The occurrence of infection in a diabetic patient perpetuates a icious cycle, in which
infection results in uncontrolled hyperglycemia, which in turn causes further aggraation of
infections. The K+ has included diabetes in its classification of secondary immunodeficiency
diseases. The impairment of a wide range of functions in neutrophils and macrocytes
0'acrophages including chemota!is and adherence phagocytosis and intracellular killing of
microorganisms and also impairment in the moement of phagocytic cells are the factors that
e!plain the increased susceptibility to infection.
+omeopathically, it is the tubercular miasm which is chiefly responsible for host susceptibility in
diabetes. Let us take an e!ample of ili'ea, our surgeons knife.ili'eais born with a defectie
mesenchymal system i.e. with loose, poorly functioning connectie tissues. This affects the
system in many ways as connectie tissues play a ital role in metabolic, defensie and
hemopoietic functions. ili'ea is a Tuberculo-syphilitic remedy and is useful in many
neuropathic and dermatological complications of diabetes. Ke hae found it, as a ery useful
remedy in Auenile diabetics who deelop recurrent infections, are malnourished and dont put
on weight.
Parotidinum can be thought of when diabetes has deeloped after mumps. r. :. I. Tarkas
mentions -edorrhinum for the same. :eople with diabetes, and those who use medications such
as steroids, are at higher risk for inasie disease from group % streptococcal infections.I often
make use of tre!to'o''inum in such cases. I would like to mention a case of urinary tract
infection due to group ? streptococcus in a pregnant lady, with gestational diabetes, who
responded to Pyrogenium 1', gien si! hourly for 5 days. Tu"er'ulinum has been my sheet
anchor in boosting the immunity against pyogenic infections.
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Factor (
The statistics indicate that Rabout one-third to one-half of women who hae gestational diabetes
will hae it again in a later pregnancy. %nd up to ;" percent of women with gestational diabetes
will deelop diabetes at some point in the future. These cases need constitutional homoeopathic
treatment and the repertory indicates three remedies C 5a'ti'um a'idum, elonias and ul!hur.
%bout elonias, there is an interesting rubric R(adness, diabetes, during. (o the combination is
C sadness, diabetes and pregnancy. %llens Hey $otes lists the following indications, Oiabetes
first stagesJ urine profuse, clear, saccharineJ lips dry, stick togetherJ great thirstJ restlessnessJ
emaciationJ irritable and melancholy. %lbuminuria acute or chronicJ during pregnancy, with
great weakness, languor, drowsinessJ unusually tired, yet knows no reasonQ. :ierce Killard in
R:lain Talks on 'ateria 'edica with Bomparisons writes, OIt produces depression both of the
body and the mindJ there is profound melancholia, with Odesire to be aloneQ 0+aleJ they are
irritable and fault-finding and intolerant of the least contradictionQ. Khen I treat modern women,
I find a striking correspondence in elonias.
The "M- Factor The +ole o6 ,motions
The role of emotional factors in the etiology of diabetes has been a source of debate. +oweer,
personality traits of diabetic patients hae been studied and many researchers hae noted
similarities of configuration. The influence of emotional stress upon sugar metabolism has also
been e!amined. 'any inestigators hae obsered definite connections and inferences go in
faour of homeopathys holistic approach towards a patient of diabetes. To cite the recent
research findingslower than aerage blood glucose alues at baseline were associated with
higher scores for the personality domain of neuroticism and seeral specific traits including
an!iety, angry hostility, depression, self-consciousness, and ulnerability but were associated
with lower scores for the trait of altruism.
It has often been assumed that patients who repeatedly go into acidosis despite careful efforts at
regulation, suffer from metabolic eccentricities that make them react seerely to slight changes in
diet, insulin intake, e!ercise, or emotions. (usceptibility to infection may be held responsible.
