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Diabetes mellitus, commonly referred as diabetes, is a set of metabolic disorders that lead to a high level of blood glucose for an extended interval of time. It occurs due to either inadequate production of insulin or the inability of the cells to absorb the insulin. It comes under the category of chronic diseases as it takes a lot of time and patience for the management of diabetes. The management of blood sugar, insulin injections for Type-1 patients and blood sugar lowering agents for Type-2 patients are the main ways to manage diabetes in patients. A healthy, well-planned diet and life style with controlled blood sugar levels is the prime target in managing patients with diabetes. The diabetes can cause many complications like ketoacidosis, heart diseases, stroke, chronic kidney failure and foot ulcers.

  • Type 1 DM also known as IDDM (Insulin dependent diabetes mellitus) results from the inability of the pancreas to produce enough insulin.
  • Type 2 DM previously known as NIDDM (Non Insulin Dependent DM) manifests itself as insulin resistance. Mainly caused by excessive weight and lack of exercise.
  • The third form of Diabetes is called as ‘gestational diabetes’ and found in pregnancy where pregnant women without a previous history of diabetes develop the high levels of blood sugars.

 

Ayurvedic Description Of Diabetes:

In Ayurveda, Diabetes is classified under ‘Prameh Roga’. Prameh originates when Kapha dosha is dominantly aggravated (in association with other doshas) and they affect Meda (fat), Mansa (flesh), Udaka (lymphatic channel/endocrinal secretions) etc. Due to the abnormal digestion, the afflicted dhatus (tissues and their derivatives) are driven towards urinary system and the disease Prameh is resulted. Based on the involvement of doshas, their degree of affliction and gradation of the illness, various signs and symptoms are resulted. According to the features, different names are given. The excretion of large amount of vitiated urine (turbid or unctuous) with deranged color is the main feature of this illness.


 

Signs & Symptoms

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  • Excessive urination
  • Excessive thirst and increased hunger
  • Weight loss
  • Fatigue
  • Slow healing of wounds

Causes and Risk Factors

Family history

The risk of getting diabetes increases if a parent or sibling in the family has the history of diabetes.

Obesity

Obesity is one of the main causes of type-2 diabetes, in many cases, diabetes and obesity exist as co-morbidities.

Sedentary lifestyle

The chances of diabetes are more in people who follow a sedentary lifestyle, people who exercise less than 150 minutes a week are more at risk of getting diabetes.

Insulin resistance

Type-2 diabetes often starts with cells that are resistant to insulin. It means the pancreas has to work extra now to make enough insulin to meet the body's needs.

Impaired glucose tolerance

It is a pre diabetic condition of diabetes. It precedes diabetes by many years.

Gestational diabetes

If a woman has gestational diabetes at the time pregnancy, the chances of getting type-2 diabetes becomes more later in life.

Self Care Tips

    • One must engage in physical exercise for at least three times a week to reduce the chances of getting diabetes and helping in the maintain blood sugar levels.
    • Having a balanced diet with a variety of foods that includes fruits, vegetables, and low fat dairy products greatly reduce the risk of diabetes and also help in its management.
    • The diet in diabetes should be rich in its fibrous content and whole grains as these help in the management of diabetes.
    • Use sugar in moderation and consider lower sugar options if available.
    • It is very important to check your feet daily, keep them clean and soft, wear well-fitting, breathable shoes and socks, and report any changes you observe to your health care provider.
    • Keep on checking the blood sugar and blood pressure as it helps in the monitoring of diabetes.
    • Strictly avoid drinks that contain high level of sugars as it may worsen the condition of a diabetic patient.
    • Maintain a healthy body weight as the obese people find it very difficult managing the diabetic condition.
    • Adopting a healthy lifestyle and diet is a key to the successful management of diabetes.

The Ayurvedic treatment of diabetes is based upon the nature of the individuals as it differs both in obese (sthool) and lean (krush) patients. In obese patients, purification (samshodan) is carried first and later santarpan (tissue rejuvenation) is followed. The disease is controlled by wholesome diet and habits. In case of lean patients, brimhan (tissue nourishment/rejuvenation) is carried by selective medicines and diet. Other than this, all the Prameh are treated based upon the specific dominance of doshas.

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