Are These Herbs Safe for Diabetes?

In December of 2003, Ephedrine -- also known as ma huang -- became the first herbal stimulant ever banned by the U.S. Food and Drug Administration (FDA). A popular component of anti-obesity over-the-counter medications, ephedrine was found to have some benefits. However, the evidence of its ability to cause harm was far more compelling. In high doses, it has been known to cause insomnia (difficulty falling and staying asleep), high blood pressure, glaucoma, and urinary retention. This herbal supplement has also been associated with numerous cases of stroke.

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Alternative Weight Loss Products for Diabetes

Since weight and diabetes are linked, many people with diabetes turn to alternative therapies that claim to help with weight loss, including

  • Chitosan
  • Camsogia Garcinia (hydroxycitric acid)
  • Chromium
  • Pyruvate
  • Germander
  • Momordica charanta
  • Sauropus androgynus
  • Aristolochic acid
    In addition, transdermal (skin patch) systems as well as oral sprays have been developed to purportedly reduce appetite and facilitate weight loss. One patch system uses homeopathic amounts of 29 different compounds to reduce appetite, but no published literature on its efficacy is available.

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What Alternative Therapies Are Used to Treat Diabetes?

  • Chromium has been widely publicized as therapy to improve diabetes control. Although there are several studies that support a role for chromium as beneficial in diabetes, currently there are no recommendations for its use in diabetes management.
  • Magnesium has been studied for years as a form of therapy to improve glucose control in people with diabetes. A lack of magnesium has been associated with insulin secretion abnormalities and has been associated with diabetes complications.
  • Vanadium is derived from plant sources and has been shown in a few studies to increase a person's sensitivity to insulin. Thus far, no recommendations exist for supplementation to be given to people with diabetes.

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What Alternative Therapies Are Used to Treat Diabetes?



  • Chromium has been widely publicized as therapy to improve diabetes control. Although there are several studies that support a role for chromium as beneficial in diabetes, currently there are no recommendations for its use in diabetes management.



  • Magnesium has been studied for years as a form of therapy to improve glucose control in people with diabetes. A lack of magnesium has been associated with insulin secretion abnormalities and has been associated with diabetes complications.
    Vanadium is derived from plant sources and has been shown in a few studies to increase a person's sensitivity to insulin. Thus far, no recommendations exist for supplementation to be given to people with diabetes.

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What Alternative Therapies Are Used to Treat Diabetes?



  • Chromium has been widely publicized as therapy to improve diabetes control. Although there are several studies that support a role for chromium as beneficial in diabetes, currently there are no recommendations for its use in diabetes management.
    Magnesium has been studied for years as a form of therapy to improve glucose control in people with diabetes. A lack of magnesium has been associated with insulin secretion abnormalities and has been associated with diabetes complications.
    Vanadium is derived from plant sources and has been shown in a few studies to increase a person's sensitivity to insulin. Thus far, no recommendations exist for supplementation to be given to people with diabetes.

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Alternative Treatments for Diabetes

Treatments for diabetes can include many elements. Conventional treatments in addition to complementary and alternative treatments are available.
A health treatment that is not classified as standard Western medical practice is referred to as complementary and alternative medicine. Complementary and alternative therapy encompasses a variety of disciplines that include everything from diet and exercise to mental conditioning and lifestyle changes. Examples include acupuncture, guided imagery, chiropractic treatments, yoga, hypnosis, biofeedback, aromatherapy, relaxation, herbal remedies, massage, and many others.

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Welcome to CIWEC Clinic Travel Medicine Center

The Travel Medicine Center is one of the most famous destination travel clinics in the world. The clinic was established in 1982 to meet the need for a Western standard clinic to treat foreign tourists, diplomats and aid workers in Nepal. The clinic is known internationally both for the high level of care afforded to patients, and for its reliable research and information about health risks in Nepal. The Travel Medicine Center was the first clinic situated in a developing country that was selected by the International Society of Travel Medicine to participate in its global surveillance program for emerging diseases among travelers. The clinic also serves as a Family Practice Center for the resident foreign and Nepalese communities. The clinic has recently moved to a greatly expanded new facility across from the British Embassy in Lainchaur-Lazimpat, in the heart of Kathmandu.

The clinic's focus on the health problems of foreigners in Nepal, has led to the discovery of a new cause of diarrhea, the publication of over 30 original research papers, and the receipt of two international awards for research in travel and wilderness medicine.

