UA100298U - METHOD OF NON-MEDICINAL TREATMENT OF OTHER TYPE DIABETES - Google Patents

Abstract

The method of non-drug treatment of type 2 diabetes includes: performing a complex of exercises and loads for the patient, taking into account individual features and stage of the disease; use of medicinal water; receiving a complex of physiotherapy procedures; eating according to the menu, which takes into account the glycemic and insulin index of food; normalization of day mode; giving up bad habits.

Description

The useful model belongs to medicine, in particular to endocrinology, and concerns the method of non-medicamentary treatment of type 2 diabetes.

Specialists know that type 2 diabetes is a metabolic disease characterized by chronic hyperglycemia, which develops as a result of impaired interaction of insulin with tissue cells. This type of disease is caused by a decrease in tissue sensitivity to the action of insulin (insulin resistance), which is synthesized in normal or even increased amounts in the initial stages of the disease. Over time, excessive secretion of insulin depletes p-cells of the pancreas, which may ultimately lead to the need for exogenous insulin administration.

Usually, to reduce the level of glucose in patients with diabetes in medical institutions, medicinal products are used, sometimes expensive, which, in addition to the targeted effect, often have contraindications, side effects of impact on the body, and also provide for a lifelong regimen.

There are also known non-medicinal ways to reduce sugar levels in diabetes, for example, with the help of diet and/or physical activity.

A well-known study by A. G. Mikhaylets and S. A. Grigor'eva on the topic "The influence of physical activity on the level of glycemia in patients with diabetes" (trans:/Logyt.viras.ipto/agspime/ditap/4(19).raiya, in in which 10 people with diabetes, with a history of the disease from 2 to 10 years, participated. (20 times)).

The study showed that after performing all the exercises, the blood sugar level decreased. At the same time, the average difference in the level of glycemia before and after physical exertion was: for running - 1.3 mmol/l; for squats - 0.7 mmol/l; for pull-ups 1.6 mmol/l.

The disadvantages of this method include the lack of study of the influence of various accompanying factors (day regimen, diet, etc.) on the treatment process.

Also from the work practice of the sanatorium "Cheremosh" (Morshyn, Ukraine) is known the study of the effect of mineral water on the secretion of the pancreas in patients with type 2 diabetes.

96 patients with diabetes aged from 21 to 79 took part in the study, who

They were treated during 2010-2011. The term of sanatorium-resort treatment was 18-24 days, on average 19 days.

All patients were prescribed weakly alkaline (pH 7.3) chloride-sulfate magnesium-sodium-potassium mineral water J. Me 6 mineralization 3.5 and 7 g/l for 30- 60-90 min. 150-200 ml before meals (depending on the acid-producing function of the stomach) warm (38 C). three times a day.

In the course of treatment, the stimulation of the secretion of gastrin and other intestinal hormones was observed, which in turn led to the stimulation of b-cells of the pancreas.

The significant disadvantages of the mentioned method can be considered the impossibility of its application in territories distant from J. Mob Morshynsk mineral water, the lack of study of the influence of various accompanying factors on the treatment process (day regimen, nutrition regimen, etc.) outside sanatorium-resort institutions, the impossibility changes in ORP of water depending on the state of acid-alkaline balance in the patient's body.

The purpose of the proposed useful model is to create a non-medicinal, cheap, easy-to-use, effective method of treating type 2 diabetes, which allows, under the supervision of specialists (endocrinologist, nutritionist, psychologist, rehabilitator), to develop an individual patient rehabilitation program and continue treatment at home with with the aim of normalizing the blood sugar level by achieving the target values of glycated hemoglobin, stabilizing blood pressure, reducing the level of cholesterol and triglycerides in the blood, reducing the risk of developing macrovascular and microvascular complications, consolidating the achieved results by following an individually developed program, developing the habit of a healthy lifestyle.

The task is solved by creating a method of non-pharmacological treatment of type 2 diabetes, which includes: the patient's performance of a complex of physical exercises and loads taking into account individual characteristics and the stage of the disease; use of medicinal water; reception of a complex of physiotherapeutic procedures; eating according to a menu that takes into account the glycemic and insulin index of foods; normalization of the daily routine; giving up bad habits.

