weight loss therapy with acupuncture effecting hba1c levels dr. feriyde Çalışkan tür diabetic...
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Weight loss therapy with acupuncture effecting HbA1c levels
Dr. Feriyde Çalışkan TürDiabetic Medications Conference, 2015, Las Vegas
Tepecik Training and Research Hospitalİzmir, Turkey
Diabetes and HbA1c
• It's one of the most common chronic diseases effecting the world population.
• Exact cure of this disease is unfortunately not possible, however it can only be kept under control.
• HbA1c; routinely used to estimate elevated blood sugar levels
• Objective parameter is measured to determine the efficacy of diabetes management.
Diabetes and Obesity
• A metabolic problem; the pathologic changes is increase in body fat due to displacement in glucose metabolism.
• Much of them are in prediabetic state.• Obesity; it shows a growing trend and almost 20% of the
population in OECD countries (up to 35% in some) • It poses a serious threat to public health in the 21st
century and is addressed as an urgent international problem.
• WHO's diabetes work focuses on healthy diet and regular physical activity for reducing the growing global problem and progression of the disease.
Treatment of Diabetes and Obesity
• Direct control of the disease by only these factors is difficult and not always possible
• Researches on alternative approaches such as acupncture gains importance
• WHO has reported that acupuncture can also be used as an adjunctive treatment for obesity.
Acupunture
• Balance and maintaine the life energy or 'Qi' (circulate through ‘meridians’ in the body).
• The stimuli may produce changes through neural and hormonal mechanisms.
• The study which supports acupuncture therapy effectiveness for both obese and diabetic patients:
• The effectiveness of acupuncture was monitored with HbA1c, BWR and BMI improvement
Acupuncture Therapy and HbA1c• Total of 20 sessions over 10 weeks that
were delivered for weight loss therapy.
• Before treatments; blood was drawn for measuring the hormonal and metabolic status,and HbA1c levels.
• Weight and height were measured for calculating BMI.
• Based on; TCM points for digestion and psy-chologic effects (stomach, pancreas, hunger, Shenmen, liver);
• Others were based on points related to modern Western medicine pathophysiology
• Dietician to consume low carbonhydrate diet and exercise were adviced but not monitored.
• Patients were instructed to continue all of the irregular medical treatments/medications, and provided for healty eating habits.
Acupuncture Therapy and HbA1c
Results 1
• Metabolic health is a more important determinant for diabetes development than simple obesity
• Diabetes was the most common metabolic condition in our patients, present in 38% of subjects: several previously undiagnosed diabetics were identified.
• HbA1clevels dropped significantly more in diabetics than non-diabetics (0.6 ± 0.7% and 0 ± 0.2%,respectively)
• In non-diabetics with normal HbA1c lev-els, acupuncture treatments caused no change in the levels, as acupuncture is not expected to cause a deviation from normal physiologic status.
Results 2
• Literally, vildagliptin was shown to reduce HbA1clevels by 0.7% over 8 months (other medications by 0.5-2%).
• HbA1clevels in our diabetic patients fell a similar amount (but fell more quickly) as those of diabetic patients on medical therapy in previous studies.
• Mean reduction in BMI was not significantly different between the diabetic and non-diabetic patients (2.8 ± 1.5% and 2.6 ± 1.8% respectively)
Results 3
• HbA1c levels fell a mean of 0.6%-1.3% in obese diabetics, after 10-12 weeks.
• There are no much study on this effect.
• Chine's literature have some study...
• First findings shows acupuncture treatment can be utilized for obese and diabetic patients with monitoring HbA1c as an indicator of its effectiveness.
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