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Institutions

Contemporary medicine is in general conducted within health care systems. Legal, credentialing and financing frameworks are established by individual governments, augmented on occasion by international organizations. The characteristics of any given health care system have significant impact on the way medical care is provided.
Advanced industrial countries (with the exception of the United States) and many developing countries provide medical services though a system of universal health care which aims to guarantee care for all through a single-payer health care system, or compulsory private or co-operative health insurance. This is intended to ensure that the entire population has access to medical care on the basis of need rather than ability to pay. Delivery may be via private medical practices or by state-owned hospitals and clinics, or by charities; most commonly by a combination of all three.
Most tribal societies, but also some communist countries (e.g. China) and the United States, provide no guarantee of health care for the population as a whole. In such societies, health care is available to those that can afford to pay for it or have self insured it (either directly or as part of an employment contract) or who may be covered by care financed by the government or tribe directly.
Transparency of information is another factor defining a delivery system. Access to information on conditions, treatments, quality and pricing greatly affects the choice by patients / consumers and therefore the incentives of medical professionals. While the US health care system has come under fire for lack of openness, new legislation may encourage greater openness. There is a perceived tension between the need for transparency on the one hand and such issues as patient confidentiality and the possible exploitation of information for commercial gain on the other.

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Low risk devices

Devices in this category are those whose failure or misuse is unlikely to result in serious consequences. Examples include:
  • Electronic thermometer,
  • Breast pumps
  • Surgical microscope
  • Ultrasonic nebulizers
  • Sphygmomanometers
  • Surgical table
  • Surgical lights.
  • Temperature monitor
  • Aspirators
  • X-rays diagnostic equipment

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Medium risk devices

These are devices including many diagnostic instruments whose misuse, failure or absence (e.g. out of service) with no replacement available would have a significant impact on patient care, but would not be likely to cause direct serious injury. Examples include:

  • ECG
  • EEG
  • Treadmills
  • Ultrasound sensors
  • Phototherapy units
  • Endoscopes
  • Surgical drill and saws
  • Laparoscopic insufflators
  • Phonocardiographs
  • radiant warmers (Adult)
  • Zoophagous agents (e.g., medicinal leeches; medicinal maggots)
  • Lytic Bacteriophages

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High risk devices

High risk devices are life supports, critical monitoring, energy emitting and other devices whose failure or misuse is reasonably likely to seriously injure patient or staff. Examples include:

  • Anesthesia ventilators
  • Anesthesia units
  • Apnea monitors
  • Argon enhanced coagulation units
  • Aspirators
  • Auto transfusion units
  • Invasive Blood pressure units
  • Fetal monitors
  • Electrosurgical units
  • Incubators
  • Infusion pump
  • Pulse oximeters
  • External pacemaker
  • Heart Lung Machine

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Definition in USA by the Food and Drug Administration

A medical device, according to the U.S. Food and Drug Administration (FDA), is an instrument, apparatus, implement, machine, contrivance, implant, in vitro reagent, or other similar or related article, including a component part, or accessory which is:
1. recognized in the official National Formulary, or the United States Pharmacopoeia, or any supplement to them,
2. intended for use in the diagnosis of disease or other conditions, or in the cure, mitigation, treatment, or prevention of disease, in man or other animals, or
3. intended to affect the structure or any function of the body of man or other animals, and which does not achieve any of its primary intended purposes through chemical action within or on the body of man or other animals and which is not dependent upon being metabolized for the achievement of any of its primary intended purposes.
as defined by the Federal Food, Drug, and Cosmetic Act, 21 United States Code (h). Medical devices are regulated by the FDA Center for Devices and Radiological Health (CDRH).

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Medical device of Definitions

European Union definition

Directive 2007/47/ec of the European Parliament and of the council of 5 September, 2007, which amended the Council Directive 93/42/EEC of 14 June, 1993 concerning medical devices, defines a medical device as any instrument, apparatus, appliance, software, material or other article, whether used alone or in combination, including the software intended by its manufacturer to be used specifically for diagnostic and/or therapeutic purposes and necessary for its proper application, intended by the manufacturer to be used for human beings. Devices are to be used for the purpose of:
Diagnosis, prevention, monitoring, treatment or alleviation of disease.
Diagnosis, monitoring, treatment, alleviation of or compensation for an injury or handicap.
Investigation, replacement or modification of the anatomy or of a physiological process
Control of conception
This includes devices that do not achieve its principal intended action in or on the human body by pharmacological, immunological or metabolic means, but which may be assisted in its function by such means.
The Medicines and Healthcare products Regulatory Agency (MHRA) regulates medical devices in the UK under European legislation. Medical devices must not be mistaken with medicinal products. In the EU, all medical devices must be identified with the CE mark.

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Education

Medical education and training varies around the world. It typically involves entry level education at a university medical school, followed by a period of supervised practice or internship, and/or residency. This can be followed by postgraduate vocational training. A variety of teaching methods have been employed in medical education, still itself a focus of active research.
Many regulatory authorities require continuing medical education, since knowledge, techniques and medical technology continue to evolve at a rapid rate.

