Available via license: CC BY
Content may be subject to copyright.
ARC Journal of Diabetes and Endocrinology
Volume 8, Issue 1, 2023, PP 1-4
ISSN 2455-9792
DOI: http://dx.doi.org/10.20431/2455-5983.0801001
www.arcjournals.org
ARC Journal of Diabetes and Endocrinology Page|1
Blood Sugar Controlled of Type 2 DM Patient by Acupuncture
Treatment & Suo-Xi Healthy Life Style Modification: A Case
Study of Suo-Xi Acupuncture Specialized Hospital in Bangladesh
Dr. SM. Shahidul Islam1, Dr. M. Shaifur Rahman2, Sabina Yasmin3, Shayita Islam4,
Mohammad Shajib Sheik5, Dr. Rehana Akter Lima6
1Visiting Consultant & Acupuncture Specialist, Suo-Xi Hospital (Acupuncture), Shaan Tower, Chamelibag,
Santinagar, Dhaka, Bangladesh.ORCID ID: https://orcid.org/0000-0002-6234-1688 drshahidul@yahoo.com
2Associate Professor & Head, Department of Food Engineer and Technology, State University of Bangladesh,
Dhaka, Bangladesh3CEO, Suo-Xi Hospital (Acupuncture), Shaan Tower, Chamelibag, Santinagar, Dhaka,
Bangladesh.4Associate writer, Suo-Xi Hospital (Acupuncture), Shaan Tower, Chamelibag, Santinagar, Dhaka,
Bangladesh5Managing Director, Suo-Xi Hospital (Acupuncture), Shaan Tower, Chamelibag, Santinagar,
Dhaka, Bangladesh.6Medical Officer,Suo-Xi Hospital (Acupuncture), Shaan Tower, Chamelibag, Santinagar,
Dhaka, Bangladesh.ORCID ID: https://orcid.org/0009-0000-5902-3715
1. INTRODUCTION
Type II diabetes is the most serious disease
and has a significant influence on our lives; it
is a developing clinical and public health
issue. It has recently become a major cause of
death. Which is characterized as a collection of
widespread metabolic disorders with
hyperglycemia as a characteristic. Hyperglyc-
emia is caused by a combination of inadequate
insulin secretion, reduced glucose uptake, and
increased glucose production. This is one of
the leading causes of coronary heart disease
and blindness [1]. The estimated diabetes
population by the end of 2030 and 2045 is
predicted to reach 578.4 million and 700.2
million, respectively, according to
International Diabetes Federation (IDF)
projections from 2019 [2]. Despite these
Abstract:
Introduction and Importance: The most serious illness, type II diabetes is a growing clinical and public
health concern that significantly affects our daily lives. Depression has been associated with hyperglycemia
and diabetes-related comorbidities include ophthalmology, nephropathy, neurotoxicity, and macro vascular
problems in people with T2DM. Males typically experience it beyond the age of 60, whilst females typically
experience it before the age of 40.
Case Representation: 75-year-old female patient reported having type 2 diabetes mellitus in 2023. Height
was 5 feet 1 inch, weight was 63 kg, and the BMI was 26.2 kg/m2. 1500 kcal per day of lifestyle change were
employed in acupuncture treatments for type 2 diabetes mellitus. Abdomen: Acupuncture Typical Chinese
procedure. The acupuncture procedure was carried out three times a week for three months. Fasting plasma
glucose (FGP) and HbA1C tests were performed on the patient, and the findings were used to create a
baseline. Each month during the acupuncture treatment, these factors were examined.
Clinical Discussion: All data acquired over the course of three months were evaluated to determine the effect
of acupuncture therapy in the management of type 2 diabetes mellitus. After three months of testing, the
patient's fasting plasma glucose and HbA1c levels have decreased after acupuncture treatment. Additionally,
no negative effects were noticed.
Conclusion: The results of this clinical investigation are encouraging and provide proof that acupuncture is
beneficial in lowering type 2 diabetes mellitus in a patient.
Keywords: Acupuncture; Type 2 diabetes mellitus, Fast plasma glucose (FGP), HbA1C.
