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DIABETES is a metabolic disorder that hinders your body’s ability to respond to insulin that eventually leads to abnormal metabolism of carbohydrates, leading to spiked sugar levels. Managing diabetes is tough but not impossible. A few lifestyle changes can help maintain and regulate your sugar levels. In fact Ayurveda suggests a few home remedies to keep your sugar levels in check. In Ayurveda Diabetes Mellitus is called Prameha or Madhumeha. Let’s look at what Ayurveda tells us about Diabetes Mellitus and solutions it has given us to manage it properly.

CAUSES

Foods, drinks and activities that produce increase of kapha dosa, medas (fat) , and mutra (urine), are the chief causes.

  1. Excessive intake of foods that are sweet, sour, fatty and salty.
  2. Sleeping during daytime.
  3. Food that is not easily digestible, which are slimy and cold.
  4. Always sitting at one place and laziness.

SYMPTOMS

The three classical symptoms include

  1. Polyurea – increased quantity and turbidity of urine.
  2. Polydipsia- increased thirst.
  3. Polyphagia – increased appetite.
  4. Fatigue.
  5. Blurry vision.
  6. Dry mouth.
  7. Slow healing wounds.
  8. Itching of skin especially in regions of groin or genitals.

TYPES

According to Ayurveda there are 20 types of Prameha arising due to vitiation of varies dosas. 10 of them arise due to kapha dosa, 6 of them due to pitta dosa, 4 of them due to vata dosa.

Among these the most dangerous one is madhumeha, which is caused by the vitiation of vata dosa and it is caused by two factors.

  1. Madhumeha arising due to dhatukshaya or depletion/ loss of tissues which in turn causes vitiation of vata dosha. This can be correlated with insulin dependent diabetes mellitus.
  2. Madhumeha arising due to avarana or obstruction of movement of vata dosha . it can be correlated with non insulin dependent diabetes mellitus.

PREMONITORY SIGNS ANS SYMPTOMS

  1. Sweet taste in mouth.
  2. Whitish urine with fruity odour.
  3. Attraction of insects or ants to urine or person.
  4. Dryness in mouth, palate and throat.
  5. Lethargy.
  6. Unhygienic body.
  7. Excessive deposion of waste in palate tongue and teeth.
  8. Matting of hair.
  9. Numbness and burning sensation of hands and feet.

COMPLICATIONS

  1. ACUTE COMPLICATIONS.
  2. Diabetic Ketoacidosis.
  3. Hyperglycemia hyperosmolar state.
  4. Hypoglycaemia.
  5. Diabetic coma.
  6. Respiratory infections.
  • CHRONIC COMPLICATIONS.
  • Retinopathy.
  • Nephropathy.
  • Neuropathy.
  • Diabetic foot.
  •  Diabetic carbuncle.
  • Dermopathy.

MANAGEMENT APPROACH

Ayurveda emphasised that the first and foremost principle of prevention as well as treatment of any disease is avoidance of causative factors. This is called principle of Nidana Parivarjana in Ayurveda.

  1. Restrict the use of curd, flesh of domestic or aquatic animals and of marshy places, use of milk and its preparations, water from rivers and tanks during rainfall and floods, new grains, pudding made with jaggery and sugar.
  2. Restrict heavy diets, fatty foods which increase body weight, lipids and cholesterol.
  3. Avoid sleep during daytime and laziness.
  4. Various preparations of rice which crops within 60 days, yava( barley, wheat, red gram, horse gram, green gram, with bitter and astringent leafy vegetables should be taken.
  5. Use the meat of animals that have anti diuretic property ( badha mutraati) such as animals living in forests and forest birds.
  6. Raw banana, bitter vegetables such as bitter gourd, methi leaves and seeds along with pepper and rock salt can be used.
  7. Practice regular exercise and yoga, increase calorie consuming activities such as brisk walking, swimming, cycling, etc.
  8. Avoid fruits with high glycemic index such as ripe banana, cheeku, grapes, ripe mango etc.
  9. Use of fruits like orange, apple, guava, jambu, amla etc.

LINE OF TREATMENT

  1. Nidana parivarjana ( avoidance of etiological factors).
  2. Sodhana chikitsa – it includes vamana and virechanam procedure.

Kapha predominant patients are adviced with vamana procedure after 7 days of abhyangam or oil massage and steam.

Virechanam for patients with aggravated pitta dosha, which is procedure of purgation which is also performed after 7 days of abhyangam and steam.

Snehapanam or oral intake of medicated ghee will also be administered.

Cleansing the body by using bio purification measures is advocated only in case of well built and obese patients.

Vasti treatment – enema treatment in which medicated liquids are administered through anal route. Vasti treatment is the best panchakarma treatment tpo manage aggravated vata dosa.

  • Samana chikitsa or palliative management – ayurvedic classical medicines can be used in managing prameha.

AYURVEDIC HOME REMEDIES

  1. Fresh amla juice mixed with a pinch of turmeric empty stomach in the morning.
  2. Fenugreek seeds should be soaked overnight and drink the water in the morning empty stomach.
  3. Fresh juice of karela or bitter guard with a pinch of rock salt to be taken in the morning. It can also be consumed in curry form added with turmeric.
  4. Use fresh leaves of sadabahar (vinca rosea) consume it in the morning, or take the pink flowers of the plant and make herbal tea using them.
  5. Fresh juice of aloe vera can be taken.
  6. Include fenugreek seeds in your everyday meals.
  7. Drink lots of water and get quality sleep.
  8. Mix one or half teaspoon of grounded cinnamon and have it with warm water once daily.

ADVICE TO PATIENTS

  1. Do regular physical exercise according to body condition, at least 30 – 60 min daily.
  2. Restrict intake of sweets containing refined sugars or white sugars.
  3. Increase intake of barley, wheat, green gram and roasted Bengal gram in diet.
  4. Limit the use of potato, rice, milk and oily junk foods.
  5. Take utmost care of your body especially feet and hands.
  6. Avoid injuries band consult immediately in case it happens.
  7. Avoid alcohol and tobacco consumption in any form.
  8. Regular medical check up and blood glucose level monitoring,
  9. Glycosylated haemoglobin ( HbA1c) test at least twice in a year.
  10. Eye examination annually, especially fundus examination.
  11. Foot examination at least twice in a year.
  12. Renal function test at least yearly.
  13. Blood pressure assessment at least monthly.
  14. Lipid profile annually.
  15. Cardiac check up at least annually.

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