Combined Western and Traditional Chinese Medicine Daycare for DM Nephropathy Patients
Diabetes Mellitus Nephropathy
About this trial
This is an interventional treatment trial for Diabetes Mellitus Nephropathy focused on measuring Diabetes mellitus nephropathy, Daycare, Traditional Chinese Medicine(TCM)
Eligibility Criteria
Inclusion Criteria:
- Diabetic peripheral neuropathy based on subjective symptoms
- Fit diabetes mellitus nephropathy definition by National Kidney Foundation's Kidney Disease Outcome Quality Initiative(NKF-KDOQI) stage II~IV and fit American Diabetic Association Criteria by stable glycemic control (HbA1C ≤ 9%, with ± 0.5% variation in the previous 3months).
- at least 20 years old volunteers.
- The participants had no allergy to acupuncture needle in the past, or without contraindications to acupuncture treatment.
- The participants agreed to join the trial and sign informed consent form after thorough explanation.
Exclusion Criteria:
- primary cause of neurologic disorder was not diabetes (e.g., alcoholic neuropathy, carpal tunnel syndrome, chemotherapy induced neuropathy)
- receiving other experimental medications for DPN or any other medication that affects symptoms of DPN
- ankle brachial pressure index of ≤ 0.8
- Had substance abuse in the past, or having substance abuse.
- Pregnancy women or breastfeeding women.
- Mental or behavioral disorders which leads to inability to cooperation.
- Arrhythmia patients who have pacemaker.
- Patient who have skin infection or wound infection near acupoints.
Sites / Locations
- China Medical University Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
TCM daycare model
Control group
15 patients will be assigned to this arm. The assignment depends on the patients' own will. After diagnosis by nephrology physician, these patients will be distributed to control group by their wills. The intervention is Traditional Chinese Medicine (TCM) daycare model, which provides multiple approaches of traditional Chinese medical treatment, including 5 tones of Chinese music, massage on meridians and collaterals, acupuncture, and patient education. The treatment course is one time a week, for 12 weeks (12 treatments in total). And the model will be provided by a team work clinical care system organized by doctors, nurses, pharmacists and case managers, also provide a comprehensive TCM care system for every visit.
15 patients will be assigned to this arm. The assignment depends on the patients' own will. After diagnosis by nephrology physician, these patients will be distributed to control group by their wills. The control group will only receive assessment and follow-up without intervention.