*Corresponding Author: Dr. SM. Shahidul Islam,Visiting Consultant & Acupuncture Specialist, Suo-Xi
Hospital (Acupuncture), Shaan Tower, Chamelibag, Santinagar, Dhaka, Bangladesh
drshahidul@yahoo.com
Blood Sugar Controlled of Type 2 DM Patient by Acupuncture Treatment & Suo-Xi Healthy Life Style
Modification: A Case Study of Suo-Xi Acupuncture Specialized Hospital in Bangladesh
ARC Journal of Diabetes and Endocrinology Page|2
efforts, patients may experience high blood
sugar levels, which prompts self-care
behaviors where diabetics take precautions to
preserve the best possible health circumstances
[3]. The goal of diabetic patients' self-care is to
prevent complications associated with the
disease. Diabetes increases mortality and
reduces productivity. However, this can be
handled with routine exercise, blood sugar
monitoring, and heeding medical instructions
[4]. In comparison to non-self-care
practitioners, patients who practice greater
self-care live longer, have better quality of life,
and experience fewer complications [5].
According to WHO statistics, this sickness has
already killed 3.2 million people and affected
285 million others. By 2030, it is anticipated
that there would be 8700 deaths per day and 6
deaths per minute worldwide in industrialized
and developing countries, respectively [6].
According to IDF data from 2011, Bangladesh
has 8.4 million diabetic patients, and by 2030,
that number is expected to treble [7]. In
Bangladesh, urban areas are more likely to
have diabetes than rural ones [8]. In patients
with T2DM, depression has been linked to
hyperglycemia and diabetes-related
comorbidities such as ophthalmology, nephro-
pathy, neurotoxicity, and macro vascular
issues [9]. When personal efforts to address
these issues fall short of expectations or when
diabetic complications have a detrimental
influence on patient’s physical and mental
health, their well-being and quality of life may
be adversely affected [10]. According to
reports, there are between 50 and 125
instances per million people in Western
countries, and the number of infected
Americans is over 25,000 [1]. The illness
typically manifests in males beyond the age of
60 and in females before the age of 40 [12,13].
The muscles that move the extremities, face,
eyelids, and eyes, as well as the muscles
needed for respiration and swallowing, all
weaken excessively quickly in diabetic’s
patients. If severe and if untreated,
involvement of these latter two muscle groups
can be fatal. We described a case report of a
75 years old Bangladeshi woman who had
localized, Type 2 DM, and we emphasized the
clinical illustration of this condition.
2. CASE REPORT
Female patient, 75 year’s old who had
developed type 2 diabetes mellitus in 2023 is
reported. The patient weight was 63 kg and
height was 5 feet 1 inch, the BMI was 26.2
kg/m2 and IBW: 51 kg.In acupuncture
treatment for type 2 diabetes mellitus, were
used Suoxi lifestyle modification 1500 kcal /
day 2. Acupuncture: Abdomen traditional
Chinese method. The patient's tolerance for the
intensity of stimulation was maintained by
employing the DD wave, and the acupuncture
needles (0.3 x 45 mm) were left in place for 30
minutes. For 3 months, the acupuncture
treatment was administered three times each
week. The patient's fasting plasma glucose
(FGP), HbA1C, were all tested before to
beginning acupuncture treatment, and the
results were utilized to establish a baseline.
Throughout the acupuncture treatment, such
variables were checked on a monthly basis.
The test was examined at Suoxi Hospital
(Acupuncture) in Shantinagar, Dhaka, and the
plasma samples were examined at Pathlab
laboratory. To ascertain the impact of
acupuncture therapy in the management of
type 2 diabetes mellitus, all data gathered over
the course of three months were analyzed.
Laboratory investigation showed that at April
13, 2023 RBS found 18.5 mmol/ L and
HbA1C: 11.2% after 3 months at 15 July,
2023 RBS found 8.9mmol/L and HbA1C:
7.2% (Figure 1 and 2). The RBS and HbAIC
has found decreased in number after 3 months
of test results.
