Effectiveness of Ivy Gourd Leaves Powder on Blood Glucose

Effectiveness of common ivy Gourd Leaves Powder on Blood GlucoseCHAPTER-VDISCUSSION, SUMMARY, CONCLUSION, IMPLICATIONS, LIMITATION AND RECOMMENDATIONSThis chapter deals with discussion, summary, and conclusion drawn. It also clarifies the limitation of the try, the implications and recommendations given for diverse atomic number 18as of nursing practice, nursing discipline, nursing nerve and nursing research.DISCUSSIONDiabetes mellitus is a company of metabolic disorders characterized by hyperglycaemia resulting from defects in insulin secretion, insulin action or both (WHO). Diabetes has emerged as a major healthc be problem in India. It is estimated that 40 million some peerlesss with diabetes in India in 2007 and this number is predicted to rise to virtually 70 million people by 2025. It is estimated that every fifth person with diabetes will be an Indian.The real burden of the disease is however imputable to its consociated complications which lead to increased morbidi ty and mortality. Rapid urbanization and industrialization leave produced advancement on the social and economic front in development countries such as India which take hold resulted in dramatic spiritedness entitle changes jumper cable to lifestyle colligate diseases. This transition from a traditional to modern lifestyle, enjoyment of diets rich in fat and calories combined with a high direct of mental stress has compounded the problem further.( International Diabetes Federation (IDF) 2007)The shew check was designed to evaluate the legalness of common ivy calabash pipe leaves pulverisation memorial tablet in step-down of dividing line glucose direct among character reference 2 diabetes mellitus patients.The data collected for the study were analysed statistically and discussed be start based on the objectives. The sample surface was 80.1. Demographic variables of subjects on filiation glucose direct among typesetters case-2 diabetes mellitus patientsThe dis tribution of demographic variables of 80 subjects argon as follows, bulk 43(53.75per cent) are in the age group mingled with 46 to 55 years, regarding sex majority 47 (58.75per cent) were to male, regarding religion 68(85per cent) believing in Hinduism, regarding educational office 53(66.25per cent) approximately of them are secondary and above qualified ,regarding business line 47(58.75per cent) most of them are employed, and regarding family monthly income 41(51.25per cent) of them has an income between Rs.6501 and 7500 ,and related to marital status 75(93.75per cent)are married, related to type of family 53(66.25per cent) are living in nuclear family, regarding dietetical pattern 76(95per cent) of them are non-vegetarian, related to un sound practices of client 21(26.25per cent) of them has the bad habits of smoking, related to healthy life style practices 74(92.5per cent) had not following any healthy life style practices, regarding BMI 35(43.75per cent) of them are having BMI more than 27 related to family narrative 70(87.5per cent)of them had no meaningful family recital and related to number of hospitalization repayable to illness 73(91.25per cent) has no history of hospitalization2. The first objective of the study was to assess the pre establish and expect render declivity glucose level among type-2 diabetes mellitus patientsThe findings of the portray study revealed that most of the 80 subjects pre hear sobriety dividing line glucose level was above 151 mg/dl for 34(42.5 per cent). The pre campaign seat prandial rail line glucose level for 34(42.5 per cent) was upto170 mg/dl.On the fourteenth mean solar twenty-four hour period interest test self-restraint course glucose think of abstract shows that 42(52.5per cent) subjects has a kind glucose level upto 130. The brook prandial blood glucose level for 69(83.75per cent) are in the range upto 170 mg/dl.On the twenty-eighth daytimetimelight brook test temperance blood gluc ose level analysis shows that 67(83.75per cent) has a blood glucose level upto 130 mg/dl. The set prandial blood glucose level for 77(96.25 per cent) subjects was upto 170mg/dl.3. The second objective of the study was to determine the effectiveness of ivy gourd leaves pulverisation boldness on blood glucose levelDr. Julian Whitaker (2011) conducted a study on effectiveness of Ivy gourd in reduction of blood glucose at Rajasthan the results showed that in a double-blind, placebo-controlled clinical trial, 60 newly diagnosed type 2 diabetic subjects (not taking any medications for glucose control) genuine either 1,000 mg of Ivy gourd extract, or a placebo. Those taking Ivy gourd extract experienced better blood refined sugar control, with a 15.6 per cent decrease in refrain blood glucose level. beggarly stigmatize of pretest abstemiousness blood glucose level is 145.5 and mean score of pretest raise prandial blood glucose level was 177.5. Mean score of fourteenth day functi on test sobriety blood glucose level was 131.13 and mean 14th day gestate test direct prandial blood glucose level was 157.88. Mean score of twenty-eighth day post test post prandial blood glucose level was 119.4 and post prandial blood glucose level was 144.11.The comparison of pretest fast and 14th day post test abstinence blood glucose level, the computed place of t is 16.282 is remarkable at The comparison of pretest fasting and twenty-eighth day post test fasting blood glucose level, the computed take account of t is 20.794 is operative at The comparison of pretest post prandial and 14th day post test post prandial blood glucose