Download Ayurvedic Perspective of Madhumeha(Diabetes Mellitus) and its

Management of Diabetes
by Ayurveda & Yoga
Presentation For the NRSIA in Association with Diabetes
Australia and Australia Yoga, 28 July ,2013
By Dr Santosh Kumar Yadav
(BAMS , PGDAyDS, Dip in Yoga)
Ayurvedic Practitioner, Panchkarma Specialist, Herbalist &
Yoga Teacher
What Is Diabetes
Diabetes is a Chronic Disease.
Diabetes is Metabolic disorder.
For our bodies to work properly we need to
convert Glucose from food in to energy, a
hormone called Insulin is essential for the
conversion of glucose in to energy.
In people with diabetes, Insulin is no longer
produced or not produced in sufficient amounts
by the body .
What Is Diabetes

So when people with diabetes eat Glucose ,
which is in food such as Breads, Cereals, fruit
any starchy Vegetables ,Yogurt and sweet things,
it can't be converted in to energy .Instead of
being turned in to energy the Glucose stay in
Blood .That’s why blood glucose levels are
higher in people with diabetes and blood
glucose level high called glycaemia.
Diabetes Hidden Epidemic In Australia





257 Australian develop diabetes every day
2005 Australian AusDiab follow –up study(Australian
Diabetes obesity and Life style study) showed
Nearly one million Australians are currently
diagnosed with Diabetes and 1.7 million Australian
are not diagnose with diabetes
Total Number of Australian with diabetes and pre –
diabetes is estimated at 3.2 million.
Six leading cause of death in Australia
By 2031 it is estimated that 3.3 million Australian
will have type -2 diabetes(VOS et al 2004)
Type
 Based
on the Cause:
Sahaja(Genetic) (type -1)

Apathya/Nimittaja (type -2 )
(Wrong Diet and Life style)
 Based on the Dosha:- 20 type
 Kaphaja 10
 Pittaj
6
 Vataj
4
Causative factor/Hetu
“Aashyasukham swapnasukham
dadhinigramyoodkanuprasaa pyaamsi Navaaanpaanam
gudvayikritam ch prameha hetu kapahakrich swaramn.”
Chrak.chi.7
 Inactivity, laziness, lack of exercise

Excessive sleep

Excessive use of curd

Meat and soup of the domestic, aquatic and marshy land
animals

New cereals and drinks

Products of Jaggery and sugar

All other kapha-promoting things.
Pathogenesis/Samprapti
Due to Causative factors
↓
Doshas get imbalanced(specifically kledak
kapha,pachak pitta, saman vayu
↓
Agnimandya (dhatvagnimadhya)
↓
Culminates all dushyas (specifically medodhatu)
↓
Kleda vrudhi (unnecessary excessive body fluid
oozed out from all dhatu)
↓
Body tries to excrete in the form of urine
*Kleda = Wasting away of tissues (dhatu)
Ayurveda in modern
Wrongful Diet
High Glycemic food, Lack of
exercise etc.
words
Hetu
Dosha Imbalance
Dhatvagnimandhaya
Apachitdhatuvridhi
Kleda Vrudhi
High Blood
sugar
Insulin secreted
by pancreas
Cell become to resistant
to insuline
More Glucose present in
the blood
Body tries to dilute this
high blood glucose
Prabhoota Mutrata
This happen for the long period
of time then actual diseases
manifest
Polyuria
Early Symptoms/Purvarupa









Excessive thirst
Dryness of mouth
Lethargy
Abnormal and frequent urination
Burning & numbness in hands and feet
Sweet taste in mouth
Coated tongue & teeth etc.
Bad breath
Entanglement of hair
Symptoms of Type -2 Diabetes











Excessive thirsty
Passing more urine
Feeling tired and lethargic
Always feeling hungry
Having cuts that’s heals slowly
Itching, skin infections
Blurred vision
Gradually putting weight
Mood swings
Feeling dizzy
Leg cramps
Preventing of Type 2 Diabetes








Maintaining a healthy weight
Regular physical activity
Making healthy food of choices
Managing Blood pressure
Managing Cholesterol levels
Not Smoking
No Alcohols
Regular Monitoring Blood Glucose Level:-
Classification Value for fasting blood glucose levels are:Normal Blood Glucose: 4 - 6 mmol/L
Moderate blood glucose: 4 – 7 mmol/L
High blood glucose : Above 7 mmol/L
How ever the symptoms of diabetes may not appear until blood glucose level
are higher. so some people may have diabetes without knowing about it.

