1. Introduction
Nalinikanth’s journey highlights the transformative impact of a personalized, integrative healthcare approach. After enduring persistent joint pain post-chikungunya and struggling with diabetes management, his quality of life was severely affected. Despite taking Metformin at a high dose (1500 mg daily), achieving optimal glycemic control was challenging. However, through a holistic intervention involving naturopathy, lifestyle changes, and targeted medical care, Nalinikanth experienced significant health improvements, including complete relief from joint pain and better diabetes management.
2. Patient Information
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Chief Complaints: Chronic joint pain post-chikungunya and poorly controlled Type 2 diabetes.
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Relevant Medical History: Long-standing diabetes managed with high-dose Metformin (1500 mg/day).
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Quality of Life Impact: Persistent inflammation and metabolic imbalances affecting daily activities.
3. Medication History
| S.No | Present medication | Medication (After treatment) | Mechanism of the drug |
| 1 | Carvedilol 6.25mg ( 1-0-1) | β-blocker reduces heart rate and blood pressure, treating hypertension and heart failure. | |
| 2 | Tamsulosin hydrochloride 0.4mg (1-0-0) | Selective α1A adrenergic receptor antagonist improves urine flow in benign prostatic hyperplasia. | |
| 3 | Losartan potassium 50mg (1-0-0) | Angiotensin II receptor blocker lowers blood pressure by countering elevated renin and angiotensin levels. | |
| 4 | Domperidone 10mg and Pantoprazole 40mg (1-0-1) | Proton pump inhibitors reduce stomach acid, treating GERD and gastric ulcers. | |
| 5 | Glimepiride 2mg and metformin 1000mg (1-0-1) | Stimulates insulin release from pancreatic β cells, managing type 2 diabetes. | |
| 6 | Humalog mix 50 (1-0-0) | Synthetic insulin controls blood sugar levels in diabetes mellitus |
After treatment, the dosage of Metformin was reduced from 1500 mg (1-0-1) to 500 mg (0-0-1). This adjustment aligns with its mechanism of action, which involves inhibiting hepatic gluconeogenesis and opposing the action of glucagon to regulate blood glucose levels effectively.
4. Naturopathic and Lifestyle Interventions
- Naturopathy: Focused therapies targeting inflammation and metabolic imbalances.
- Dietary Modifications: Nutrient-dense, anti-inflammatory foods to support overall health.
- Physical Activity: Regular, moderate exercise tailored to improve insulin sensitivity and reduce joint stiffness.
- Stress Management: Practices such as yoga and meditation to lower systemic inflammation.
- Supplementation:
- Vitamin D to correct insufficiency.
- Adjusted Vitamin B12 intake for optimal metabolic utilization.
5. Results and Follow-Up
Nalinikanth experienced remarkable improvements in various aspects of his health during his treatment. Joint pain was completely resolved, significantly restoring his mobility and enhancing his overall quality of life. His diabetes management showed substantial progress, with the dosage of Metformin reduced to 500 mg/day. Vitamin D levels increased to 87.97 ng/mL, contributing to enhanced immune function and body resilience. Vitamin B12 decreased to 575 pg/mL, reflecting better metabolic balance. Kidney function improved, as evidenced by decreased Blood Urea Nitrogen and Urea levels, which dropped to 17.04 mg/dL and 36.47 mg/dL, respectively. Inflammation levels also saw improvement, with HsCRP reduced to 1.4 mg/L, indicating a decrease in systemic inflammation and better metabolic control. Additionally, his Average Blood Glucose levels improved, reducing from 138 to 102 mg/dL, which demonstrates improved insulin sensitivity.
6.Discussion
Nalinikanth’s case underscores the value of an integrative approach to managing complex conditions. Addressing the underlying deficiencies and inflammation through naturopathy, tailored lifestyle changes, and appropriate supplementation was instrumental. Regular monitoring allowed for timely adjustments, optimizing outcomes.
7.Conclusion
The synergistic benefits of these interventions not only improved glycemic control but also resolved post-chikungunya arthropathy, demonstrating a holistic recovery. Nalinikanth’s case exemplifies with complete resolution of joint pain, optimized metabolic markers, and a substantial improvement in quality of life. This integrative approach can serve as a model for treating similar cases, emphasizing personalized care and regular follow-ups for sustained health outcomes.