Diabetes and Complications
Reversing Diabetes Mellitus & its complications with Personalized Ayurveda management
DM is a complex special health condition of modern times effecting practically every tissues .With modern times just work oriented life style , stressful working conditions n dietary habits it’s on steep rise.
A lot of researches are going on various dimensions to understand mechanics of DM genesis, from recent times the focus on its association with adiposities, inflammation of adipose tissues, genetic mutations associated with its occurrences beside just around the insulin.
The core pathological events are like reduce cellular uptake of glucose, endothelial dysfunctions, inflammation of adipose tissues, low basic metabolic rate n vascular health but unfortunately the medicines/ therapies restoring back to normal is very far till date.
Oral hypoglycaemic drugs by targeting one or more pathways to enhance the glucose absorption n storage mechanics and or supplement insulin are available to manage blood sugar levels but this approach is unable to check the manifestation of various complications of diabetes. The development of complications is depending on the tissue involved like Diabetes Myopathy, Diabetes Cardiomyopathy, Diabetes Neuropathy, Diabetes Retinopathy, and Diabetes Nephropathy etc.
Ayurveda concept about Diabetes and Its Managements
आस्यासुखं स्वप्नसुखं दधीनि ग्राम्यौदकानूपरसा: पयांसि !
नवान्नपान्नं गुडवैकृतं च प्रमेहहेतु: कफकृच्च सर्वम् !! [च. चि.7]
Charaka Samhita- Ancient Medical Encyclopaedia of Indian System of Medicine
Genetic susceptibility, habit of overeating, in Excess intake of dairy products, Sugarcane products, Meat of animals from marshland, Food products prepared from cereals that are less than one year, Recently prepared wines, Physical inactivity, excessive sleep, no day-to-day activity, excessive / no mental worry ,Obesity& sedentary life habits& Faulty eating habits like in between eating,/eating food without any appetite.
Core internal pathological state described in Ayurveda is inflammation of adipose tissues and increase in fluids of various tissues and more geneses of other tissue specific toxins and that are mostly excreted through kidneys that effect the functioning of various tissues and organ systems practically all seven dhatus.
Twenty states of premeha, kaphaja [10 types ]-pittaja [6 types] –vataja [4 types] get manifested depending on the basic constitution on the patient , varieties of causative factors & type of tissues effected among the following-[Medas]adipose,[Vasaa]fat,[Rakta]blood cells,[Shukra]spermatozoa,[Ambu] cytoplasm,[Lasika] protoplasm ,[Majja]bone marrow,[Rasa]lymph,[Pishita] muscle , [Ojas]gene-proteins/ factors responsible for immunity.
Ayurveda Reversal Approach In DM
The reversal of Diabetes by reversing the inflammation of adipose tissues and by improving the cellular uptake n utilization of glucose with herbal extracts are selected after complete analysis of disease state, tissues involved and Prakriti, Agni, bala of the patient are selected and adopting biological required dietary-lifestyle regimen. The herbal extracts are selected from these herbs
Tamalakai, amalaki, triphala, arjuna, nagarmotha, devadaru, parijata, saptaparna, saptarangi, chitraka, haridra, daruharidra, vijayasara, lodhra, patha, vidanga, gudamara, kustha, guduchi, agnimantha, haritaki, kamala, vacha, twaka, ela, kutaja, sowa etc.
Complications of Diabetes can be of three types
- Acute complications arises due to sudden rise / fall in blood glucose levels
- As a natural course of disease with the time mostly arises due to uncontrolled blood sugar or faulty excessive control of diet- the kapha types of Prameha get converted in pitta type one after other types which are mostly different stages of nephrotic syndrome, and that ultimately leads to vata types of Prameha to lastly Madhumaeha that is just like end stage of diabetic nephropathy or chronic renal failure or chronic kidney disease.
- The effect of Prameha on other tissues depending the involvement of tissue involved like if altered blood glucose levels are effecting the nerve tissues then the manifestation of neuropathy and Gastroparasis can occur: the if the disease process is effecting retina then retinopathy, liver tissues- Hepatic failure, if cardiac muscles then Cardio-Myopathy, if skeletal muscles then Myopathy can develop.
- The genesis of these complications can be prevented by reversing the disease process in Diabetes and by rejuvenating the targeted tissues / organs . If these complications already get manifested then can be reversed with the help of Ayurveda based personalized herbal medicines.
Diabetes - is one of the most dangerous diseases in terms of complications. Acute complications of diabetes are the greatest threat to human life. Such complications include states which development occurs in a very short period of time: a few hours, at best a few days. As a rule, all these conditions are fatal, and provide expert assistance is needed very quickly.
Diabetes has been described as disease millennium due to the number of cases still growing and because the consequences of this disease. A feature of the development of diabetes is the development of pathological changes secondary to hyperglycemia, with impaired vascular chronic (microvascular and macrovascular both), nerve, skin and eye. The only myopathic complication of diabetes - ischemic myocardial thigh muscle that develops in decompensated diabetes. In the hip there is a sharp myalgia , it edematous , there is palpable painful tumor formation . Most affected vastus lateralis leading and biceps femoris. In this case, biopsy is not required.
The presence of inadequate levels of blood glucose and other factors that frequently occur in people with diabetes (hypertension, hypercholesterolemia ...) can alter the nerve fibers of any location resulting in a group of disorders that have specific characteristics according to affected nerves and are collectively referred to as diabetic neuropathies. At least three types exist: sensory-motor neuropathy (the most typical and frequent forms), autonomic neuropathy and mononeuropathies. There is currently no specific treatment for diabetic neuropathy that prevents its occurrence or reverses alterations of nerve fibers.
The defeat of the retina in diabetes is called diabetic retinopathy. Diabetic retinopathy is accompanied by a decrease in visual acuity and can lead to blindness. Typically, the disease progresses slowly, blood vessels of the eye become brittle, resulting in bleeding in the retina occur. At high levels of glucose in the blood retinopathy progresses. In the retina, the formation of new blood vessels, but they are very fragile and can break even in a dream. When you break the blood vessels of the eye gets in front of the retina, which is accompanied by visual impairment.
Diabetic cardiomyopathy is called pathological changes of the heart muscle that occur in people with diabetes. Diabetic cardiomyopathy is not caused by age-related changes, abnormal heart valves, arterial hypertension and other factors. Diabetic cardiomyopathy patient begins to show a whole range of disorders such as biochemical, and structural nature. These disorders cause gradually systolic and diastolic dysfunction and eventually heart failure.
Diabetic nephropathy - a complication of diabetes caused by vascular lesions in the kidneys. In the early stages of its development can not be felt. The earliest marker of developing diabetic nephropathy is microalbuminuria - the excretion of albumin in the urine in small amounts, are not determined by the usual methods of protein in the urine studies. With the progression of nephropathy, protein in the urine is detected by conventional diagnostic methods (urinalysis, daily proteinuria). The appearance of proteinuria indicates a loss of functional capacity (sclerosis) 50-70% of kidney glomeruli, with marked increase in blood pressure (BP) and a decrease in glomerular filtration rate. Therefore, every patient with diabetes at least 1 time per year is necessary to pass a urine test to detect microalbuminuria.