Patient, born 1933, admitted to the clinic with a diagnosis of NIDDM, moderate severity, complicated by macroangiopathy, polyneuropathy, gangrene of the right foot. Comorbidities: cerebral atherosclerosis, hypertension, osteoarthritis of the knee joints, chronic cholecystitis in remission, chronic pyelonephritis.
Complaints: General weakness, quick fatigue, drowsiness, dry mouth with bitterness, urinary incontinence, itching in the perineum, heart pain, headaches, dizziness, periodic blood pressure rises up to 180/100, constantly cold feet.
History: Ill for 12 years, disease detected during a medical check-up. Takes Glurenorm 1 tablet 2-3 times a day.
Objective Data: General condition relatively satisfactory. Tongue coated white, swollen, bad breath. Heart sounds muffled, accentuated second sound on the aorta. Liver enlarged due to the right lobe +5-6 cm, painless, slight pain on palpation of the bladder. On the right foot's little toe, there's a wound 1.5x2 cm with a black scab, surrounded by infiltrative edema, painful on palpation, pulsation of leg vessels reduced, feet cold to touch.
Laboratory-Instrumental Tests: CBC: Hb – 159 g/L, Erythrocytes – 4.6, Leukocytes – 4.0, band neutrophils 3, segmented 63, lymphocytes 24, monocytes 2, eosinophils 8, ESR 5 mm/hr. Blood sugar 11.0 mmol/L, PTI 89, urine sugar 1%. Coagulogram – hypercoagulation, REG - reduced blood filling of leg arteries, normal tone. Ultrasound liver +0.5 cm on the right +7 cm, gallbladder unevenly thickened, contents not visualized. Fundus examination – angiosclerosis, retinal angiopathy.
Treatment: Conducted over 1 month: daily CNS state regulation with KL and KH, first 4 days: general RV+ZC for 20-25 minutes for 4 days, local RC on pancreas, adrenals, vascular bundle, lungs, kidneys, liver, intestine for 2-5 minutes, AK on eyes 2-2-2 minutes twice a day before and after treatment, local KL on pancreas 5x5 minutes, heels 20 minutes once a day; next 6 days: general GI+RC+ZB for 25-30 minutes once a day, local GI on intestine, pancreas, kidneys, liver, local ZB on intestine, pancreas, kidneys, feet, spine with massage for 5 minutes each, local KL on pancreas 5x5 minutes, heels 20 minutes; next 7 days: local KL on pancreas 5x5 minutes, heels 20 minutes, local RC - intestine for 5 minutes, pancreas, kidneys, liver, bladder for 10 minutes, local ZB on intestine, pancreas, kidneys, liver, bladder, spine with massage for 5 minutes, sitz bath (pair) 30 minutes + local KL on bladder 15 minutes; next 6 days: local KL on pancreas 5x5 minutes, heels 20 minutes, local GI - intestine, pancreas, kidneys, liver for 10 minutes, local ZC on intestine, pancreas, kidneys, liver for 5 minutes, bladder 10 minutes, spine with massage for 5 minutes, pair GI+KL on bladder 30 minutes; last 7 days AV + ZC general 10-15-20 minutes, general KL for 10 minutes.
Result: General condition improved, felt invigorated, sleep normalized, perineal itching, mouth bitterness, and dryness no longer bother, urination frequency reduced, on the 9th day of therapy, edema and infiltration on the right foot's little toe disappeared, scab fell off on the 10th day. On day 11, blood sugar 9 mmol/L, no sugar in urine, on day 21 of therapy, blood sugar 6.8 mmol/L, on day 24, liver size reduced to +2 – 2.5 cm, coagulogram data normalized, REG - satisfactory blood filling of leg arteries, venous tone normal, CBC normal. Stopped taking antidiabetic medication after treatment.