Diabetes Management

  • Do you feel excessive thirst?
  • Are you urinating frequently?
  • Do you have tiredness?
  • Are suffering from delayed wound healing?

MAY BE YOU ARE DIABETIC…

What is Diabetes?

The word diabetes has been derived from two words, diabetes (Greek) which means ‘siphon through’ and mellitus (Latin) which means ‘sweetened with honey’. It is a metabolic disorder resulting from a defect in insulin secretion, insulin action, or both. Insulin produced from beta cells of pancreas, it required utilize glucose from digested food into energy. Insulin deficiency in turn leads to chronic hyperglycemia (increase glucose level in blood) with disturbances of carbohydrate, fat and protein metabolism.

Types of Diabetes

Type-1 Diabetes

Relative or complete decrease in production of Insulin from pancreas cause increase level of blood glucose.

 

Type-2 Diabetes

Produce less amount of insulin from pancreas and variable degree of insulin resistance which cause increased glucose production in liver and fat cells.

Gestational Diabetes (GD)

It refers to the onset or initial recognition of glucose intolerance during pregnancy, usually in the second or third trimester.

 

Others

There are also genetic defects of insulin action, beta cells of pancreas, exocrine disease of pancreas, endocrinopathies, drug induced diabetes.

Signs & Symptoms of Diabetes

It includes symptoms like

  • Excessive thirst and hunger feeling
  • Frequent urination, mostly during night
  • Blurring of vision (diabetic retinopathy)
  • Tiredness feeling all time
  • Unexplained weight loss
  • Delayed wound healing (diabetic foot ulcer)

Causes of Diabetes:

  • Familial predisposition
  • Lack of Physical activity like yoga & exercise
  • Mental & Environmental stress
  • Irregular meal times, too much sweet, sour, salty foods and drinks
  • Foods that increase kapha, medhas and moothra
  • Delayed wound healing (diabetic foot ulcer)

How to detect diabetes?

  • Measure random blood sugar / fasting blood sugar
  • A1C test
  • Test urine & Ketones

Indications for oral glucose tolerance test

  • Fasting blood sugar (FBS) level: 110-126 mg/dL
  • Random blood sugar (RBS) level: 140-199 mg/dL

If not treated, Diabetes increases risk for many serious health problems

  • Loss of vision, Kidney problems, Heart diseases, Tingling or numbness in hands or feet.


Diabetes and its treatment in Ayurveda perspective

Diabetes mellitus is also called as Prameha / Madhumeha in Ayurveda meaning “sweetness of urine”.In the early stages of disease is kapha predominant with polyuria and accumulation of fat (medo dhatu). Four pillars of diabetes management have been recommended in Ayurveda. They are: Nidan (Solution), Ahara (diet), Vihara (exercise) and Aushada (medicine), Nidan parivarjan (Avoiding causative factor).

The ayurvedic treatment for this consists of holistic approach including dietary, behaviour, herbal and other modalities.

Healthy diet can prevent, control, and even reverse diabetes

  • Cereals like barley, wheat, old rice (purana shali)
  • Pulses like greengram, chanaka, kulattha and adhaki
  • Vegetables like bitter (karela), methi, patola, garlic, gular
  • Fruits like blackberry, amla, date palm
  • Daily exercise keeps blood sugar level within normal range

Some of the herbal supplements recommended for Diabetes management are

  • Momordica charantia (Karela): Recommended in Ayurveda for its anti-diabetic properties.
  • barbadensis (Aloe vera): Enhance insulin release & Improve wound healing in diabetic patient.
  • Aegle marmelos (Bael): Normalize the blood sugar, cholesterol & urea level and improves digestion
  • Acacia nilotica (Babul): Use to treat DM as they increase the release insulin from pancreas.
  • Gymnema sylvestre (gurmar): Chewing the leaves of the plant is known to kill the sweet taste sensation, also called sugar killer.
  • Pterocarpus marsupium (Vijayasar): It is used in the treatment of newly diagnosed of untreated type 2 diabetes mellitus.
  • Saraca Indica (Ashoka): The leaves of ashoka plant to be chewed have been recommended to decrease the raised blood glucose level in the blood.
  • Syzygium cumini (Jamun): The crushed powder of jamun seeds as a potent anti-diabetic herbal.
  • Cucurbita pepo (Pumpkin): Many compounds act as diabetes-fighting nutrient in pumpkins and effective in lowering blood sugar levels by improving insulin resistance.

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