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Record W4400082753 · doi:10.54434/candj.172

Non-Pharmacological Approach to Uncontrolled Type 2 Diabetes: A Case Report

2024· article· en· W4400082753 on OpenAlexaffvenue
Brynn Alexander, Alexander Hall, Monique Aucoin

Bibliographic record

VenueCAND Journal · 2024
Typearticle
Languageen
FieldMedicine
TopicDiabetes Treatment and Management
Canadian institutionsUniversity of GuelphCanadian College of Naturopathic Medicine
Fundersnot available
KeywordsType 2 diabetesMedicineType (biology)Diabetes mellitusIntensive care medicineEndocrinologyBiology

Abstract

fetched live from OpenAlex

Type 2 diabetes is a highly prevalent metabolic condition with significant long-term health risks. First-line therapy for managing diabetes includes pharmaceuticals alongside nutritional, physical activity, and weight management interventions. However, some patients do not adhere to these recommendations or decline them altogether. This case report aims to document a case in which non-pharmacological treatment had a beneficial impact on severe uncontrolled type 2 diabetes. The subject is an unmedicated 59-year-old male patient with a reported 15-year history of uncontrolled type 2 diabetes. He presented with physical symptoms (fatigue, cravings, polyuria), signs of end-organ damage (neuropathy, retinopathy), and baseline labs indicative of severe glycemic dysregulation including an elevated fasting glucose and an elevated HbA1c. Despite the practitioner recommending pharmaceuticals as per clinical practice guidelines, the patient opted for non-pharmacological naturopathic interventions. Individualized nutritional modifications, increased physical activity, and two herbal-nutrient supplements were recommended. Over 4 months, the patient’s diabetic symptoms improved alongside a corresponding significant improvement in lab markers (2.0% reduction in HbA1c from 10.1% to 8.1%; 5.7 mmol/L reduction in fasting glucose from 15.9 mmol/L to 10.2 mmol/L). This case demonstrates a significant improvement in symptoms and laboratory markers of glycemic regulation following 4 months of a multimodal, non-pharmacological treatment approach for a patient with uncontrolled diabetes who declined pharmacotherapy. This case adds to a body of literature suggesting that further research investigating non-pharmacological treatment options for managing diabetes is warranted.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.328
Threshold uncertainty score0.317

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.024
GPT teacher head0.306
Teacher spread0.282 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2024
Admission routes2
Has abstractyes

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