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'Medicine' as a specialty

Internal medicine is the medical specialty concerned with the diagnosis, management and nonsurgical treatment of unusual or serious diseases, either of one particular organ system or of the body as a whole. According to some sources, an emphasis on internal structures is implied. In North America, specialists in internal medicine are commonly called "internists". Elsewhere, especially in Commonwealth nations, such specialists are often called physicians.These terms, internist or physician (in the narrow sense, common outside North America), generally exclude practitioners of gynecology and obstetrics, pathology, psychiatry, and especially surgery and its subspecialities.
Because their patients are often seriously ill or require complex investigations, internists do much of their work in hospitals. Formerly, many internists were not subspecialized; such general physicians would see any complex nonsurgical problem; this style of practice has become much less common. In modern urban practice, most internists are subspecialists: that is, they generally limit their medical practice to problems of one organ system or to one particular area of medical knowledge. For example, gastroenterologists and nephrologists specialize respectively in diseases of the gut and the kidneys.
In Commonwealth and some other countries, specialist pediatricians and geriatricians are also described as specialist physicians (or internists) who have subspecialized by age of patient rather than by organ system. Elsewhere, especially in North America, general pediatrics is often a form of Primary care.
There are many subspecialities (or subdisciplines) of internal medicine:
Cardiology
Critical care medicine
Dermatology
Emergency medicine
Endocrinology
Gastroenterology
Geriatrics
Haematology
Hepatology
Infectious diseases
Nephrology
Neurology
Oncology
Pediatrics
Pulmonology
Rheumatology
Sleep medicine
Training in internal medicine (as opposed to surgical training), varies considerably across the world: see the articles on Medical education and Physician for more details. In North America, it requires at least three years of residency training after medical school, which can then be followed by a one to three year fellowship in the subspecialties listed above. In general, resident work hours in medicine are less than those in surgery, averaging about 60 hours per week in the USA.

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History


Prehistoric medicine incorporated plants (herbalism), animal parts and minerals. In many cases these materials were used ritually as magical substances by priests, shamans, or medicine men. Well-known spiritual systems include animism (the notion of inanimate objects having spirits), spiritualism (an appeal to gods or communion with ancestor spirits); shamanism (the vesting of an individual with mystic powers); and divination (magically obtaining the truth). The field of medical anthropology studies the various prehistoric medical systems and their interaction with society.
Early records on medicine have been discovered from early Ayurvedic medicine in the Indian subcontinent, ancient Egyptian medicine, traditional Chinese medicine and ancient Greek medicine. Earliest records of dedicated hospitals come from Mihintale in Sri Lanka where evidence of dedicated medicinal treatment facilities for patients are found.Early Greek doctor Hippocrates, who is called the Father of Medicine,and Galen laid a foundation for later developments in a rational approach to medicine. After the fall of the Western Roman Empire and the onset of the Dark Ages, the Greek tradition of medicine went into decline in Western Europe, although it continued uninterrupted in the Easern Roman Empire (Byzantium). After 750, the Muslim Arab world had Hippocrates' and Galen's works translated into Arabic, and Islamic physicians engaged in some significant medical research. Notable Islamic medical pioneers include polymath Avicenna, who, along with Hippocrates, has also been called the Father of Medicine, Abulcasis, the father of surgery, Avenzoar, the father of experimental surgery, Ibn al-Nafis, the father of circulatory physiology, and Averroes. Rhazes, who is called the father of pediatrics, was one of first to question the Greek theory of humorism, which nevertheless remained influential in both medieval Western and medieval Islamic medicine During the Crusades, one Muslim observer famously expressed a dim view of contemporary Western medicine.However, overall mortality and mordibity levels in the medieval Middle East and medieval Europe did not significantly differ one from the other, which indicates that there was no major medical "breakthrough" to modern medicine in either region in this period. The fourteenth and fifteenth century Black Death was just as devastating to the Middle East as to Europe, and it has even been argued that Western Europe was generally more effective in recovering from the pandemic than the Middle East. In the early modern period, important early figures in medicine and anatomy emerged in Europe, including Gabriele Falloppio and William Harvey

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Introduction of Medicine


Medicine is the art and science of healing. It encompasses a range of health care practices evolved to maintain and restore health by the prevention and treatment of illness.
Contemporary medicine applies health science, biomedical research, and medical technology to diagnose and treat injury and disease, typically through medication, surgery, or some other form of therapy. The word medicine is derived from the Latin ars medicina, meaning the art of healing.
Though medical technology and clinical expertise are pivotal to contemporary medicine, successful face-to-face relief of actual suffering continues to require the application of ordinary human feeling and compassion, known in English as bedside manner.
The Rod of Asclepius is the symbol associated with medicine, which comes from the Greek God of medicine and healing, Asclepius. The Caduceus is sometimes wrongly used for this purpose, though this practice is mainly seen in North America.

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