Prevent Type 2 Diabetes
By Eating the Six Taste of food
By Eating :
Sweet
Salty
Acidic Taste of food
Kapha Producing
Above Three taste of
food Increase the
Risk of Diabetes .
By Eating:
Pungent
Bitter
Astringent
Taste of food Less
Kapha Producing
Food
Above taste of
Reduces /prevent the
Risk of Diabetes
Case Study: 1

Name Of Patient: XXXXX Mahara

Age :65 Year

Location: Mulgrave

Diabetes :Diagnosed since 8 year

Modern medicine: Metformin, Insulin 25 Unit In Morning & 15 Unit at night

Complication of diabetes : Stoke, Skin disease Psoriases, CVS, sever
constipation
By Using the

Ayurvedic Medicine and yoga

Home remedy, Sugar balance juice, Karela Juice

Adapting constructive life style

Is conditions and Much better and managing the diabetes with the
ayurvedic medicine and Modern medicine
After Following the above :Now He is 5 Unit induline In Morning
Night only one Tab Metformin ,No psoriasis improvement in general
condition.
Case Study: 2

Name Of Patient: XXXXX James

Age :46 Year

Location: Hampton park

Diabetes :Diagnosed since 16year

Modern medicine: Metformin and Antihypertensive medicine and also for
cholesterol

Diagnosed: diabetes with High cholesterol with High Blood presser and
Constipation
By Using the:

Ayurvedic Medicine and Yoga

Home remedy ,Sugar balance juice ,Karela Juice and Adopting constructive
life style

Is conditions and Much better and managing the diabetes with the
ayurvedic medicine and Modern medicine

After Following the above :Now NO Medicine, only some Home remedies
,Yoga and Good life style.
Case Study: 3

Name Of Patient: XXXXX Dhra

Age : 67 Year

Location: Berwick

Diabetes :Diagnosed since 16year

Modern medicine: Metformin and Antihypertensive medicine and also for
cholesterol and also on dialysis 3 day in week

Diagnosed: diabetes with High cholesterol with High Blood presser and
Constipation with renal failure.
By Using the:

Ayurvedic Medicine and Yoga

Home remedy ,Sugar balance juice ,Karela Juice and Adopting constructive life style

Is conditions and Much better and managing the diabetes with the ayurvedic
medicine with Modern medicine

After Following the above :Now 6 Unit Insulin ,Metformin with anti hypertensive
medicine , No cholesterol medicine quality of life Much better then previous with
twice dialysis in week.

With ayurvedic medicine we reduce the Next complication of Diabetes.
Diabetes Registration @AYWC
Every
year we register the Diabetes
Client with complication around 180
to 240.
Improvement in individual conditions
by 70- 80 %
Reduction in complications of
diabetes upto 90%
Management Principles/Chikitsa
Management
(Chikitsa)
Ahar(Diet)
Vihar(Lifestyle)
Aushadhi
(Medicine)
(A) Ahar(Diet)
•
Selective Food (e.g. Low GI Food)
•
Small meals
•
Frequent intake
Foods that can be use frequently:-
Vegetables
vegetables
Spices
High fibres Food
green leafy
Ahar(Diet)
Food that Can be used in Moderate:Fat
Cereals
Eggs
Nuts
Milk Products
Meat products
Artificial Sweeteners
Food that can be avoided:-
Sugar , sweets , Honey , Jam And Jellies
Cakes and Pastries , Sweetened Juices and
soft drinks
USE FENUGREEK SEEDS TO MANAGEMENT
DIABETES


