Diabetes is a very common constitutional
disease known since the ancient days. It is a heterogeneous primary disorder of
carbohydrate metabolism with multiple etiological factors that generally
involve absolute or relative insulin deficiency or insulin resistance or both. Due to advancement of the present civilization, urbanization, physical
inactivity, over nutrition, chronic under nutrition, obesity, stress, drug
abuses etc. the Diabetes is becoming commoner day by day. It has a world -wide
distribution. So far about 98.9 million sufferers of Diabetes are in the world
of which Asian countries contribute 46.9 million, almost 50% Diabetes of the
world. About 20 million are in India.
HOW IS DIABETES CAUSED?
The
Ayurvedic concept on the manifestation of Diabetes is essentially
associated with “Mithyaharavihara” (improper dietary habits and physical
exertion). This principle has to be variously interpreted in the causation of
different diseases. The dietary and physical factors which induce ‘Diabetes’ as
described by the ancient physicians of India are:
a. The
food stuff which has properties of Brmhana (containing more carbohydrate and
fat than proteins).
b.
Sheetha veerya (cold in nature and action).
c. Amla
rasas (consisting more acidic properties).
d.
Snigdha guna (which increases Kapha dosha, Medo dhatu and Mutra mala).
e.
Habit of over eating and smoking.
With regard to the physical factors, the
ancient physicians of India give emphasis on the following factors which
predispose Diabetes.
a.
Habit of consuming food stuff with Madhura rasa (sweet taste).
b.
Habit of indulgence in excessive sleep, especially in day time.
c.
Excessive indulgence in sexual and other sedentary habits, these can vitiate
the Kapha dosha which leads to Diabetes.
d.
Climate and geographical nature. The occurrence of Diabetes is more in people
who are settled in Anupa desa (Wet land).
e.
Excessive mental strain, emotion and constant worry.
The quantitative and qualitative increase
in the properties of Kapha dosha leads to Diabetes.
SYMPTOMS
OF DIABETES
The
classic symptoms in untreated Diabetes are:
- Loss of weight
- Frequent urination
- Increased thirst
- Increased hunger
- Blurred vision
- Skin rashes
- Profuse sweating
- Foul smell of the body
- Dryness in the palate
- Burning sensation on palms and soles
- Feeling of lethargy
- Excessive sleep
- Excessive tiredness
- Joint pains
Often, people with Diabetes have no
symptoms at first. They may not have symptoms for many years. Symptoms may
develop rapidly (weeks or months) or sometimes much more slowly and may be
subtle or absent.
Early
symptoms of Diabetes may include:
- Bladder, kidney, skin, or other infections that are more frequent or heal slowly
- Fatigue
- Hunger
- Increased thirst
- Increased urination
First symptom may also be:
- Blurred vision
- Erectile dysfunction
- Pain or numbness in the feet or hands
WHEN TO GET TREATMENT FOR DIABETES?
If you happen to have any one or multiple
symptoms of Diabetes, then it’s the right time to check with a physician. The
treatment for Diabetes starts only after consulting with a physician for proper
diagnosis. The physician first will understand your presenting complaints and
may advice a couple of tests to confirm Diabetes.
If the complaints or the test analysis reports
or both confirm Diabetes, then treatment for Diabetes has to be considered.
WHAT HAPPENS IF DIABETES IS NOT TREATED?
Untreated Diabetes increases the risk of
long-term complications. These typically develop after 10- 20 years.
Damages the blood vessels
Risk of Cardio-vascular diseases
Peripheral vascular diseases
Damages the capillaries (Micro-
Angiopathy)
Retinopathy (can lead to visual
symptoms including reduced vision and potentially blindness)
Nephropathy (can lead
to scarring changes in the kidney tissue, loss of small or
progressively larger amounts of protein in the urine, and
eventually chronic kidney disease requiring dialysis)
Neuropathy (impact on
the nervous system — most commonly causing numbness, tingling and
pain in the feet, and also increasing the risk of skin damage due to altered
sensation. Neuropathy contributes to the risk of Diabetes - related foot
problems, such as foot ulcers, that can be difficult to treat and occasionally
require amputation. As well, proximal Neuropathy causes
painful muscle wasting and weakness.
WHY IS ‘DIABETES’ A SILENT KILLER?
- Heart disease noted in 68% of Diabetes related deaths among people aged 65 years or older.
- Adults with Diabetes have heart disease death rates about 2 to 4 times higher than adults without Diabetes and the risk for stroke is 2 to 4 times higher among people with Diabetes.
- Diabetes is the leading cause of new cases of blindness among adults aged 20–74 years.
- In 2005–2008, 4.2 million (28.5%) people with Diabetes aged 40 years or older had Retinopathy.
- Diabetes is the leading cause of kidney failure, accounting for 44% of all new cases of kidney failure.
- A total of 202,290 people with end- stage kidney disease due to Diabetes are living on chronic dialysis or with a kidney transplant.
- About 60% - 70% of people with Diabetes have mild to severe forms of Neuropathy.
- Hearing loss is about twice as common in adults with Diabetes as those who do not have Diabetes.
- More than 60% of non- traumatic lower- limb amputations occur in people with Diabetes.
- As many as 1 in 5 Indian adults will have Diabetes in 2050 if present trends continue.
- A person with diagnosed Diabetes at age 50 dies 6 years earlier than a counterpart without Diabetes.
For more info: +91 7022109464
Email: lsmguru@gmail.com
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