The importance of emotional disturbances has been appreciated, and the acidosis has, at times,
been attributed directly to the effects of emotional factors upon the metabolic processes. Let me
point out some cases of acidosis from my practice. % colleague of conentional therapy once
referred a case. The case was interesting in the sense that the referred woman was admitted fie
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times in his hospital for diabetic acidosis within a span of two months. &ery time the relaties
narrated the history that the patient and her husband were not on good terms and wheneer big
Duarrels occurred, the patient went into metabolic acidosis. )atrum muriati'um, gien on the
basis of totality of symptoms not only stopped the recurrent episodes of acidosis but her
susceptibility to infections was reduced. The blood sugar leel also maintained at normal leels.
%nother case was of juenilediabetes of a young chap of *1 years. +e was diagnosed to hae
A' at 15 years and was maintaining well on Inj. Insulin. % touchy, introerted, shy young man,
for whom the home was as if hellJ no loe from parents, constant Duarrels, father alcoholic,
mother materialistic. +e was harbouring resentment and feelings of abandonment and had to
sustain the blow of diorce. +is mother found a new man within a year and our patient was left
alone. +e got acDuainted with a new girl friend and life became smooth with her. %las, on one
fine day she left him. This was the big assault. (ince then infection, increase in blood sugar,
acidosis and then hospitalization became a icious cycle. ar'ino'inum made him altogether a
different man along with psychotherapeutic sessions. +e was determined to find himself, to find
his potential and to use the Rgo in his life. The reasons for selection of ar'. were family history
of cancer, increased susceptibility to infection, the chronic state taking on an acute, seere
episode, and an intense abandoned feeling. (ynthesis <epertory mentionsar'. under the rubric,
%cidosis.
The -ersonality characters in Diabetes
?efore we contemplate the personality characters, we must acknowledge the symbolic language
of the pancreas. The pancreas is linked to the solar ple!us that deals with emotions, wishes and
intellectual actiities. The pancreas represents the sweetness of life.%ccording to human
symbolic language of the pancreas- sweetness, loe, the basic comple! emotion, has a prominent
role to play in diabetes. iabetics are found to be more emotional and harbor many wishes for
themseles and others. They tend to reproach themseles with discontentment of others. They
spend much energy fulfilling the inner need of their emotions and there is associated inner
sadness from an unreDuited loe. Auenile diabetes may occur in those children who feel
insufficiently acknowledged. In short, the problems of the pancreas stem from indiiduals not
belieing they desere loe. There is a huge inability to feel part of the whole and gie andreceie in a balanced way.
(ome deeper insights are needed to understand the concept of loe in diabetes. ont discard
them as metaphysical. Ke hae enough threadbare through islets of Langerhans, insulin
deficiency and others. $otice that diabetics are alarmingly increasing in the world. The concept
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of loe is central to understanding and managing diabetes. If we, as homeopaths, iew ourseles
as holistic prescribers, we cant brush aside the role of emotions and resole the conundrum of
diabetics.
/ugar@ o=e and Diabetes
(ugar is a material synonym for loe and hence, it can be eDuated to loe, and loe is a sweet
feeling for human beings. $ot being able to metabolize sugar is an effect from not being able to
get loe. Aust as diabetics cannot integrate sugar in the food, it is difficult for them to integrate or
accept loe. iabetes is particularly related to feeling either a lack or an oer abundance of
sweetness in our lies. lycosuria amounts to running out 0failure of loe. iabetics cant
assimilate sugarJ it passes straight through, to be e!creted back out again. ?ehind the desire of
diabetics to enjoy sweet things and their inability to assimilate and absorb them, stands an
unsatisfied desire for loe, along with an inability to accept loe and absorb it unreseredly. In
an adult, diabetes is often associated with obesity and this shows the link between oereating to
make up for the lack of loe or nourishment and an inability to receie loe.Khilepresenting the
parallels between insulin in language 0Latin word insula U island i.e. Islets of Langerhans and
characters of diabetics, r. 'ichael Lincoln, in R'essages from the ?ody suggests that
indiiduals with diabetes are Oislands unto themselesQ- i.e. Ofrom birth they learn to fend for
themseles. ?asically, they feel they hae to rear themseles.Q Therefore, when theyre not able
to find nurturance, releance or alidation from outside themseles, they become self-made. This
process is likely to be traumatic, which reinforces a belief that theres no sweetness in life. r.
