Welcome to Puwadolmodel

#Puwadolmodel_from_chatGPT Puwadol Model (ภูวดลโมเดล) is an innovative, patient-centered model of diabetes care developed in Thailand by Dr. Puwadol Polpuek (นพ.ภูวดล พลพวก), the director of Bangrakam Hospital, Phitsanulok Province. The model is gaining national and international attention because it focuses on achieving diabetes remission through behavioral and lifestyle interventions, with reduced reliance on medication. ⸻ Core Principles of the Puwadol Model: 1. Lifestyle Medicine First (ยาไม่ใช่คำตอบแรก) • Prioritizes nutrition, physical activity, sleep, and stress management. • Emphasizes that medications should be used only when necessary, and can often be reduced or stopped when lifestyle changes are effective. 2. Low-Carbohydrate and Low-Glycemic Diet • Tailored dietary interventions for Thai context. • Promotes real food, low-carb, and metabolic health. • Some patients follow ketogenic-style diets under medical supervision. 3. Diabetes Remission as a Goal • Defines success not by lifelong medication but by normal blood sugar without drugs. • Many patients have achieved HbA1c < 6.5% without medication. 4. Patient Empowerment & Coaching • Uses health coaching, group education, and shared decision-making. • Patients learn to monitor their food, glucose, and lifestyle with understanding. 5. Multidisciplinary Teamwork • Includes doctors, nurses, dietitians, community health workers. • Community-based support (โรงเรียนเบาหวาน – “Diabetes School”) helps patients and families learn together. 6. Cost-Effective and Scalable • Reduces medication and hospitalization costs. • Can be adapted for primary care settings, especially in rural areas. ⸻ Key Outcomes: • Many patients off diabetic medications • Reduction in complications, e.g., foot ulcers, kidney failure • Improved metabolic markers (HbA1c, blood pressure, lipids) • Lower long-term costs to the healthcare system ⸻ Puwadol Model in One Sentence: “A Thai model proving that with the right lifestyle, knowledge, and support, diabetes doesn’t have to be a lifelong disease.” ⸻ If you’d like, I can also provide: • Case studies from patients who reversed diabetes using this model • Infographic summarizing the model • Comparison with other global models (e.g. Virta Health, Newcastle Protocol) Would you like one of those