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Diabetes is a metabolic disorder when there is a defect in utilization of sugar by the body. Glucose is the main source of energy for all the bodily functions. After digestion, it passes into the blood stream where cells use it for energy and growth. For its utilization. A hormone, insulin must be present in proper quality, which is produced by the pancreas. The defect in pancreas to produce proper amount of insulin leads to decreased uptake of glucose from the blood and hence increased level of blood sugar.
Another reason for Diabetes mellitus is that the cells cannot use insulin properly, which is known as insulin resistance.

Symptoms

Clinical
• Polyuria : excessive urination
• Polydypsia : excessive thirst
• Dehydration due to excessive urinary output problems, which
• Diabetics encounter more often are
• Heart Attacks
• Gangrene of foot
• Rapid Deterioration of Vision & blindness
• Sexual Problem vision
• Polyphagia: increased appetite
• Loss of body weight
• Decreased resistance
• Strokes
• Repeated attacks of infections/boils
• Kidney diseases
• Diplopia
Long term complications with diabetes mellitus

Retinopathy-the blood vessels and lens of the eyes are swollen and dilated due to increase in blood glucose level, resulting in distorted vision. It has damaging effect on the optic nerve also.
Naturopathy-impaired kidney function
• Neuropathy-when blood sugar goes very high, nerves can produce pain specially in legs.
Effective diabetes management
• The chief tools in the treatment of diabetes are diet, exercise and suitable medication to keep the symptoms in control.

Blood sugar Empty stomach (fasting)After 2hour of food (PP)
Normal level 110 mg% 140 mg%
Satisfactory level 120 mg% 160 mg%
Uncontrolled Above 140 mg % Above 200 mg%

MANAGEMENT OF DIABETES MELLITUS

I. DIETARY MANAGEMENT

It varies according to the severity of the disease, activity and metabolic needs. There are certain general principal for all diabetic diets;

• The caloric intake should allow the patient to loose or to gain weight as required.
• The protein recommended in the diet is normal
• Carbohydrates should be sufficient to prevent ketosis.
• High fiber in diet helps in decreasing blood cholesterol and triglycerides and also helps in reducing weight.
Dietary instruction
Foods to avoid:

• Root vegetables: potato, yam etc.
• Fried foods and sweets
• Soft drinks and alcoholic drinks
• Fruits like mango, Banana, Chiku, Custard apple, Grapes & Dates
• Oily, fried, frozen and foods should be avoided.
• Sweets must be restriced as per the case either minimal or zero quantity.
Foods allowed liberally:

• Green leafy vegetables.
• Clear soups, salty lemon water
II. Yogic management

The yogic practices are found to be useful in the management of diabetes mellitus through various research studies. The aim of the yogic treatment in the management of diabetes is of two fold:
a- to stimulate the pancreatic cells to produce adequate amount of insulin
b- to reduce the insulin resistance
In general, the practices prescribed for the diabetic patients are as under:

Kriyas: Kunjal, Vastradhouti, Kapalabhati, Agnisar and Nauli.
Suryanamaskara and selected practices of Yogic Sukshma Vyayama
Asanas: tadasana, katichakrasana, pavanmuktasana, sarvagasana, matsyasana, Halasana, Ushtrasana, Gomukhasana, Ardhamatsyendrasana, Mandukasana, Suptavajrasana, Paschimottanasana, Bhujangasana, Shalabhasana, Dhanurasana, Mayurasana, Shavasana.
Pranayama: Nadishuddi, Suryabhedana, bhramari.
Bandhas: Uddiayana bandha
Meditation: Breath awareness, Om chanting and Om medition.

Last 5 posts by Dr. Dinesh

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