Lincoln further adds that due to guilt feeling and lack of alue, life loses its sweetness. This lack
of sweetness and a deep longing for Owhat might hae beenQ may cause malfunction of the
pancreas, because the pancreas reDuires the emotion of joy to function properly.
iabetes leads to oer-acidification of the whole body. %cid is a symbol of aggression.
iabetes depicts this aggression in the form of inflammations 0-itis, the war and destructie
pathologies. The sugar leel in our blood relates to the amount of sweetness and loe in our lies
and to the opposite, anger and sourness. There is always polarity between loe and aggression,
between sugar and acid. The body warns C those without loe become sour. 'etabolic acidosisconseDuent to emotional e!citement is a good e!ample.
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Clinical Testing
?ased on the aboe-mentioned human symbolic language and the concept of loe, the author
found that out of *3" cases of mature onset diabetes, *"6 cases 036.* # hae, in one way or
other, unresoled problems stemming from loe. They represent the theme C lack of loe or
affection. The author obseres that in most of the patients loe remains unused, accumulatingand running as if sugar in the blood.
In this study it was found that there is also resentment at haing to take responsibility, a desire to
be loed but not to gie loe, to be cared for without haing to gie. It was found that diabetics
often feel emotionally isolated, unable to gie of themseles, a kind of emotional selfishness.
They demand to be loed without haing to gie back. ?alance and stability is simply out of the
Duestion.
,=ol=ing the Therapeutic "nde4 o6 +emedies
In order to eole the therapeutic inde! of polychrest remedies in diabetes, the following steps
are listed.
1. <epertorize symptoms related to diabetes- clinical rubric of diabetes, common symptoms,
uniersal complications of diabetes, the role of loe in diabetes
*. (tudy of repertorization filter
@. 9ocusing on polychrest remedies
5. &aluating the remedy data through 'ateria 'edica and clinical e!periences
;. eeloping the therapeutic inde! in order of their importance in clinical practice and not
necessarily on Duantity of marks, the filter being used as an entry point more.
The following symptoms are taken for repertorization.
1. iabetes mellitus
*. Thirst, increased
@. %ppetite, increased
5. Frine, profuse
;. Keakness, diabetes, in
6. eneralities, emaciation
3. eneralities, obesity4. %rteriosclerosis
M. %ilments from, disappointment in loe
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The purpose of the aboe selection of rubrics is to deelop the totality of symptoms comprising
mental generals 0causatie emotional modality, physical generals, physical particulars and
pathological generals. The rubric emaciation is taken, as it is a complication of diabetesJ obesity
is taken, as it is the major cause of diabetes. There is no rubric like degeneration or sclerosis as a
general one. +ence, arteriosclerosis was selected, as it is one of the major complications of 'that can affect many different organ systems, including the heart, lungs, brain, intestines,
kidneys, and limbs.
0<adar 1".;.""@ software is used for <epertorization. The repertory used is Bomplete <epertory
?asic.
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If we analyze the filter of forty leading remedies, twenty remedies are from the mineral kingdom,
si!teen remedies are from the egetable kingdom, and of animal remedies there are are three, andonly one nosode, -edorrhinum. It is generally obsered that mineral remedies are more often
employed in diabetes. :lant remedies hae their operational alue due to the psychosomatic
reflections in diabetes. f course, there should be no rigid compartmentalization in selection of
remedies on the concept of kingdoms.
