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Diabetes

Diabetes is called as Madhumeha in Ayurveda. Ayurvedic System of Medicine transparently defines this disease and its way of treatment. Diabetes Mellitus is called to Indians started from Vedic period by the name Asrava (Prameha).  They were handling this problem very effectively at that as well.   

Word Derivation:

Madhumeha is a compound word made up of Madhu and Meha.
Madhu: – The word ‘Madhu’ comes from the root ‘Mana’ and meaning ‘ manae Bhodane: which gives Psychic gratification
Meha: – The word ‘Meha’ comes form the root ‘Miha’ which is recruited in the sense of sinchana to moisten, ksharana to flow, prasrava: – higher excretion (vachaspathyam)

Characteristic feature of Madhumeha as per Ayurveda:

Madhumeha is a infection in which urine of the sufferer is sweet like honey and subsequently increased as well as astringent, pale and rough in quality and the whole body of madhumehi patient becomes sweet. 

Causes of diabetes as per Ayurveda:

Asyasukham – Comfortable seating (luxury, desk bound lifestyle, lack of physical activities and exercise)
Svapnasukham – relax of sleeping, higher sleeping
Kapha krut cha sarvam – All foods and lifestyle activities which aggravate Kapha
Sahaja (inherited factor)
Chinta (Tension)
Shoka (Sadness)
Bhaya (fear)
Deergha roga (long standing illness)
Alasya (inactive life)

Food and drinks that cause diabetes:

Dadheeni – High consumption of Curds and its preparations
Gramya-oudaka-anupa mamsa – flesh or meat soup of aquatic animals and marshy regions
Payamsi – High consumption of milk, its derivatives and preparations
Navaanna panam – Food, drinks and dishes prepared from new and fresh grains etc
Guda vaikruti – Jaggery, its derivatives and dishes came out of it
Guda (jaggery)
Ikshurasa (sugar cane)
Madhura Ahara (sweet substances)
Pishta Ahara (carbohydrate high food)
Adyashana (repeated food intake)
Adhikashana (excess food intake)
Ahitashana (unwholesome diet)
Guru ahara (heavy food)
Samashana (improper diet)

Origin of diabetes 

Acharya Vagbhata described the Patho-physiology of Madhumeha as below-

Ojus – The essence of all dhatus (tissues) and the main entity of immunity is travelled all over the human body. It is frothy, transparent, unctuous, sweet, thick, heavy, cold and slimy in nature.

Due to the relative occurrence of the infection Madhumeha, imbalanced Doshas (especially Kapha and Pitta in association with Vata) choke the channels connected to Meda (adipose tissue / fat tissue) and Mamsa (muscle).

Due to obstruction of Vata, it converts sweet ojas into astringent mixed sweet taste like honey. Thus, it excretes in the urine. Thus, the condition Madhumeha is caused.

Any of the prameha if neglected or treated improperly, it can cause to Madhumeha which is the final stage of urinary disorders.

Pathogenesis of diabetes:

‘When the Meda (fat), Mamsa (flesh), Shareera kleda (Fluids of the body) and Kapha on coming into the Basti (Urinary apparatus) results Prameha’

Stages of the illness: a special reference

The text Vaidya sara sangraha quotes 10 stages for Diabetes in ascending order:

1. Vasti bheda (piercing pain in bladder)
2. Murtra peedana (pain while micturition)
3. Vata prakopa (features of increased vata in urine)
4. Sannipata dosha prakopa (multiple dosha disturbances/tissue damage)
5. Dhatu nasha (tissue necrosis/systemic effect)
6. Daha-moha (inflamming and hallucination)
7. Mootratisara (severe urination)
8. Mootra granthi/mootra sada (dysuria or managed urine)
9. Ati trishna (high thirst) and
10. Mrityu (death)

Prodromal symptoms of diabetes – Madhumeha Purvaroopa:

Sveda – high sweating
Angagandha – high body odor
Anga Shaitilya – less stability in body
Anga Sada – malaise
Sayya sukherati – feeling relax in bed
Svapna Sukherati – feeling relief in sleep
Asana Sukherati – feeling relief in inactivity
Hrudayopadeha – feeling as if heart is opaque
Netropadeha – vision difficulties
Jihwopadeha – coated tongue
Shravanopadeha – hearing difficulties
Taluni Malotpathi – coated palate
Danteshu Malotpathi – coated teeth, caries
Ghana gatra – overweight in the body
Kesha Ativruddhi – high hair growth
Nakha Ativruddhi – high nail growth
Kesha Jathilee Bhava – brittle hair
Sheeta Priyatvam – person prefers cold foods and season
Gala Talushosha- soreness of throat and palate
Asya Madhurya – sweetness in mouth
Kara Pada Daha – inflammation sensation in feet and palm
Mutra Pipeeliha Abhisarana – urine invites ants
Madhura Mutrata – sweetness of urine
Shukla Mutrata – white discoloration of urine
Snigdha Gatra – high oiliness of body
Picchila Gatrata – stickiness of body
Pipasa – high thirst
Shvasa Docugandhya –  mouth stinks
Tandra – tiredness
Karapada Suptata – numbness of hand and feet
Anga Suptata – numbness
Alasya – lethargy
Mukha Shosha – dryness of mouth
Kaya Chitropadeham – heaviness of body
Sarvakala nidra – person try to sleep all the time
Shatpada Abhisarana on shareera – feeling like ants are crawling on body
Pipeelika shareera Abhisarana – ants crawl on body

