DIABETES

A medical condition in which body can’t produce enough insulin to process the glucose in the blood is known as diabetes.

In Ayurveda, diabetes mellitus falls under the Prameha category. Prameha comes from the original word Mih sechane, and that means “water that dilutes everything in the body.” It is a disease in which the Doshas are out of balance

It is one among 20 types of Prameha (urological disorder) described in various Ayurvedic classics i.e. Charaka samhita, Sushruta samhita, Ashtanga sangraha, Madhava nidana, Yoga ratnakara etc.Ancient seers have narrated that excess use of guru (heavy to digest), snigdha (unctous), amla(Sour) and lavana(Salt) rasa, nav!nna (food prepared from newly harvested grains), new wine, Asya sukha (sedentary life style), atinidra (excess sleep), avyayama (lack of exercise), achinta (lack of mental exercise), obstaining from samshodhana (purification) therapy are the causes of Madhumeha.

Classification

Diabettes is classified on the basis of its etiology

Type-I DM - Due to 'Beta' cell destruction, usually leading to absolute insulin deficiency.
Type-II DM - Due to variable degree of

Insulin resistance
Impaired Insulin secretion
Glucose intolerance and insulin resistance which generally increases with advancement of age

Other specific types of Diabetes due to

Impaired Beta cell function due to genetic defects
Impaired Insulin action due to genetic defects
Diseases of pancreas
Endocrinopathies
Drugs (chemically induced)
Infections-Like congenital rubella, cytomegalovirus etc.

A doctor can usually diagnose piles on examination.
Hemorrhoids are graded on a scale from I to IV. At grades III or IV, surgery may be necessary.

Ayurveda has very classically presented the causes of Diabetes in the following manner

Inactivity
Excessive sleep
Excessive use of yoghurt
Meat soup of the domestic, aquatic and marshy animals
Sweet food articles
All other Kapha-promoting regimens

Ayurvedically, Diabetes can occur through two modes of pathogenesis:

Avarana: Blockage of paths or channels in the body
Dhatukshaya: depletion of Dhatus or tissues in the body

Symptoms:

Ayurveda talks about three main symptoms (Rupas) for Diabetes. They are:

Polyuria
Sweetness in urine
Sweetness in the body

Diabetes tends to affect all the Dhatus (tissues in the body):

Rasa (plasma): hyperglycaemia
Rakta (blood): deteriorated quality of the blood cells with increased viscosity and therefore become fragile.
Mamsa (muscles): muscle wasting, necrosis
Medhas (fat): hypertrophy of adipose tissue
Asthi (bone): de-mineralization of bone tissue, reduced density
Majja (nervous tissue): degeneration of brain tissue
Shukra (reproductive tissue): loss of libido, transmission to next generation
Sira (arteries): atherosclerosis
Tvak (skin): necrosis, ulcers, carbuncles
Snayu (nerves): neuropathies

Treatment protocol:

Stimulating the digestive fire (Agni) is very important.

Food: The foods that help to keep sugar levels in the blood under control are bitter, astringent foods. Barley, mung beans, bitter gourd are very good. A Kapha pacifying diet should be followed. Plenty of cooked green vegetables are beneficial. Seeds of any bitter plants or fruits are good.

Yoga: Kapha pacifying Yoga exercises are good. One very useful Yoga position is Mayurasana (peacock position). Other positions are sun salutation, locust position, leg lifts and chest to knee positions. Alternate nostril breathing is a good Pranayama for Diabetes.