!pplying 8roup +emedies to Diabetics
A'ids, Arseni'ums, 4errums, Phos!hates, ul!hates, -er's, Kalis, ar"ons are the freDuently
indicated groups with their deriaties. 9inal choice of the remedies should be based on
cationV.anion bonding and the characteristics both ions represent. (ymptoms of ' and thoseof the %cid group of remedies are strikingly similar iz. debility, profuse urination, increased
appetite, emaciation, delayed wound healing, hemorrhages, tendency to ulceration
etc. Phos!hori' a'id, 5a'ti' a'id, ul!huri' a'id, Pi'ri' a'id, &ali' a'id and ar"oli' a'id. are
the chief remedies for '. Phos3a'.accentuates on debility and numb stateJ 5a'3a'. on
rheumatic and gastric symptoms as concomitantsJ ul3a'. on alcoholics, slow healing ulcerations,
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debility and gastric symptomsJ Pi'3a'. on muscular debility and neurastheniaJ ar"3a'. on senile
complications, putrescence and un-repairing states. Let us deal with ar"ons.ar"ons are in a
twilight zone, between life and death due to decay and decompositionJ they are in life but riding
slowly towards death. They represent adanced pathologies like, ulcerations, gangrene, shock,
hypo!ic states of ital organs that alter the structure and function and make the systemdeitalized. Barbons are more indicated for ascular and neurological complications of '.
?ased on the concept of loe, I would like to emphasize the role of )atrum, A'id, Kali,
-agnesium and 5a' groups of remedies. )atrums are deastated by disappointment in
loe, A'ids cant loe as their mind set is much more materialistic, more inoled with conflicts
and aggressionJ Kalis get disturbed by their intimate bonds and also broken attachments
while -agnesiums feel orphaned due to depriation of loe. 5a'ssustain the feeling of being
abandoned and being inferior. %ll these groups with their radicals suffer heaily from metabolic
disturbances. If we study Phos!hori' a'id , an I': remedy for diabetes, we find the theme of
loe being lost. isappointment in loe, profound grief and chagrin, make Phos3
a'id emotionally numb and blunted. +e becomes seerely apathetic and indifferent and cant
reciprocate loeJ as if no sweetness is leftJ as if loe has stagnated in the body and has remained
unusedJ also debility and self-depreciation seerely affect the concept of self-loe in Phos3
a'id . The resulting negatie, unloing thoughts and feelings feed both the subconscious and the
conscious mind and a icious cycle is set up. %cid in Phos a'. plays its role as to its destructie
and degenerating pathologies.
I must say few words about ul!hur . Insulin contains a large Duantity of sulphur 0@.@1#, all of
which is found in the form of cystine, which constitutes 1*# of the total hormone weight.
Insufficient sulphur may result in decreased insulin production. It is also possible that a lack of
bio-aailable sulphur would make the cells so rigid and impermeable that they become unable to
absorb sugar from the blood efficiently, leaing blood sugar leels eleated. I regard ul!hur as
a basic remedy for diabetes. I use it as an intercurrent remedy in warm blooded diabetics, though
its alue as a chronic deep acting multi-miasmatic constitutional remedy is doubtless.
!pplying remedies to complicationsI would like the readers to note two research inferences C
1. &!perimental studies show that not all animals with drug induced hyperglycemia and insulin
deficiency demonstrate renal glomerulosclerosis.
*. % ariety of enironmental factors can adersely affect the diabetic milieu and thus enhance
the susceptibility to chronic complications in a subject with genetic predisposition.
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The former inference alidates the point that not all is well een if blood sugar is controlled
strictly and the latter alidates the miasmatic theory of homeopathy. It is necessary to
study $icolas 9. Kiernspergers report O%nimal and human studies reported defects in small
essel constrictor reactiity in diabetes but also eidence for disturbances already present in
nondiabetic, insulin resistant statesQ.
Blinico-pathological and miasmatic co-relations are essential for managing the complications of
'. :athology is the accentuated and concentric energy of the disease that gets reflected at the
tissue leel. The mirrored reflection of pathology in our remedies chiefly comes from
to!icological and clinical confirmation data. The complications in ' are chiefly due to
tubercular and syphilitic miasms.
