ROLE OF KATHAKAKHADIRADI KASHAYA IN PREVENTIVE DIABETOLOGY; A CASE REPORT

Binsha Salim
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Abstract

Diabetes mellitus is an abnormal scenario of altered glucose tolerance due to inadequate insulin action. Small blood vessels are susceptible to the complications of diabetes mellitus, such as basal lamina thickening and endothelial cell proliferation called diabetic microangiopathy, frequently causing retinal and renal damage. Microangiopathy affecting the kidney is called diabetic nephropathy and is the second leading cause of death due to diabetes mellitus after myocardial infarction. Due to the persistent hyperglycemic status of microcapillaries in the kidney, some histological changes occur in the nephron level detected by electron microscopy only after a few years of onset of diabetes [1]. This is a case report of a known diabetic and hypertensive patient who complained of frothy urine and was diagnosed as type 2 diabetes-induced microalbuminuria and intervened with Kathaka Khadiradi Kashaya, a traditional antidiabetic formulation famous in South India. Two months of administration of the medicine reduced the urine microalbumin and albumin creatinine ratio to a significant normalcy, hence proved to be a choice for a clinical trial in the preventive aspect of diabetic nephropathy.
Kathakakhadiradi kashaya 在预防糖尿病中的作用;病例报告
糖尿病是由于胰岛素作用不足导致葡萄糖耐量改变的异常情况。小血管容易出现糖尿病并发症,如基底层增厚和内皮细胞增生,称为糖尿病微血管病变,经常造成视网膜和肾脏损伤。影响肾脏的微血管病变称为糖尿病肾病,是继心肌梗死之后导致糖尿病死亡的第二大原因。由于肾脏微毛细血管持续处于高血糖状态,只有在糖尿病发病数年后才能通过电子显微镜检测到肾小球水平的一些组织学变化[1]。本病例报告的患者是一名已知的糖尿病和高血压患者,主诉尿液呈泡沫状,被诊断为 2 型糖尿病诱发的微量白蛋白尿,并接受了 Kathaka Khadiradi Kashaya(一种在南印度很有名的传统抗糖尿病配方)的干预治疗。服药两个月后,尿微量白蛋白和白蛋白肌酐比值明显降低至正常水平,因此被证明是预防糖尿病肾病的临床试验选择。
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