Diabetes Type 2

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Introduction

This unit is a part of the Integrative Medicine Approach to Disease module and will be incorporated into your outpatient curriculum. This unit will highlight non-pharmacologic methods of primary prevention and treatment of insulin resistance and diabetes type 2. Discussion will focus on both conventional and alternative approaches, many of which can be combined to provide optimal care for your patients. This module came about after curriculum discussions with current and former residents who had many interested patients but lacked a resource to advise them.
  
As an overview, the unit will provide you with a background understanding of possible therapies. It may later be useful as a reference when seeing patients interested in an integrative approach. Please feel free to use the navigation on the left to navigate to areas of interest.
 
This review will address specific lifestyle concerns, including nutrition and physical activity, as well as botanicals and supplements that have an evidence base in the care of those with this condition. Information on mental and spiritual health with a focus on helpful mind-body techniques is also included. For a review of the standard of care for treatment, please review the University of Michigan's Clinical Care Guidelines Website.

Patients frequently present in clinic with a variety of concerns related to their diabetes care. 


This case is a typical presentation:
 
JL is a 52-year-old woman who was diagnosed with diabetes two years ago. She has an extensive family history of diabetes and has seen a number of relatives die from complications of the disease. She has struggled with weight for a number of years and can’t find time to exercise. She works full time and has three teenagers still at home. She is hesitant to take medications and is worried about side effects. Her cousin has recommended that she take some supplements that she heard will cure diabetes without medication. She comes in to see you because she is worried about her health and wants to know where to start.
 
I hope you enjoy the unit and find it useful.
- Amy B. Locke, M.D.



This module is also for U-M Department of Family Medicine Residents on the MSS rotation.



Disclaimer: The University of Michigan Health System Web site does not provide specific medical advice and does not endorse any medical or professional service obtained through information provided on this site or any links to this site. 

Use of the UMHS web site does not replace medical consultation with a qualified health or medical professional to meet the health and medical needs of you or others. 

While the content of the UMHS web site is frequently updated, medical information changes rapidly and therefore, some information may be out of date, and/or contain inaccuracies or typographical errors.

Note: This module was originally developed by U-M Department of Family Medicine faculty member Amy B. Locke, M.D., in 2009. It is also maintained by Dr. Locke. Last updated: May 2013.



 
Except where otherwise noted, content on this site is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License. Details and Exceptions. © 2013 Dr. Amy Locke.

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