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Revision Milestone Three



Needs to be redo it, attached the feedback Milestone three PHH-Milestone 1-4

Feedback: I am going to ask that you redo this particular assignment. In regards to alternative strategies, they need to be related to programming, accessibility, delivery, quality, or policy, not treatment. This should tie into the the previous milestones where you addressed policy, Medicaid expansion, rapid diagnosis and support from states. Please resubmit by As soon as possible.

Feedback :The purpose of this assignment was for you to create an alternative strategy, policy, program, etc that would address your chosen issue. For those that chose diabetes, the assignment was not about alternative treatments

Milestone three PBH-14

Alternative Strategic Approaches

Diabetes is alleged to be a metabolic disorder in the endocrine system. It is a dreadful illness that is prevalent in all parts of the world. It is becoming a threat to the existence of humanity. There exist different chemical agents that are available to control and also treat diabetes. However, no data of recovery from diabetes has been published. Besides, the adverse effects of the drug treatment are not effective (Colberg et al, 2016). Alternative strategies are needed to assist patients with diabetes. Some of the alternatives include the use of dietary supplements, acupuncture, and yoga. The alternative approaches are less likely to have adverse side effects as compared to the conventional methods.

The standard therapy for treatment of type 2 diabetes is that life style management is fundamental. In addition to exercise and medical nutrition, the conventional treatment suggests that the patient should consume oral glucose and insulin. The pharmacological treatments imply that during fasting, the glucose level exceeds 140 mg/dl which may be ideal. All the same, the conventional treatments have limitations. The oral glucose lowering drugs are approved for the treatment of diabetes (Jang et al, 2003). The oral therapy is ideal for patients whom diet and exercises have failed to achieve the glycemic control. Altogether, the initial response is good. However, the pharmacological treatments may lose their effectiveness in some patients. Some of these drugs include alpha-glucosidase inhibitors. The drugs have been faulted for the side effects they have. For instance, a person may gain weight and experience fatigue. Insulin may also be added to oral drugs and used for the treatment of diabetes. Some of the side effects of insulin include abnormal weight gain and general fatigue.

There is a need for alternative medicine. Irrespective of the type of diabetes, the patients are expected to control their blood glucose with medication or exercises or even dietary plans. As a result of modernization of lifestyle, the type two diabetes has become a major health problem in the less developed countries. The patients with diabetes are places on a restricted diet and are required to perform regular exercises in order to control their weight. Even so, if the food and exercise fail to lower the blood glucose, pharmacological treatment may be used. The treatments have their drawbacks that range from resistance as well as adverse effects. Besides, none of the glucose lowering drugs have proved to be effective. The limitations that have faced the antidiabetic agents is in regards to efficacy and safety. Lack of effective alternative methods has made diabetes a global epidemic. There is a need for alternative therapy that can manage diabetes more safely and yield useful results.

Alternative strategies to combat diabetes are neither taught in medical schools, neither are they practiced in health facilities. However, the use of alternative medications is increasing. For instance, in the year 1997, about 42 percent of people in the United States used alternative medical therapy. In total, the person who used the alternative strategies were about 629 million which exceeds the number of those people who visited the primary care doctors. In countries such as Canada, it was found out that about 75 percent of the people used non prescribed alternatives to manage their conditions. Researchers suggest that the alternative approaches are taking roots in the world. Most of the patients are no longer relying on prescription medicine. Instead, they are focusing on alternatives.

The alternative approaches that would be illustrated in this paper include include physical interventions. Yoga is the first option plan. It is an old traditional Indian physical and spiritual exercise that has been studied for many decades. It has proved useful in the management of a number of chronic diseases such as obesity, asthma, and psychiatric illnesses. On the other hand, Yoga may be effective for controlling symptoms and complications linked to type2 diabetes. The results reveals that yoga could be a strategic alternative in combating diabetes. In addition, the practice of Yoga has shown improvements for people with diabetes. It is also said that the practices of Yoga play a role in the prevention of diabetes. Yoga assists the body in regulating its functions (Thind et al, 2017). Yoga also improves the overall well-being and increase lovingly. Several hypotheses exist for the mechanisms that link the benefits of Yoga in fighting diabetes. Pundits suggest that Yoga helps in relaxation. Others imply that Yoga may help patients taking diabetes medications. All the same, Yoga is an effective alternative to the ineffective medications.

Massage therapy is the next alternative approach. It serves as another strategic alternative to the conventional medications. Massage therapy is used as a relaxation therapy. Massage is recommended for diabetes for over one hundred years. Published results show that massage has a positive effect in managing diabetes. Other studies reveal that the relaxing effects of massage could help people with diabetes to achieve happiness and reduce the tension in their muscles. Besides, massage decrease anxiety among people with diabetes. The stress reducing benefits of massage have raised possibilities that massage may help people with diabetes. Massage also controls the counter-regulatory stress hormone that permits the body to use insulin more efficiently. Similarly, the body massage can stimulate the better flow of blood around the body. The improved circulation does wonder for diabetic neuropathy.

Acupuncture therapy is the other alternative approach that can be used to treat diabetes. People in China have successfully treated diabetes with acupuncture. Likewise, acupuncture is best known across the United States as an alternative therapy for chronic pains. The therapy has been used for the treatment of diabetes related complications for a long time now. Acupuncture is an efficient remedy in treating diabetes and also in managing the complications of this disease. The positive effects of acupuncture therapy on diabetes have been observed from a clinical point of view (Stenlöf et al, 2014). Experiments on animals have shown that acupuncture activates the glucose six phosphate and affects the hypothalamus.

In conclusion, acupuncture acts on the pancreas and enhances the synthesis of insulin. It also increases the number of receptors on the target cells. Likewise, it accelerates the utilization of glucose resulting in the lowering of blood sugar. Information from other studies has shown that acupuncture is effective in lowering the antiobesity effects. Medicinal herbs are the other strategic alternatives. According to the ancient literature, there exist more than 800 plans that have antidiabetic properties. Scholars have agreed that more than 1200 plants are used in the traditional medicine for their hypoglycemic effects. In India, material medica is used for relieving symptoms of diabetes. Finally, besides the initial program, the alternatives have proved to be effective as well. Therefore, people with diabetes should consult with their physicians before they embark on the alternative approaches.


Colberg, S. R., Sigal, R. J., Yardley, J. E., Riddell, M. C., Dunstan, D. W., Dempsey, P. C., … & Tate, D. F. (2016). Physical activity/exercise and diabetes: a position statement of the American Diabetes Association. Diabetes Care39(11), 2065-2079.

Jang, M. H., Shin, M. C., Koo, G. S., Lee, C. Y., Kim, E. H., & Kim, C. J. (2003). Acupuncture decreases nitric oxide synthase expression in periaqueductal gray area of rats with streptozotocin-induced diabetes. Neuroscience letters337(3), 155-158.

Thind, H., Scott-Sheldon, L., Lantini, R., Balletto, B., Donahue, M., Feulner, M., … & Brock, B. C. (2017). The Effects of Yoga on Adults with Type II Diabetes: A Systematic Review and Meta-analysis.

Stenlöf, K., Cefalu, W. T., Kim, K. A., Jodar, E., Alba, M., Edwards, R., … & Meininger, G. (2014). Long-term efficacy and safety of canagliflozin monotherapy in patients with type 2 diabetes inadequately controlled with diet and exercise: findings from the 52-week CANTATA-M study. Current medical research and opinion30(2), 163-175.

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