Take 25 gm – 50 gm
fenugreek seed in two
equal dose
Begins 25 gm of
fenugreek seeds in
two equal dose of
12.5gm before Lunch
and dinner
SOME RECIPES:Rice
30gm
Black gram lentils 15gm
Red gram lentils
15gm
Green gram lentils 15gm
Fenugreek seeds 12.5gm
oil
15gm
Salt
to taste
Method :Soak rice ,lentils and fenugreek
seeds over night, In morning
grind them coarsely .Add all
the spices and spread on hot
pan. fry it slow heat on both
side. when its become golden
brownish in colour ,serve it.
Some recipe for Diabetes
Chapatti/Bread:Multigrain flour
Fenugreek Seeds powder
90 gm
12.5 gm
DALIA/LENTIL SOUP:
Broken wheat
Green Gram lentils
Fenugreek seeds
Cumin
Black Pepper
Water
Salt
60gm
30 gm
12.5 gm
2-3 gm
2gm
250ml
to taste
Method:Soak fenugreek seeds Overnight.
In morning heat oil, fry wheat
and green gram lentils till
golden brown add fenugreek
seeds and water and cooked till
soft and semisolid, add salt to
taste and serve hot.
BITTER GOURD JUICE/ BITTER MELON
JUICE
Its activate pancreas, spleen and liver and helps in
admirable absorption of food in the GI tract.
Karela Juices is extremely beneficial in treating
Diabetes mellitus.
Karela juice is an outstanding blood purifier and
helps in maintaining good and clear skin.
Karela juices helps in lowering blood sugar levels
and also helps in suppressing sugar out flow in urine.
Karela juices help to attain supportive sugar
regulating outcome by suppressing the neural retort to
sweet taste stimuli.
Karela juices has exposed significant antilipolytic
and lipogenic movement.
Karela treats worm infestations and also helps in
evading parasitic attack
Karela is helpful as an emetic, purgative, as an
Antihelminthic, useful in piles, and jaundice
ORGANIC SUGAR BALANCE JUICE
Its principle constituents are:
• Gudmar (GYMNEME SYLVESTRE)Juice.
• Aloe Vera (Aloe barbadensis) Juice.
• Karela/ Bitter Gourd (Momordica charantia) Juice.
• Jamun/Indian Blackberry (Syzygium cumini) Juice.
• Triphala Juice (A combination of the fruits of Emblica officinalis
(Amla),Terminalia chebula (Haritaki) and Terminalia bellirica
(Vibhitaki).
Sugar balance juice known as “Sugar destroyer”
Benefits: 100% Herbal Organic Juice.
Its regulate Carbohydrate metabolism.
It ideal juices for the Type 2 diabetes, reduces blood sugar levels.
Ideal for the pre diabetes patients.
Controls sugar craving.
Its activate pancreas to secret the more Insulin hormone.
It’s useful in obesity, high cholesterol levels, anaemia and digestion.
Balance the whole metabolism.
Cleanse the colon.
Reduce the Complication of diabetes.
Rich source of antioxidant.
Antihelminthic or Antihelminthic compounds.This property is used
for the treatment of gastrointestinal diseases and can kill parasitic
worms inside our body.
ORGANIC DIABEX TEA
Improve Insulin Production.
Gymnema has been shown to
lower
fasting blood sugar levels and regenerate
pancreatic cells that produce insulin.
Diabex tea is an incredibly important
herb for diabetes both type I and II.
Herbs
Gymnema enhances insulin action
reduces fasting blood sugar levels (only in
diabetics) and may stimulate islet cell
regeneration.
Gymnema is indicated in 1 Type I & II
diabetes .
Weight loss programs.
Diabex TEA
totally CAFFEINE FREE and
Natural Source of ANTIOXIDANTS.
100% Organic Herbal Tea
HOME RECIPE
Fenugreek
Powder :
3 Part
Cumin Powder :
2 Part
Cinnamon Powder:
2 Part
Turmeric Powder :
3 Part
Neem Powder :
2 Part
Jamun Powder:
2part
Ashwagandha Powder:
2 Part
Kalmegha :
2 part
Chirayta:
2part
Regular usage of above powder in
mention ration
Doses:Take 1 tea spoon twice a day
Reduce Blood sugar level
Reduced the complication of diabetes
Activate the pancreases and Liver
(B)Vihar(Lifestyle)
 Exercise
 Yoga
Daily for 30 to 45 minutes or walk 3-5 Km
asana :