At the same time, according to the declared useful model:

1. A specially developed course of kinesitherapy is used as a set of physical exercises and loads, for which the patient's daily routine, working conditions, the possibility of allocating time for the main set of exercises and hiking are pre-determined.

All the necessary time of daily motor activity (120-150 min.) is divided into separate periods in which the patient performs physical exercises, for example, daily morning exercises (exercise complex) - 15-20 min., walking at an average pace lasting 25-40 minutes in the morning and in the evening (after meals), breathing exercises (3 times a day immediately before taking medicinal water) lasting 5-10 minutes, the main set of exercises in the gym or at home (40-50 minutes), evening set of exercises, which can be carried out lying on the bed before going to bed, without additional physical effort. In the absence of contraindications, the movement load is supplemented by daily dousing with water, with a gradual decrease in temperature from comfortable to 11 "C; dousing is carried out 2 times a day - in the morning after the physical exercise complex (or after sleep, depending on individual characteristics) and in the evening before dinner or after a walk, but no later than two hours before bedtime.

At the same time, if the patient does not have the opportunity to perform a mandatory set of exercises during the day, then he can perform a simplified set of exercises without leaving the workplace (2-3 times a day for 5-10 minutes) depending on the available possibilities (desk, a chair, stairs or a wall), which are clarified in advance.

It is mandatory to perform the exercise in the evening before going to bed, as it is necessary for stretching the tense muscles of the legs and feet, improving blood circulation in the lower limbs, and preventing deforming changes in the joints against the background of dysmetabolic syndrome.

All exercises do not require a lot of time to perform, they fit organically into the rhythm of the patient's life, which contributes to the development of a habit. 2. Slightly alkaline water with individually selected values of pH (in the range of 7.5-8.5), ORP (in the range of -100 - -70) and temperature (in the range of 34-35 C) in the amount of 100-200 ml is used as treatment From times a day before breakfast, lunch and dinner, in 45-60 minutes. before meals, the course is 24-30 days with an interval of 2-3 months. 3. How physiotherapeutic procedures use a complex aimed at all links of the pathogenesis of diabetes, taking into account the individual characteristics of the patient, which

It consists of: hyperbaric oxygenation at a pressure of 1.2 atm, 35-40 minutes every day in the morning after a complex of physical exercises and loads, in 30 minutes. before meals or an hour after meals, up to 10 sessions under control of blood pressure and pulse; singlet oxygen therapy, for example, on the "MYT C" device from 5 to 10 min. twice a day for 15 minutes. before meals with an interval of 6 hours, daily 10-15 procedures in combination with intake of 100-200 ml of oxygen-enriched water; magnetic therapy, for example, on the SIMAR device in pulse mode for the pancreas: 10-15 procedures once a day lasting 20 minutes an hour after the hyperbaric oxygenation session; carbonic dry baths for 20 min. 10 procedures for the prevention of peripheral blood circulation disorders and in the presence of complications from the lower extremities. 4. Eating according to the menu, which takes into account the glycemic and insulin index of food products, is carried out based on the principle of observing the normal energy value of the diet, with the limitation of easily digestible carbohydrates, saturated fats, and cholesterol. The diet should be balanced and individually selected by a nutritionist, taking into account the characteristics of each patient, with adherence to the diet (5-6 times a day, consuming no more than 0.5 kg of food at one meal, the last meal no later than 6:00 p.m. ). 5. In addition, the patient receives a course of point massage - 10-12 daily sessions once a day for 20 minutes, 2 times a year; daily self-massage of the lower legs and feet for 5-10 minutes. in the morning after sleep, without getting out of bed with further exercises to stretch the muscles and in the evening before going to bed; acupuncture reflexology - once every 6 months, the course is 10 procedures once a day, every day in the morning hours (10.00-11.00) 2 hours after a meal, the duration of one procedure is 20-30 minutes.

