* Patient 2, A 37 year-old male was seen in the emergency room with polyuria, thirst and weight loss for one month and vomiting for 3 days. His blood glucose was 13.6mmol / L, urine ketone was positive (+++), with low insulin secretion. He was diagnosed as type2 diabetes and ketosis. The treatment regimen included blood glucose soon went back to normal. Ketone disappeared. After he was discharged from hospital, insulin treatment stopped. The patient took oral medication in very low doses. At 3 months follow up, the patient's blood glucose levels were 5-7mmol / L.
Remarks : Although this patient had a short diabetes history, his general condition was poor when he was admitted to the ER. As a matter of his we gave a comprehensive treatment. The patient recovered very well.
* Patient 3, A 46 year-old female with a one year history of diabetes was admitted to BCDH. With drug therapy, her fasting glucose levels at home were between 7-8mmol/L and 2-hour after meal were 8-10mmol/L.
* Patient 4, A 32 year-old male with a history of polyuria, thirsty and weight loss for 5 months was admitted to BCDH. Blood tests showed hyperglycemia (23.7mmmol/L) and urine ketone positive (++). Treatment given included insulin by pump, then insulin injections subcutaneously and drugs for to improve microcirculation, insulin receptor activity and preservation of B cell function. For one month, the blood glucose levels were maintained round 5-6mmmol/L. Then therapy was changed to oral antidiabetic medicine. After discharge from the hospital, the patient continue to take a low dose of oral antidiabetic medicine and maintain exercise. His blood glucose levels continue to be controlled adequately.
About 7 years ago the patient became extremely thirsty and was found to be diabetic. He took Acarbose 150mg /per day and for first two years this controlled him blood glucose. Five years ago he added meltformin 750mg / day. One year ago, he added Glipizide7.5 mg / day as the third drug to improve his blood glucose control. For two months his fasting blood glucose levels were 8mmol/L, 13-17mmol/L after meals.
* Patient 6, A 53 year-old male was admitted to BCDH with 10 year history of diabetes and a swollen leg for 2 years. Before admission his diabetic therapy was metformin and He took diuretic drug. His blood glucose levels were mot well controlled (9-17mmol /L). At BCDH he received antidabetic therapy to improve blood glucose control, his microcirculation and nerve conduction. After 9 days treatment, fasting glucose levels were 5-7mmol / L, and post pandial blood glucose levels were 7-8mmol / L. His leg oedema improved. There weeks later the patients was diacharged fron hospital.
* Patient 7, A 54 year-old male was admitted to BCDH with 2 year history of type 2 diabetes and loss of hair, including his eyebrows for 6 months. His fasting blood glucose was 9.3mmol / L and 17.2mmol / L 2 hours after meal. After improving his diabetic treatment and other treatment, his blood glucose was become maintained in the range of 5-7mmol / L. after 20 days treatment, his hair and eyebrow began to grow. The patient was discharged from hospital in a satisfactory state.
Diabetic foot disease is pointed as one of four main complications of diabetes by WHO. The amputation happened often with delayed or ineffective treatment. This patient was suggested by other hospitals to receive an amputation surgery. After the treatment in BCDH the patient's blood glucose went down to near normal and his foot problem was cured without foot amputation.
* Patient 8, A 57 year-old male with 15-year diabetic history was admitted to the BCDH with right foot ulcer for one year. Three days before he was admitted to the hospital, his foot started to become reddish and swollen. His temperature was 38.4 ¡æ WBC 14.8 * 10 9 / L, polys 94.6%, Blood glucose level was 28.7mmol / L. The therapeutic regimen include to control blood glucose, improve microcirculation around islet cells, rescue survival ¦Â- cells , sensitized insulin receptors. Combined traditional Chinese medicine with western medicine treatment, the patient's temperature went to normal after 7 day's treatment. His blood glucose came down to 5-7 mmol / L. His foot ulcer was healing well. Three months later this patient was discharged from the hospital.
*
Patient 9, A 69 year-old male was admitted to the hospital with an ulcer on the right foot for 4 months. Before he came to BCDH he had received some treatment but with little improvement. Physical exam revealed a swollen dark right foot with several ulcers, found between the toes which were leaking. A fungal infection was also seen, and arterial pulses were reduced.
*
Patient 10, A 48 year-old female was admitted to BCDH with an ulcer on her right leg, she has 17 years history of diabetes and 6 years history of numbness of the soles of her feet. Before she was admitted, she had been advised to have an amputation.
*
Patient 11, A 70 year-old male was admitted to the hospital with gangrene of the right foot gangrene. He had a history of type 2 diabetes for 10 years, with of sensation in hands and feet for 2 years. His blood glucose was not controlled very well. Physical examination revealed that him temperature 37.4¡ãC, BP 160/100mmHg, and his toes on his right foot with a dark color gangrene on the big toe with an ulcer, and foul smelling exudate. There were also two erythematous lesions (9.5x8cm and 8x9.5cm) on the right foot. The foot was warm but pulseless, and the gangrene was grade III.