Pashchimotanasan

Halasan(Plaugh asana)
 Peacock

pose
Chest knee pose
 Sun
Salutation.
 Pranayama: Kapalbhastrika,Bahya
 Meditation: For
,Anulom Vilom Etc
stress management
DOs and DON'Ts for diabetic diet
Diet plan of an individual is based on height, weight, age, sex,
physical activity and nature of the disease conditions to managing diabetes.
Don’ts
Do

Drink plenty of water


Eat 20 - 25 grams of raw onion daily.
Onions contain properties that
actually fight against diabetes.
Avoid eating or drinking anything
containing a lot of sugar likes cakes,
sweets, chocolate etc.

Don't over eat at any time of the
day

Do not sleep in day time

Stop eating fried or fatty foods.

Avoid eating large quantities of lots
of rice, potatoes, bananas as these
can raise your blood sugar level.

Avoid fatty products like butter,
cheese, ghee etc. It is better to use
low fat milk or skimmed milk.

Try to reduce the intake of salt in
your food. To reduce the CVS
problem.

On an empty stomach, alcohol can
cause hypoglycaemia, especially if
you are taking insulin

Try to switch to herbal tea rather than
caffeinated tea or coffee

Try to choose low or non fat dairy
products,

Eat at least 3 servings of fresh
vegetables daily. Vegetables that can
be consumed in larger quantities
such as cabbage, mint, spinach,
bitter gourd, lady's finger,
cauliflower, cucumber, carrots,
radish, onion ,gourd and pumpkin.

eat foods that contain wheat, rye,
barley and, for some, oats

It is very important to never skip
any meal

Eat Small meal ,frequent

Regular walk and exercise .
(C) Aushadhi
(Ayurvedic
Medicine)
Aushadhi(Ayurvedic
Medicine)
Seek the ayurvedic
Doctor
Shaman
Shodhan
Panchkarma
Vaman
Virechan
Vasti
Popular & effective HerbsAmalki(indian goosberry)
Karela(bitter Melon)
Methi(Fenugrek)
Jamun Seed
Gurmar
Vijayshar
Haridra(Turmeric)
Neem
Triphala
Guduchi
Daruharidra
Bel
Chairayata
Kutki
Devadaru
Shilajatu
People at risk of Type 2 Diabetes
 People
over 55 years of age
 People with a family history of diabetes
 Overweight individuals
 People with high blood pressure
 People with heart diseases
 Women who had pregnancy related diabetes
 People over 35 years of age who are of
Aboriginal Torres Strait Islander, Chinese, Indian ,
Mori or pacific island heritage.
Complications of Diabetes?
Over time ,untreated high blood glucose level
will cause: Increase risk of heart attack or stroke
 Blood vessel and nerve damage
 Eye disease or blindness
 Kidney disease
 Poor circulation(some time requiring limb
amputation)
 Poor wound healing
 Impotence in Men
Facts About Diabetes
 Diabetes
is the world’s fastest growing chronic diseases.
Currently 246 million people affects world wide.
 The number expected to rise to 380million by 2025.
 In 2007, the five countries with the largest number of
people with diabetes are INDIA(40.9Million),
CHINA(39.8 million),The United State (19.2
Million),Russia(9.6million) and Germany(7.4million)
 Each year 3.8million death are attributable to diabetes.
 Every 10 second a person dies from diabetes –related
cause.
 Every 10 second s two people develop diabetes.
Facts About Diabetes
Diabetes is fourth leading cause of global death.
 At least 50% of all people with type 2 diabetes are unaware of
their condition.
 Up to 60% of type 2 diabetes is preventable by adopting a
healthy diet and increases physical activity.
 Diabetes is the largest cause of kidney failure in developed
countries.
 10% - 20% people with diabetes will die of renal failure.
 It is estimated that more than 2.5 million people worldwide
are affected by diabetic retinopathy.
 CVS(Cardio vascular disease) is the major cause of death in
diabetes.
 People with type 2 diabetes are two times more pron to
heart attack or stroke.

Questions
Discussion
Thank
You