The patient also receives psychotherapy sessions, because leading a healthy lifestyle with diabetes is not only about knowing what diabetes is and following all the doctor's prescriptions, it is also necessary to learn to analyze one's emotional attitude to the disease and be able to correct it. Psychotherapy sessions with a specialist will help solve this problem.

The set of features of the proposed useful model allows to achieve compensation of type 2 diabetes mellitus (DM 2) with the achievement of the target level of glucose and glycated hemoglobin in 3-12 months (depending on the initial level at the time of starting treatment) with a course of treatment of at least 3 months, without drug correction (sugar-lowering therapy). 60 The specified result is achieved as described below.

1. Activation of motor activity by performing a complex of individually selected physical exercises, which leads to the intensification of oxidative enzymatic processes. At the same time, there is an increase in the utilization of glucose by working muscles. Under the influence of training, the synthesis of glycogen in the muscles and liver increases.

A decrease in the level of glucose contributes to an increase in the secretion of somatotropic hormone, which stabilizes carbohydrate metabolism and stimulates the breakdown of fat.

A decrease in body weight restores the insulin-receptor interaction almost to normal, restoring the insulin-secreting function of the beta cells of the islets of Langerhans, thus reducing the burden on the pancreas | diseases". - M. "Medical Information Agency", 20081. 2. The use of medicinal water with a negative ORP, containing K ions that activate neuroreceptors of endocrine glands, including the pancreas. Such water has a positive effect on the state of the cholesecretory and protein-synthesizing functions of the liver , reduces the manifestations of cytolysis, improves the glycogen-forming function of the liver, inhibits gluconeogenesis, increases the absorption of oxygen and the release of carbon dioxide, the permeability of tissues for glucose, thus reducing insulin resistance.

At the same time, the correct mode of water consumption contributes to the increase of protective and restorative mechanisms, training of adaptation capabilities, restoration of impaired body functions by influencing metabolic processes, functions of the autonomic nervous and endocrine systems, regulatory centers of the nervous system.

C. The use of the listed physiotherapeutic procedures helps to restore disturbed metabolism (carbohydrate, lipid, protein, water, mineral, etc.), stimulates the production of insulin by the pancreas, reduces the output of its antagonists and the activity of the adrenal cortex, prevents insulin resistance, and helps prevent complications such as acute (ketoacidosis and hypoglycemia), and chronic (mainly angio- and neuropathy), prevent the progression of the disease.

At the same time, the use of the hyperbaric oxygenation method in combination with singlet oxygen therapy helps to restore the blood gas transport function, prevents oxygen

From tissue insufficiency, it improves the assimilation of glucose in them, normalizes the acid-alkaline balance, increases the sensitivity of receptors to insulin, and intensifies the process of glycolysis.

Magnetic therapy on the area of the projection of the pancreas shows a hypoglycemic effect already after 3-5 sessions. The variable magnetic field with its high biological activity has a positive effect on metabolic processes and peripheral hemocirculation.

Dry carbonated baths improve blood circulation, activate the production of hormones, and normalize the vegetative state.

Massage is an important element of therapy and a necessary support tool in the patient's life. It has a relaxing effect, improves blood circulation in the limbs, activates metabolism.

Using massage for diabetes, you can stimulate the recovery of nerve fibers, soft tissues, joints, prevent osteoporosis, reduce pain during movement, and generally have a positive effect on the body. Patients who undergo a course of treatment using the proposed method also learn how to perform self-massage, which has the same effect as general massage, but on local areas.

Reflexology is a non-pharmacological method of correcting microcirculatory disorders. A needle affects the biologically active point. Acupuncture changes the functional state of the central, peripheral and autonomic nervous system with a pronounced effect on tissue trophism. In addition, acupuncture has a regulatory effect, primarily on the permeability of the vascular wall, improves hemodynamics in the microcirculation system of the skin, resulting in a generalized expansion of capillaries.

Acupressure is a type of reflexology. In the intervals between acupuncture courses, patients independently perform it at home after training in the clinic. 4. Adherence to a proper diet is the key to successful treatment of type 2 diabetes.