Diabetic neuropathy
:eripheral neuropathy is a common complication of diabetes and may appear as the first
manifestation of the disease. It is likely to occur in een the mildest cases of diabetes.
%nti-syphilitic remedies are noted here. Aurums, -er's, 6in'ums, Phos!hates, Kalis,
-agnesiums, u!rums, trontiums, Plum"ums et'. Ashwagandha mother tincture can be tried in
neuropathy. % case of diabetic neuropathy where the patient was unable to sleep due to pain,
tingling and numbness of legs was helped by 6in'um sul!h. ne more case where burning of
soles was the prominent symptom, got benefit from -edorrhinum.
Diabetic nephropathy
iabetes mellitus is an important cause of end-stage renal failure 0&(<9. %lthough classic
diabetic nephropathy accounts for the majority of patients reaching &(<9, renoascular disease,
which is freDuent in such patients, plays an increasingly important role. The use of heay metals,
phosphates, aurums, coppers, and kalis are to be used more. I remember a case of diabetic
nephropathy where a patient deeloped uremia, scanty urination, omiting, delirium and
conulsions. +e was hospitalized and many diuretics were gien. ?ut seeing no progress,
dialysis was recommended. It was at this stage that homeopathys help was sought for. I prescribed u!rum arseni' L'1 daily three doses and he responded Duickly. +e was restored to
consciousness, started passing urine and at least for few months, dialysis was not needed.
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Diabetic retinopathy
iabetic retinopathy is the result of microascular retinal changes. +yperglycemia-induced
intramural pericyte death and thickening of the basement membrane lead to incompetence of the
ascular walls. These damages change the formation of the blood-retinal barrier and also make
the retinal blood essels become more permeable. I had a case of :roliferatie diabeticretinopathy 0where blood essels grow and there is lack of o!ygen in the retina. I took hypo!ia
as an indication and decided to select a ar"onremedy. I found a good pathological
correspondence under )a!hthalinum. ?oericke mentions, R'arked affinity for the eye. It
produces detachment of the retinaJ papillo-retinal infiltrationJ deposits in patches upon the retinaJ
amblyopia and consecutie amaurosisJ sparkling synchisisJ soft cataract. &!udation in the retina,
choroid and ciliary body. I put her on )a!h. L'1 daily for oer * months and it yielded partial
but definite improement.
"mpotency
It is estimated that about @;-3;# of men with diabetes will e!perience at least some degree
of erectile dysfunction during their lifetime. 'en with diabetes tend to deelop erectile
dysfunction 1" to 1; years earlier than men without diabetes. %s men with diabetes age, erectile
dysfunction becomes een more common.
The freDuently indicated remedies are aladium, 5y'o!odium, elenium, Phos!hori'
a'id and o'a. I helped one patient of diabetes with o'a when 5y'o!odium helped only
partially. The indications of o'a in this case were Rcold, Wgone, Rrela!ed feeling about the
genitals and a sensation as if the penis were absent. %llen mentions in RHey $otes and
Bharacteristics with Bomparisons, R9or persons who are wearing out under the physical and
mental strain of a busy lifeJ who suffer from e!hausted neres and brain. I often use this when
there is a combination of melancholy, hypochondriasis, alcoholism, brain fag, stress of busy life,
impotency and diabetes.
/ome use6ul research 6indings
• (edentary lifestyle increases leels of glucose in bloodJ een if one may not be diabetic.
• Bare of gums helps control diabetes.• Lack of ,or too much sleep, raises diabetes risk.
• ?reastfeeding reduces mothers diabetes risk.
• The mothers stress triggers diabetes in kids.
• <educed waistline lowers diabetes and heart risk.
• iabetes 8 obesity are associated with TE iewing.
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• (noring could raise the risk of deeloping diabetes.
• iabetes raises incidence of kidney stones.
• (pinal cord shrinks in diabetic neuropathy.