level, the computed range of t is 21.912 is momentous at The comparison of pretest post prandial and 28th day post test post prandial blood glucose level, the computed place of t is 28.183 is signifi back tootht at The comparison of 14th day fasting and 28th day post test fasting blood glucose level, the computed time value of t is 11.961 i s signifi dopet at The comparison of 14th day post prandial and 28th day post test post prandial blood glucose level, the computed value of t is 11.961 is significant at The data shows that in that respect is a significant reduction of blood glucose level after the administration of Ivy gourd leaves powder. The foresightfuler the period of administration of Ivy gourd shows more significant effectiveness in reduction of blood glucose level. frankincense it reveals that the 28th day of administration of Ivy gourd is more significantly effective than the 14th day of administration of Ivy gourd leaves powder.3.The ternary objective of the study was to associate the demographic variables with posttest blood glucose level .Cruickshank (2007) stated that the global prevalence of diabetes for all age group is estimated to be 2.8%. Type-2 diabetes accounts for at least 90% of all diabetes worldwide. Diabetes incidence, prevalence and development various by ethnic group. This review high lights unique aspects of risk of developing diabetes its overwhelming vascular complications and their management mainly employ data among south-Asians and African-Caribbean in the United Kingdom data. It also concluded that although the origin of the ethnic leaving in incidence need further clarification, many factors should be agreeable to prevention and handling in all ethnic groups worldwide.The chi-square was used to associate the level of post test blood glucose level with age, occupation, income, dietary pattern, family history of diabetes mellitus, life style practice, and BMI.There is no association between 28th day post test fasting and post prandial blood glucose level with selected demographic variables.SummaryThe study is conducted to determine the effectiveness of Ivy gourd (coccinia indicia) leaves powder administration on blood glucose level among type-2 diabetes mellitus patients in selected areas of coimbatore.The objectives of the study wereTo assess the pretes t and post test blood glucose level among type 2 diabetes mellitus patients.To determine the effectiveness of Ivy gourd leaves powder administration in reduction of blood glucose level.To associate the selected demographic variables with post test blood glucose level.The study tested the following hypothesisThere is a significant reduction in the blood glucose level of the type 2 diabetes mellitus after the administration of Ivy gourd leaves powder.The conceptual frame kick the bucket adopted was Mr.Ludwig Von Bertalanff General system theory (1968). The research design using for the study was quasi experimental, one group pretest post test hardly design. A house to house survey was done for selecting the sample. The sample size consisting of 80. The tool used for data collection consists of demographic variables test for clinical variables, test for clinical variables. The data collected for a period of 6 weeks. Descriptive and inferential statistics are used in statistical analy sis Paired t test used to determine the effectiveness of Ivy gourd leaves powder administration in blood glucose level .The study tested and accepted the hypothesis that there is a significant reduction in the blood glucose level.Major findings of the studyIn this study among 80 subjects, majority 43(53.75per cent) are in the age group between 46to 55 years, regarding sex majority 47 (58.75per cent) belongs to male, regarding religion 68(85per cent) believing in Hinduism, regarding educational status 53(66.25per cent) most of them are secondary and above qualified ,regarding occupation 47(58.75per cent) most of them are employed, and regarding family monthly income 41(51.25per cent) of them has an income between Rs.6501 and 7500 ,and related to marital status 75(93.75per cent)are married, related to type of family 53(66.25per cent) are living in nuclear family, regarding dietary pattern 76(95per cent) of them are non-vegetarian, related to un healthy practices of client 21(26.25per cent) of them has the bad habits of smoking, related to healthy life style practices 74(92.5per cent) had not following any healthy life style practices, regarding BMI 35(43.75per cent) of them are having BMI more than 27 related to family history 70(87.5per cent)of them had no significant family history and related to number of hospitalization due to illness 73(91.25per cent) has no history of hospitalizationIn this study fasting blood glucose level upto130mg/dl for 14 (17.5per cent) subjects, 131-150mg/dl for 32(40per cent) and remaining 34(42.5per cent) are in the range of Above 151 mg/dl. The pretest post prandial blood glucose level Upto170mg/dl for 34 (42.5 per cent) subjects, 171-185mg/dl for 21(26.25per cent) subjects and remaining 25(31.25per cent) are in the range Above 186.In this study the 14th day post test fasting blood glucose level upto130 mg/dl for 42 (52.5 per cent) subjects, 131-150 mg/dl for 31 (38.75per cent) and remaining 7 (8.75 per cent) are in the range of A bove 151 mg/dl. The 14th day post test post prandial blood glucose level upto170 mg/dl for 69 (86.25 per cent) subjects, 171-185 mg/dl for 21 (26.25 per cent) subjects.The 28th day post test fasting blood glucose level upto130 mg/dl for 67 (83.75 per cent) subjects and 131-150 mg/dl for 13 (16.25 per cent) and the 28th day post test post prandial blood glucose level upto170 mg/dl for 77 (96.25 per cent) subjects and 171-185mg/dl for 3 (3.75 per cent) subjects.In this study there was a significant variety between the pretest and post test blood glucose level. Mean score of pretest fasting blood glucose level is 145.5and 14th day post test fasting blood glucose level is 131.13. Mean score of pretest post prandial blood glucose level was 177.5 and 14thday post test post prandial blood glucose level is 157.8, and compared with paired t test it shows that it was statistically significant.Mean score of pretest fasting blood glucose level is 145.5 and mean score of pretest post prandial b lood glucose level was 177.5. Mean score of 14th day post test fasting blood glucose level was 131.13 and mean 14th day post test post prandial blood glucose level was 157.88. Mean score of 28th day post test post prandial blood glucose level was 119.4 and post prandial blood glucose level was 144.11.The comparison of pretest fasting and 14th day post test fasting blood glucose level, the computed value of t is 16.282 is significant at The comparison of pretest fasting and 28th day post test fasting blood glucose level, the computed value of t is 20.794 is significant at The comparison of pretest post prandial and 14th day post test post prandial blood glucose level, the computed value of t is 21.912 is significant at The comparison of pretest post prandial and 28th day post test post prandial blood glucose level, the computed value of t is 28.183 is significant at The comparison of 14th day fasting and 28th day post test fasting blood glucose level, the computed value of t is 11.96 1 is significant at The comparison of 14th day post prandial and 28th day post test post prandial blood glucose level, the computed value of t is 11.961 is significant at There is no association between 28th day post test fasting and post prandial blood glucose level with selected demographic variablesConclusionConsuming Ivy gourd leaves powder is an effective, feasible, low cost method to decrease the blood glucose level. It can be used as a home remedy for the treatment of type-2 diabetes mellitus. The findings of the study are consistent with the literature and have corroborate from the studies conducted in India and in the world. Based on the method of sample selection and support from many studies conducted throughout the world, the findings whitethorn be generalized to individuals with type 2 diabetes mellitus.The study findings provides the statistical evidence which clearly indicates that Ivy gourd is one of the best therapy to lower blood glucose level.Implications treat i s a dynamic process, which involves choice based practice, scientific body of friendship and dissemination of research fellowship into practice. Nurses can incorporate the Ivy gourd as one of the dainty herbal therapy for effective management of type 2 diabetes mellitus in adults. The set up study findings have several implications in Nursing practice, Nursing Education, Nursing Research and Nursing Administration.Nursing practice The nurses working in the fellowship setting should practice the use of low cost, effective, acceptant therapy as an implicit in(p) musical composition of their profession. The present study showed that most of the patient with type 2 diabetes had high high blood glucose level.Nurses should initiative in introducing the practice of low cost preparation of Ivy gourd powder in the association setting. The proper dissemination of low cost, effective, acceptant therapy is essential.The nurses should place the health in hands of people especially the a dults.Nursing educationThe nursing education can provide education to the nursing personnel to update their knowledge on the alternative methods of treatment like Ivy gourd leaves powder and its valuable benefits to the patients.The nurse educator can create awareness close the therapeutic benefit of Ivy gourd leaves powder.The nurse educator whitethorn include Ivy gourd leaves powder as a heart of herbal therapy in the curriculum, its effect in health and wellness which can be adopted by the students and the nursing personnel too.Nursing administrationLeaders in nursing practice should take active part in recommending the low cost herbal remedies and illuminate the effectiveness of it to the polity makers to introduce in the community at large scale.The nurse administrators have to undertake the health needs of the most vulnerable by effective organization and management.Nursing researchStudy will serve as a valuable reference and pathway for further researchers.The findings of the study would back up to expand the scientific body of professional knowledge from which further researcher can be conducted.Administration of Ivy gourd leaves powder may be studied more significantly and used as particularized nursing intervention.LimitationsThe intervention was given only for 28 days.In present study control group was not included.Persons who had diabetes for more than 6 months were excluded.higher(prenominal) blood glucose levels were not included. RecommendationsA similar study can be replicated with control group and experimental groupA similar study can be conducted with different dose and different way of tack on to reduce the blood glucose levelA study can be conducted with large number of samples.Long term effect of Ivy gourd leaves powder can be done by administering for a long period and compare with Hba1c levelsA comparative study can be done with peoples of different blood glucose level.