It is very important that each patient should take the first steps in forming the habit of eating properly, not on their own, but with the support of an experienced nutritionist who monitors all vital parameters. This achieves a safe weight loss of no more than 0.5-1.0 kg/week.

When food addiction is detected, the help of a psychologist is necessary.

The proposed method involves mandatory observance of the daily regime, the regime of nutrition, the regime of taking medicinal water and the regime of motor activity. Gradually, the patient develops a habit, because his general condition improves.

In addition, not only the patient himself, but also all his relatives and friends also go through the process of emotional adaptation to problems related to diabetes. Only by joining together - the patient, loved ones and the doctor - can achieve the desired results in the fight against diabetes.

The proposed method is carried out in the following way. 1. The course of treatment begins with a detailed examination and examination of the patient by an endocrinologist, nutritionist, and psychologist. The presence of metabolic syndrome is determined instrumentally (body weight, body mass index (BMI) and, accordingly, the degree of obesity, blood pressure (BP), pulse, saturation). Then, the main indicators of the patient's blood are determined by laboratory means (the level of glucose, glycated hemoglobin, C-peptide, uric acid, lipidogram, and other indicators as necessary). 2. Select an individual treatment program taking into account the severity of diabetes. An important component of the program is strict adherence to the daily regime, the regime of motor activity, and the regime of nutrition. A clear alternation of work and rest modes is necessary.

It is recommended to get up at 6:00 a.m. and sleep at 10:00 p.m. Periods of motor activity organically fit into the rhythm of the patient's life. Food is taken strictly at a certain time, preferably every 3-4 hours. This is necessary for the rhythmic work of the gastrointestinal tract, including the pancreas.

The time interval between meals should not exceed 5 hours. At the same time, the patient must give up bad habits: smoking, drinking alcoholic beverages. 4. Breathing exercises lasting 5-10 minutes are performed daily (3 times a day). Physical activity involves a combination of the following exercises: morning exercise, running or other types of physical activity convenient for the patient to choose from, as well as exercise therapy (a complex of specially developed exercises) lasting 25-40 minutes. daily. Contraindications: blood glucose level is less than b mmol/l, higher than 14 mmol/l. 5. They use medical slightly alkaline water with individually selected pH values (in the range of 7.5-8.5), ORP (in the range from -100 to -70) and temperature (in the range of 34-35 C), 3 times a day before breakfast, lunch and dinner, in 45-60 minutes. before eating at

From the amount of 100-200 ml. The course is 24-30 days with an interval of 2-3 months. b. Selection of food is carried out taking into account the glycemic and insulin index of products; informing patients about the concepts of "instant", "fast" and "slow sugar"; 5-6 meals a day, consumption of no more than 0.5 kg of food at one time, the last meal no later than 18:00. 7. Perform irrigation: the optimal number of irrigations is 2 times a day in the morning and in the evening - constantly, the temperature of the water during irrigation is not higher than 11 "C. 8. Implement a course of acupressure massage that includes 10-12 daily sessions 2 times a year. Also with the aim of for the prevention of the development of polyneuropathy and angiopathy of the lower extremities, daily self-massage of the legs is indicated. 9. Acupuncture reflexology is performed. The course consists of 10 procedures, which are carried out daily in the morning hours. The duration of one procedure is 10-20 minutes, once every 6 months. 10. A complex of physiotherapeutic procedures are scheduled in courses. The stage of the disease and the presence of complications are taken into account. The procedures fit organically into the patient's daily routine and meet all the requirements of combining physiotherapeutic factors. 11. They select the patient's individual rehabilitation system, teach him the planning system, increase his own efficiency and work in a multitasking system .