• +epatitis B linked to type * diabetes.
• iabetes reduces risk of prostate cancer.• :sychotherapy helps control diabetes.
• Laughter cuts blood sugar leel.
• 'iddle age diabetes may lead to dementia.
• 'others of smaller babies at higher risk of diabetes.
• +igh blood leels of selenium are linked with diabetes in adults.
• %s selenium has antio!idant properties, high leels of selenium in the body may preent
diabetes.
Conclusion
iabetes mellitus is the subject of a great many case management programs around the world, as
it is a ery prealent disease with modifiable risk factors and seerely disabling complications,
potentially preentable with the aid of homeopathy. iabetes is a constitutional condition and it
reDuires constitutional treatment for its management. +oweer, constitutional treatment doesnt
mean treating the patient, throughout her life with a single remedy= The homoeopathic system of
medicine is based on principles of indiidualization and susceptible constitutions. %lthough this
article focusses on polychrest remedies, other remedies hae their usefulness also, proided they
are indicated according to the Law of (imilars.
In the larger perspectie of management of diabetes, homeopathy has a definitie role to play. Its
armamentarium is rich and the classical approach based on totality of symptoms,
indiidualization and clinico-pathological and miasmatic co-relations will proe to be useful for
the treatment of diabetic patients. In this paper many concepts are discussed and many research
findings are presented along with some illustratie cases.
%t the end, I must mention that change of life styleJ yoga, diet modification and e!ercise are
eDually significant in the management of diabetes. They are symbiotic to the holistic application
of homeopathy.
Thank you, my readers, with a lot of sweets and loe=
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Repertization of diabetes
<ubrics to consider in the repertization of diabetes areJ
• 'ental symptoms associated with the persons dis-ease
• FrineJ sugar
• Frine sugar, and all sub-rubrics 0there are 15 in the *""; Bomplete <epertory• FrineJ profuse, increased
• ?ladderJ urination, freDuent
• (tomachJ thirst, e!treme
• (tomachJ thirst, unDuenchable
• &!tremitiesJ numbness
• &!tremitiesJ formication
• &!tremities, pain, burning
• eneralitiesJ wounds, heal, slow
• eneralitiesJ weakness, diabetes
• BlinicalJ diabetes, and all sub-rubrics
• (kinJ ulcers, diabetes
• (kinJ itching
<emedies that may be helpful include
• !rgentum Metallicum C 9reDuent urination, esp. at night. %ppetite greatly increased, hungry
een after a meal. 'outh dry, Keakness, emaciation. :articularly when scrotum, ankles and feet are
swollen.
• !rsenicum !lbum C reat hunger and unDuenchable thirst, especially for small sips. &maciation
and weakness.
• Helonias C 9irst stages of diabetes. Frine is profuse, clear, containing sugar. Lips dry, stick
together. :ain in the lower back.
• actic !cid C (ugar in the urine. reat thirst. +igh sugar in the urine and passed freDuently.
$ausea, better by eating. Bonstipation, debility. <heumatic pains in the joints.
• -hosphoric !cid C Frine is cloudy and can be thick after standing. :rofuse urination. Indifference
with great debility.
• -lumbum C 9reDuent and copious urination. Eiolent thirst. radual onset of debility. iminution
of sight. Loss of se!ual desire, impotence. islike of conersation and labor.
Other remedies • ther remedies that may be considered are %drenelinum, %rsenicum bromomatum, ?oista,
Bhionanthus, Boca, Burare, loninum, +eleborus, Iodium, Lachesis, Lycopodium, 'orphinum,
'oschus, 'ure!, $atrum 'uriaticum, $atrum (ulphuricum, $itric %cid, $u! Eomica, pium,
:ancreatinum, :hosphorus, :icric %cid, :odophylum, (ilica, (izygium Aambol, (ulphur, Tarantula
+ispanica, Tara!icum, Terebenthiniae, Franium $itricum.
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