title: The self-reliant system for alternative care of diabetes mellitus patients--experience macrobiotic management in Trad Province.
abstract: OBJECTIVE
  Diabetes mellitus is a costly and growing health issue for the individual as well as the nation with much concern needed to change the way of life globally, Thailand included. Conventional medical care comprises of lifestyle modifications and the use of diabetic drugs but even with the development of new drugs, little achievement has been noted in relation to reducing the disease's complications. Macrobiotic is a holistic, alternative health care method. In macrobiotic principle, humans should live, drink and eat in conjunction with the laws of nature that will lead to good health, freedom and wisdom in understanding the laws of nature. The macrobiotic way of living is therefore the caring of body, mind, spirit and the environment in an independent manner based on adequacy and symbiotic support.
  
  
  METHODS
  The present study consists of forty-four type 2 diabetes mellitus patients from the DM clinic, Trad Provincial Hospital. 4 subjects were insulin treated, observing the macrobiotic ways of living together at the Wanakaset Research Facility of Kasetsart University, Trad Province which lies in a natural forest area approximately 45 kilometers away from the city for a period of between 2 to 14 weeks. The volunteers were required to refrain from using all kind of drugs or chemicals and eating Formula 2 food as set forth by the International Un Punto Macrobiotico Foundation, Italy while participating in all camp activities.
  
  
  RESULTS
  The findings at the end of the program together with QOL assessment questionnaires noted a statistically significant reduction in blood sugar levels, weight, blood pressure and heart beat ratios. Subjects were in significantly better health, more vibrant, more peaceful, and more energetic. The 4 insulin treated volunteers managed to maintain their blood sugar level within the range of 110-171 mg% without any insulin injection and all volunteers are free of any adverse events.
  
  
  CONCLUSIONS
  The results of the present study can be a guideline in the modification of health care policies that can lead to the development of effective, and alternative care of diabetes mellitus patients.
authors.affiliation: Bureau of Inspector, Office of Permanent Secretary, Ministry of Public Health, Nonthaburi 11000, Thailand. jakkriss@health.moph.go.th
authors.forename: Jakkriss
authors.initials: J
authors.lastname: Bhumisawasdi
authors.forename: Opas
authors.initials: O
authors.lastname: Vanna
authors.forename: Nuanchan
authors.initials: N
authors.lastname: Surinpang
mesh_terms: D000704:Analysis of Variance; D003924:Diabetes Mellitus, Type 2 / Q000178:diet therapy*; D015623:Diet, Macrobiotic; D005260:Female; D006801:Humans; D016014:Linear Models; D008297:Male; D012648:Self Care / Q000379:methods*; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D013785:Thailand; D016896:Treatment Outcome