The patient plans the daily regimen taking into account the doctor's recommendations in the following sequence: rising, taking water with selected pH values (in the range of 7.5-8.5), ORP (in the range from -100 to -70) and temperature (in the range of 34 - 35 C), in 45-60 minutes. before meals in the amount of 100-200 ml., then - a mode of motor activity up to 40 minutes (walking), after which breakfast according to the nutritionist's recommendations. The patient can continue his day according to the working schedule, which includes either physiotherapeutic procedures (barotherapy session, magnetic therapy, singlet oxygen therapy) or a basic set of exercises. Then work, according to the planned schedule. Late lunch 15-20 minutes after drinking water, then activities according to the plan. Last meal no later than 6 p.m. Mandatory "snacks" after breakfast and lunch (the second breakfast and afternoon snack), the second dinner is discussed individually.

1-2 hours before bedtime, walk for up to 40 minutes at an average pace. Sleep requires a comfortable orthopedic bed and a pillow that does not disturb blood circulation in the neck.

The effectiveness of the proposed method was confirmed by clinical studies conducted at the Vikey Clinic in 2014.

Clinical case Mo 1.

Patient R., male, 62 years old, diagnosis: type 2 diabetes mellitus, of moderate severity, stage of subcompensation; complications: diabetic angiopathy of the lower extremities Y. Diabetic non-proliferative retinopathy of both eyes. Diabetic distal sensorimotor polyneuropathy.

The diagnosis was made 15 years ago, he was treated regularly, during the last year he took metformin in a daily dosage of 1500 mg and gliclazide in a daily dosage of 60 mg. Heavy family history: father had type 2 diabetes.

When contacting the clinic, the patient complained of general weakness, reduced work capacity, difficulty concentrating, thirst and dry mouth; increase in blood pressure numbers up to 160/100 mm Hg; pain in the legs, mainly in the evening, decreased sensitivity of the legs, periodic cramps; decreased vision.

During the treatment according to the proposed method, the patient ate according to an individually prepared menu, 3 times a day, took weakly alkaline water, worked according to an individual lightened (in connection with the concomitant damage to the joints of the lower limbs) physical activity plan, attended physical therapy sessions (HBO followed by magnetic therapy for the pancreas area, singlet oxygen therapy, acupressure), worked with a psychologist, including on the point of quitting smoking.

At the end of the course of treatment, the patient notes a subjective improvement in well-being: thirst and dryness in the mouth disappeared, pain in the legs decreased, their sensitivity increased, convulsions stopped; blood pressure numbers also dropped.

Below, in Table 1, the data of instrumental and laboratory examinations before and after the course of treatment are given.

Table 1 treatment

Indicators of gliuemia 77771111

Glycated hemoglobin (NAATs), 96111171 173 1168 | 46 drinking water in | i mmol/l "

Lipids 11 "2.5 "(1.8

Low-density lipoprotein cholesterol, mmol/l 2.9 2.3 if present (ego;

Women 21.0; men

Cholesterol of high-density lipoproteins, mmol/l 1.0 12 »1.2, if present (echo;

Arterial pressure///////7711111111111111Ї1111 (Systolic /Diastolic, mm Hg. 7777-7777 1-77 | Lao

Systolic / Diastolic, mm Hg. Art. (in the presence of impaired kidney, eye, cardio- and 160/100 140/90 130/80 cerebrovascular function)

Waa 71111111 "88 in women,

Waist circumference (OT), cm 110 91 "102 in men (Tyutunopalinniad 77777171 Yitak7 |Yini In

At the end of the course of treatment, the patient stopped taking gliclazide, the daily dosage of metformin was 1000 mg, phytotherapy was added to the treatment; also the patient completely gave up smoking.

Clinical case Co. 2.

Patient K., woman, 57 years old, diagnosis: type 2 diabetes, mild form, subcompensation stage. The diagnosis was made 5 years ago, she was treated irregularly, during the last E months she took metformin in a daily dosage of 500 mg.

When contacting the clinic, there were complaints of general weakness, periodic thirst and dry mouth; increase in body weight; leg pain and swelling.

During treatment in accordance with this useful model, the patient ate according to an individually prepared menu (according to the patient, gross violations in the diet were allowed), took weakly alkaline water several times a day, worked according to an individual plan of physical activity, attended physiotherapy sessions (HBO followed by magnetic therapy for the pancreas, singlet oxygen therapy, massage), worked with a psychologist, including on the point of correction of eating behavior.

