title: Improved clinical outcomes of patients with type 2 diabetes mellitus utilizing integrative medicine: a case report.
abstract: This case report demonstrates a successful approach to managing patients with type 2 diabetes mellitus (DM2). Botanical herbs (including Gymnema sylvestre) and nutrients (including alpha lipoic acid and chromium) were used alongside metformin to help improve insulin sensitization; however, the greatest emphasis of treatment for this patient centered on a low-carbohydrate, whole-foods diet and regular exercise that shifted the focus to the patient's role in controlling their disease. Research on DM2 often focuses on improving drug efficacy while diet and lifestyle are generally overlooked as both a preventive and curative tool. During the 7 months of treatment, the patient's hemoglobin A1c and fasting glucose significantly decreased to within normal ranges and both cholesterol and liver enzyme markers normalized. A significant body of evidence already exists advocating for disease management using various diets, including Mediterranean, low-carb, and low-fat vegan diets; however, no clear dietary standards have been established. This study supports the use of naturopathic medicine as well as dietary and lifestyle changes to develop the most efficacious approach for the treatment of DM2.
authors.affiliation: Southwest College of Naturopathic Medicine, Tempe, Arizona (Dr Grise), United States.
authors.forename: Diane E
authors.initials: DE
authors.lastname: Grise
authors.affiliation: Southwest College of Naturopathic Medicine, Tempe, Arizona (Dr McAllister), United States.
authors.forename: Heath M
authors.initials: HM
authors.lastname: McAllister
authors.affiliation: Southwest College of Naturopathic Medicine, Tempe, Arizona (Dr Langland), United States.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Langland
keywords: Gymnema sylvestre; Type 2 diabetes mellitus; chromium; glucose tolerance; low-carbohydrate diet; motivational interviewing; naturopathic medicine