Blood Sugar Controlled of Type 2 DM Patient by Acupuncture Treatment & Suo-Xi Healthy Life Style
Modification: A Case Study of Suo-Xi Acupuncture Specialized Hospital in Bangladesh
ARC Journal of Diabetes and Endocrinology Page|3
Figure1.Patient’s Biochemical Report Before TreatmentFigure2.Patient’s Biochemical Report after Treatment
3. DISCUSSION
Hyperglycemia may result from long-term
corticosteroid use, which can change how
glucose is produced and regulated.
Additionally, corticosteroids disrupt insulin
signaling in skeletal muscle cells. As a result,
individuals, particularly those with reduced
glucose tolerance, are more likely to develop
steroid-induced diabetes at high doses
[13].There is evidence from a number of
studies showing those who suffer from
depression are more likely to acquire type 2
diabetes mellitus [14]. In a recent
epidemiological study involving 90,686
individuals, it was discovered that diabetes
patients were more likely to experience
sadness, whether or not they had the condition
officially identified [15]. Additionally,
Manuscript accepted [16] published a review
of the research on the impact of acupuncture
on insulin resistance in 2010 [17]. The authors
of that research examined 234 papers and
came to the conclusion that there was
evidence, however sparse, supporting the
effectiveness of acupuncture in treating
patients with insulin resistance. Additionally,
there haven't been any research published that
examine the immediate or long-term effects of
acupuncture treatment for insulin resistance.
Thus, based on this clinical case report, the
authors propose that additional research is
required to examine the short- and long-term
effects of acupuncture treatment, as well as
any positive effects that may be attained by
including additional acupuncture treatments, in
a larger population of patients with type 2
diabetes mellitus. Acupuncture has a number
of potential benefits, including cheap cost, few
problems, and the ability for individualized
care. In the hands of qualified practitioners,
acupuncture is also a safe intervention [18].
Only 64 adverse events (0.12%) were reported
in Yamashita et al.'s prospective evaluation of
55,291 acupuncture treatments delivered by
acupuncturists with medical training, and all of
them were minor. The most frequent adverse
events were bruising, dizziness, perspiration,
discomfort, and dermatitis [19, 20]. Such
findings indicate that acupuncture is a safe and
efficient therapy for managing type 2 diabetes
in a patient, while its exact mechanism of
action is yet unknown.
4. CONCLUSION
Acupuncture has a number of potential
benefits, including cheap cost, few problems,
and the ability for individualized care. Such
results suggest that acupuncture is a safe and
effective therapy for treating patients with type
2 diabetes, however the exact mechanism by
which it works is yet unknown. More robust
proof of the association proposed herein will
require future prospective randomized trials
that circumvent the constraints of this study.
Blood Sugar Controlled of Type 2 DM Patient by Acupuncture Treatment & Suo-Xi Healthy Life Style
Modification: A Case Study of Suo-Xi Acupuncture Specialized Hospital in Bangladesh
ARC Journal of Diabetes and Endocrinology Page|4
REFERENCES
[1] Unwin N., Whiting D., Gan D., Jacqmain O.,
Ghyoot G., International Diabetes Federation
Diabetes Atlas. IDF Diabetes Atlas, 2009
[2] Federation I.D., IDF diabetes atlas
ninth. Dunia: Idf, 2019, 9:5
[3] Yemane T., Belachew T., Asaminew B., Type
II diabetes mellitus in Jimma Town,
southwest Ethiopia. Ethiopian Journal of
Health Sciences, 2007, 17:107
[4] Abdulkadir J., Reja A., Management of
diabetes mellitus: coping with limited
facilities. Ethiopian Medical Journal, 2001,
39:349 Heinrich E., Schaper N.C., de Vries
N.K., Self-management interventions for type
2 diabetes: a systematic review. European
Diabetes Nursing, 2010, 7:71
[5] Selvaraj K., Ramaswamy G., Radhakrishnan
S., Thekkur P., Chinnakali P., Roy G., Self-
care practices among diabetes patients
registered in a chronic disease clinic in
Puducherry, South India. Journal of Social
Health and Diabetes, 2016, 4:025
[6] Tuomilehto J., Lindström J., Eriksson J.G.,
Valle T.T., Hämäläinen H., Ilanne-Parikka P.,
Keinänen-Kiukaanniemi S., Laakso M.,
Louheranta A., Rastas M., Salminen V.,
Prevention of type 2 diabetes mellitus by
changes in lifestyle among subjects with
impaired glucose tolerance. New England
Journal of Medicine, 2001. 344:1343
[7] Berbrayer D., Self-care among diabetic
amputee. International Journal of Diabetes
and Clinical Research, 2015, 2:1
[8] Amente T., Belachew T., Hailu E., Berhanu
N., Self-care practice and its predictors
among adults with diabetes mellitus on follow
up at Nekemte hospital diabetic clinic, West
Ethiopia. World Journal of Medical Sciences,
2014, 2:1
[9] Yeh JH, Chen HJ, Chen YK, et al. Risk of
diabetes mellitus among patients with
myasthenia gravis. Acta Neurl Scand. 2015;
132(2): 132-138
[10] Rafacho A, Ortsater H, Nadal A.