At the end of the course of treatment, the subjective improvement of the condition is noted: thirst and dryness in the mouth have completely disappeared, pain in the legs, their swelling has decreased; body weight also decreased.

The data of instrumental and laboratory examinations are given below in table Мо 2.

Table 2 of treatment (Indicators of glycemia 77771111

Nini and NT NN FIELD mmol/l "

Lipids 11 "2.5 "(1.8

Cholesterol of low-density lipoproteins, mmol/l 2.6 2.3 per. availability (9025)) women 21.0; men

Cholesterol of high-density lipoproteins, mmol/l 1.0 1.4 »1.2 if available

CVD

Arterial pressure///////7777111111111111

Systolic / Diastolic, mm Hg. (in the presence of kidney, eye, cardiovascular and 130/80 cerebrovascular dysfunction)

Waa 71111111 -88 in women,

Waist circumference (OT), cm 92 87 "102 in men (Tyutyunopalinniad 77771717 yini yini yini

At the end of the course of treatment, the patient completely stopped taking tablets, continued eating according to an individually prepared menu, and expanded the regime of physical activity.

Clinical case of Co. 3.

Patient R., male, 65 years old. Diagnosis: type 2 diabetes mellitus, of moderate severity, stage of decompensation; complications: diabetic angiopathy of her lower extremities. Diabetic non-proliferative retinopathy of both eyes. Diabetic distal sensorimotor polyneuropathy.

CKD I. Diabetic nephropathy, stage of microalbuminuria. CKD 0. The diagnosis was made 20 years ago, treated irregularly, during the last year he took metformin in a daily dosage of 2000 mg, gliclazide in a daily dosage of 120 mg and sitagliptin in a daily dosage of 100 mg; transfer to insulin therapy is recommended by the doctor at the place of residence.

Heavy family history: paternal grandmother had type 2 diabetes, brother has diabetes. He has a history of myocardial infarction (2000 ryu).

When contacting the clinic, the patient complained of general weakness, severe thirst and dry mouth, nocturia 3-4 times a night, memory impairment; increase in blood pressure numbers up to 180/100 mm Hg; pain in the legs with minimal physical exertion and at rest, decreased sensitivity of the legs, periodic cramps, the presence of a small ulcer on the plantar surface of the left foot, swelling of the lower extremities; decreased vision.

During treatment in accordance with this useful model, the patient ate according to an individually prepared menu, drank weakly alkaline water several times a day, worked according to an individual lightened (in connection with the damage to the lower extremities and suffered a myocardial infarction) exercise plan, attended physical therapy sessions (HBO followed by magnetic therapy for the pancreas, singlet oxygen therapy, acupuncture), worked with a psychologist in the direction of forming a healthy lifestyle.

At the end of the course of treatment, the patient notes a certain subjective improvement in well-being: thirst and dryness in the mouth have decreased, nocturia has stopped, pains in the legs have slightly decreased, their sensitivity has increased, seizures have become rarer; healing of ulcer defects also improved and blood pressure numbers stabilized.

Below, the table of MoZ shows the data of instrumental and laboratory examinations.

Table C treatment treatment

Indicators of gliuemia 77771111

Fasting glucose level, mmol/l.d 90 | 78 | 3966 pe eh) p! | with mmol/l "

Lipids 11 shov chen nen zi 0zyu | KV,

From 24 mmol/l of the presence of CVD) then it is not ov TV Pes"' 1.8 men 21.2, per mmol/l . presence of CVD

Arterial pressure///////771111111111111Ї1111 (Systolic /Diastolic, mm Hg 1-77 1-77 71114090

Systolic / Diastolic, mm Hg. (in the presence of impaired kidney and eye function) 180/100 140/80 130/80 cardiovascular and cerebrovascular)

Waa 71111111 men (Tobacco smoking 77717171 Young Yin Yin////////

At the end of the course of treatment, the patient stopped taking gliclazide, the daily dose of metformin was 1000 mg, the daily dose of sitagliptin remained at the same level - 100 mg; phytotherapy was added to the treatment.

