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

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

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)

Dosha Imbalance

Ayurveda in modern

Wrongful Diet

High Glycemic food, Lack of

exercise etc.

High Blood sugar

Insulin secreted by pancreas

Dhatvagnimandhaya

Cell become to resistant to insuline

Apachitdhatuvridhi

Kleda Vrudhi

More Glucose present in the blood

Body tries to dilute this high blood glucose

Polyuria

Prabhoota Mutrata

This happen for the long period of time then actual diseases manifest

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 green leafy vegetables Spices

High fibres Food

Ahar(Diet)

Food that Can be used in Moderate:-

Fat Nuts

Cereals Milk Products Meat products

Eggs 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 90 gm

Fenugreek Seeds powder 12.5 gm

DALIA/LENTIL SOUP:

Broken wheat 60gm

Green Gram lentils 30 gm

Fenugreek seeds 12.5 gm

Cumin 2-3 gm

Black Pepper 2gm

Water 250ml

Salt 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.

 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

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.

TEA

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 Daily for 30 to 45 minutes or walk 3-5 Km

 Yoga asana :

 Pashchimotanasan

Halasan(Plaugh asana)

Peacock pose

 Chest knee pose

 Sun Salutation.

 Pranayama: Kapalbhastrika,Bahya ,Anulom Vilom Etc

Meditation: For 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.

Do

Drink plenty of water

Eat 20 - 25 grams of raw onion daily.

Onions contain properties that actually fight against diabetes.

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 .

Don’ts

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

(C) Aushadhi

(Ayurvedic

Medicine )

Shodhan

Panchkarma

Vaman Virechan Vasti

Aushadhi(Ayurvedic

Medicine)

Seek the ayurvedic

Doctor

Shaman

Popular & effective Herbs-

Amalki(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