Rheumatoid arthritis (RA) is a chronic systemic inflammatory disease of unknown etiology. There is no cure, so long term treatment is indicated. Medication-based therapies comprise several classes of agents, including nonsteroidal anti-inflammatory drugs (NSAIDs), non-biologic and biologic disease modifying anti-rheumatic drugs (DMARDs), immunosuppressants, and corticosteroids. Other standard treatments include physical therapy and surgery.
Surveys have shown that a substantial proportion of people with RA will try complementary and alternative interventions, perhaps reflecting the lack of complete satisfaction with conventional approaches, and also a desire to help themselves. (1)
Editorial: Why didn’t my doctor tell me?
Plant-based diets and Type 2 Diabetes Mellitus
Printable (pdf) version: Editorial – Plant-based diets and T2DM
It’s the rare physician with an adult practice that doesn’t encounter a significant number of patients with type 2 diabetes mellitus (T2DM). Given the rapid rise of the disease, its prophylaxis and treatment should be of pressing concern for every physician. In spite of this crisis, the advantages of a plant-based diet for the prevention and treatment of T2DM have been overlooked.
For the physician, all relevant research comes into actual practice in the clinic. For the patient, the clinic is where they receive their treatment and interact with their doctor on an ongoing basis. Very often, clinical technique makes the key difference for patient compliance and successful treatment. So the Vegetarian Prescription considers the clinical experience of physicians practicing vegetarian nutritional medicine to be a vital source of knowledge and experience. To make this knowledge more widely available, we are posting a series of interviews with various current practitioners.
Interview with Dr Arun Kalyanasundaram, a medical doctor, practicing Interventional Cardiology in the Seattle area:
Vegetarian nutritional medicine is a branch of lifestyle medicine. It utilizes a diet composed of vegetables, whole grains, fruits, legumes and nuts as both a prophylaxis against, and a treatment for, a wide varieties of diseases, including most of the common chronic diseases in the United States and other industrialized nations. Its safety and efficacy has been borne out by both research and clinical experience.
Vegetarian nutritional medicine represents an addition to pharmacotherapy and surgery, not a replacement for them, thus widening the tools available to the physician.