Claims (2)

USEFUL MODEL FORMULA 1. The method of non-pharmacological treatment of type 2 diabetes, which includes: the patient's performance of a complex of physical exercises and loads, taking into account the individual characteristics of the disease and the stage of the disease; use of medicinal water; reception of a complex of physiotherapeutic procedures; eating according to a menu that takes into account the glycemic and insulin index of foods; normalization of the daily regime; giving up bad habits, which differs in that a specially developed course of kinesitherapy is used as a set of physical exercises and loads, while the patient's daily routine, working conditions, the possibility of allocating time for the main set of exercises and hiking are pre-determined; divide all the necessary time of daily motor activity (120-150 min.) into separate periods in which the patient performs physical exercises, for example, daily morning exercise (exercise complex) 15-20 min.; walk at an average pace lasting 25-40 minutes. in the morning and in the evening (after meals); breathing exercises 5 times a day immediately before taking the healing water for 5-10 minutes; the main set of exercises in the gym or at home (40-50 min.); an evening set of exercises that can be done lying on the bed before going to bed, without adding physical effort; in the absence of contraindications, supplement the motor load with daily dousing with water, with a gradual decrease in temperature from comfortable to 11 "C; dousing is carried out 2 times a day - in the morning after the physical exercise complex (or after sleep, depending on individual characteristics) and in the evening before dinner or after a walk, but not later than two hours before going to sleep; at the same time, if the patient does not have the opportunity to perform full-fledged gymnastics during the day, then he can perform a set of exercises without leaving the workplace (2-3 times a day for 5-10 minutes) depending from the available possibilities (table, chair, stairs or wall), which are determined in advance; as therapeutic water, slightly alkaline water with individually selected pH values (in the range of 7.5-8.5), ORP (in the range of -100 to -70 ) and temperature (in the range of 34-35 "С) in the amount of 100-200 ml 3 times a day before breakfast, lunch and dinner, in 45-60 minutes. before meals, the course is 24-30 days with an interval of 2-3 months; as physiotherapeutic procedures, a complex is used, consisting of: hyperbaric oxygenation at a pressure of 1.2 atm, 35-40 minutes every day in the morning after a complex of physical exercises and loads, in 30 minutes. before meals or an hour after meals, up to 10 sessions under control of blood pressure and pulse; singlet oxygen therapy, for example, on the "MYT C" device from 5 to 10 minutes twice a day for 15 minutes. before meals with an interval of b hours, daily 10-15 procedures in combination with intake of 100-200 ml of oxygen-enriched water; magnetic therapy, for example on the SOIMAR device in pulse mode for the pancreas: 10-15 procedures once a day lasting 20 minutes an hour after the hyperbaric oxygenation session; carbon dioxide dry baths for 20 minutes, 10 sessions; meals are carried out according to the menu, which is designed for 5-6 meals a day, with the consumption of no more than 0.5 kg of food per meal, the last meal no later than 18:00. 2. The method of non-drug treatment of type 2 diabetes mellitus according to claim 1, which is distinguished by the fact that it additionally includes a course of point massage - 10-12 daily sessions once a day for 20 minutes, 2 times a year; daily self-massage of the lower legs and feet for 5-10 minutes. in the morning after sleep, without getting out of bed, with further exercises to stretch the muscles and in the evening before going to bed; acupuncture reflexology - 1 time in 6 months, the course is 10 procedures 1 time a day, every day in the morning (10:00-11:00) 2 hours after a meal, the duration of one procedure is 20-30 minutes. C. The method of non-pharmacological treatment of type 2 diabetes mellitus according to claims 1, 2, which is distinguished by the fact that it additionally includes psychotherapy sessions. 0 Computer keyboardA. Kryzhanivskyiyd (00000000 State Service of Intellectual Property of Ukraine, Vasyl Lypkivskyi St., 45, Kyiv, MSP, 03680, Ukraine SE "Ukrainian Institute of Intellectual Property", Glazunova St., 1, Kyiv - 42, 01601