WHO QUALIFIES FOR METABOLIC ACTIVATION THERAPY?
Metabolic Activation Therapy is indicated as treatment for the following complications of diabetes mellitus:
(1) GLYCEMIC CONTROL Metabolic Activation is indicated for patients who despite best efforts continue to experience unanticipated large swings in blood glucose levels, resulting in frequent episodes of hypoglycemia/ hyperglycemia. It is indicated in patients requiring hospitalization due to diabetic ketoacidosis. It is indicated in patients suffering from frequent severe hypoglycemic episodes with hypoglycemic unawareness.
(2) DIABETIC NEPHROPATHY Metabolic Activation is indicated when despite intensive oral hypoglycemic agent and/or insulin therapy and blood pressure control with ACE inhibitors, the patient’s renal function continues to decline.
(3) ORTHOSTATIC HYPOTENSION Metabolic Activation is indicated when the patient with diabetes has orthostatic hypotension not relieved by other therapies.
(4) GASTROPARESIS Metabolic Activation is indicated for patients with gastro paresis associated with diabetes not relieved by other drug or dietary therapies.
(5) PAINFUL PERIPHERAL NEUROPATHY Metabolic Activation is indicated for patients with painful peripheral neuropathy not relieved by conventional state of the art intensive therapy.
(6) RETINOPATHY Metabolic Activation is indicated for patients with background or proliferative neuropathy.
(7) CARDIOMYOPATHY Metabolic Activation is indicated for patients with cardiomyopathy resulting in frequent shortness of breath.
(8) WOUND HEALING Metabolic Activation is indicated for treatment of non-gangrenous, non-healing ulcers of the leg, foot or other site, not complicated by osteomyelitis, and not responsive to other therapies.
Metabolic Activation should only be used in conjunction with intensive diabetes therapy. It is not indicated for patients with well-controlled diabetes with no or minimal complications or patients who will not manage their diabetes.