Clinical Features of Madhumeha:

1. Atimutrata (high urination)
2. Avila mutrata ( opaque urine)
3. Madhu tulya (urine as like honey- sweetish astringent)
4. Panduta (pallor of the body)
5. Rukhsata (soreness of the body)
6. Dourbalya (debility)
7. Ratisu anasakti (less sexual urge)
8. Dourgandhya (bad body odor)
9. Dhatu kshaya (emaciation) etc

Complications of diabetes:

1. Hridroga (cardiac problems)
2. Loulya (always feels hungry)
3. Anidra (sleepless)
4. Stambha (chocking of the body)
5. Kampa (shivering)
6. Shoola (body pain)
7. Baddha purishata (constipation)
8. Udavarta (regurgitation)
9. Shosha (emaciation)
10. Kasa (cough)
11. Shwasa (dyspnea) etc.
 

Best and Worst Type 2 Diabetes FOOD CHOICES : 

As you fill your plate at each meal, here’s a helpful guideline to watch for : Fill half your plate with non-reserved vegetables. Round out the meal with some healthy choices — whole grains, nuts and seeds, lean protein, low-fat dairy, and less portions of fresh fruits and healthy food. Sugar should be very less.

Here’s what you need to learn about choosing the best options from each diet.

PROTEIN

Best options: 

The American Diabetes Association (ADA) advices lean proteins less in saturated fat, such as fish or turkey. Aim for two or three products of seafood once in a week; some fish, like salmon, have the extra benefit of keeping heart healthy omega-3 fats. For a vegetarian protein source, experiment with the large variety of beans. nuts, those are protein and healthy fats powerhouses, are also a best choice — just watch portion sizes as they're very rich in calories.

Worst options: 

Processed deli meats and hot dogs have high amounts of fat along with lots of sodium, which can excess the chances of high blood pressure. Heart attack and stroke are two popular complications of diabetes, so keeping blood pressure in control is compulsion.

GRAINS

Best options: 

When choosing grains, make sure they’re whole in proportion. Whole grains such as wild rice, quinoa, and whole grain breads and cereals mainly have fiber, which is advantageous for digestive health. Whole grains have healthy vitamins, minerals, and phytochemicals as well.

Worst options: 

Refined white flour doesn’t contain the same health advantages as complete grains. Processed foods made with white flour consist breakfast cereals, white bread, and pastries, so try to ignore these variety. Also try to helm clear of white rice and pasta.

DAIRY

Best options: 

With only 6 to 8 grams of carbohydrates in a serving, plain nonfat Greek yogurt is a healthy and recommended dairy option. You can take berries and appetizer it for dessert or breakfast; you can use it in recipes as a replacement for sour cream, which is rich saturated plump.

Worst options: 

Avoid all full-fat dairy products and especially packaged chocolate milk as it has preserved sugar in it

VEGETABLES

Best options: 

Non-starchy vegetables like leafy greens, broccoli, cauliflower, asparagus, and carrots are low in carbohydrates and high in fiber and useful nutrients, You can eat non-starchy vegetables in excess — half of your plate should be packed with these veggies. If you’re craving mashed potatoes, then you should try mashed cauliflower as well.

Worst options: 
 

Have small portions of starchy vegetables like corn, potatoes, and peas. These items are nutritious, but should be intake in less than large quantity. The ADA groups them with grains because of their high carb behaviour.

FRUIT

Best options: 

Fresh fruit can help your craving for sweets while developing antioxidants and fiber. Berries are a great option because recommended section sizes are typically generous, which may leave you feeling more satisfied with your craving needs.

Worst options: 

Try to stop added sugar by limiting fruits canned in syrup, and be aware that dried fruits have a very high sugar content. Also, fruit juices should be consumed in moderation as they’re rich in sugar and don’t have the same nutrients as whole fruit contains.

FATS

Best options: 

Many types of fat actually assist protect your heart. Choose the monounsaturated fats found in avocados, almonds, and pecans or the polyunsaturated fats found in walnuts and sunflower oil, which can help to decrease you bad quality cholesterol.

Worst options: 

Saturated fats increase bad cholesterol, so limit butter, cheese, gravy, and food cooked in oil. Keep calories from saturated fat to not more than 10 percent of your complete routine intake. Trans fats are even worse than saturated fats, so avoid them completely. Look for the term “hydrogenated” on labels of packed foods like packaged snacks, baked goods, and crackers it will help.




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