Glucocorticoid treatment and endocrine
pancreas function: implication for glucose
homeostasis, insulin resistance and diabetes. J
Endocrinal. 2014; 223(3): 49-62
[11] Ayele K., Tesfa B., Abebe L., Tilahun T.,
Girma E., Self-care behavior among patients
with diabetes in Harari, Eastern Ethiopia: the
health belief model perspective. PloS one,
2012, 7: e35515
[12] Hailu E., Mariam W.H., Belachew T.,
Birhanu Z., Self-care practice and glycaemic
control amongst adults with diabetes at the
Jimma University Specialized Hospital in
south-west Ethiopia: A cross-sectional study.
African Journal of Primary Health Care and
Family Medicine, 2012, 4:1
[13] Hussain A., Rahim M.A., Azad Khan A.K.,
Ali S.M.K., Vaaler S., Type 2 diabetes in
rural and urban population: diverse
prevalence and associated risk factors in
Bangladesh. Diabetic Medicine, 2005, 22:931
[14] Cooper G, Eichhorn G, Rodnitzky R. Clinical
Correlation, Myasthenia Gravis. In: Michael
CP, ed. Neuroscience in Medicine, 3rd ed.
NJ, US: Humana Press, 2008: 688-690
[15] Wang Q. The Present Situation of TCM
Treatment for Diabetes and Its Researches. J
Trad Chinese Med. 2003; 23(1): 67-73
[16] McGarry JD. Dysregulation of fatty acid
metabolism in the etiology of type 2 diabetes.
Diabetes. 2002; 51(1): 7-18.
[17] Yang D. Clinical Observation on Therapeutic
Effects of Acupuncture Treatment for 100
Cases of Type II Diabetes. J Acupunct Tuina
Sci. 2004; 2(6): 34-35
[18] Liang F, Koya D. Acupuncture: is it effective
for treatment of insulin resistance? Diabetes
Obes Metab. 2010; 12(7): 555-569
[19] Yamashita H, Tsukayama H, Tanno Y, et al.
Adverse events related to acupuncture.
JAMA. 1998; 280: 1563-1564.
[20] Zahid N., Asghar S., Claussen B., Hussain A.,
Depression and diabetes in a rural community
in Pakistan. Diabetes research and clinical
practice, 2008, 79:124
Citation: Dr. SM. Shahidul Islam, Dr. M. Shaifur Rahman, Sabina Yasmin, Shayita Islam, Mohammad Shajib
Sheik, Dr. Rehana Akter Lima. Blood Sugar Controlled of Type 2 DM Patient by Acupuncture Treatment &
Suo-Xi Healthy Life Style Modification: A Case Study of Suo-Xi Acupuncture Specialized Hospital in
Bangladesh. ARC Journal of Diabetes and Endocrinology. 2023; 8(1):1-4. DOI:
http://dx.doi.org/10.20431/2455-5983.0801001.
Copyright: © 2023 Authors. This is an open-access article distributed under the terms of the Creative
Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium,
provided the original author and source are credited.