Management of Diabetes by Ayurveda & Yoga

1. 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

2. 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 .

3. 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.

4. 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)

5. 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

6. Causative factor/Hetu “AashyasukhamswapnasukhamdadhinigramyoodkanuprasaapyaamsiNavaaanpaanamgudvayikritamchpramehahetukapahakrichswaramn.” 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.

7. Pathogenesis/Samprapti Due to Causative factors ↓ Doshas get imbalanced(specifically kledakkapha,pachakpitta, samanvayu ↓ Agnimandya (dhatvagnimadhya) ↓ Culminates all dushyas (specifically medodhatu) ↓ Kledavrudhi (unnecessary excessive body fluid oozed out from all dhatu) ↓ Body tries to excrete in the form of urine *Kleda = Wasting away of tissues (dhatu)

8. Ayurveda in modern words Hetu Wrongful Diet High Glycemic food, Lack of exercise etc. Dosha Imbalance High Blood sugar Insulin secreted by pancreas Dhatvagnimandhaya Cell become to resistant to insuline More Glucose present in the blood Apachitdhatuvridhi Body tries to dilute this high blood glucose KledaVrudhi Polyuria PrabhootaMutrata This happen for the long period of time then actual diseases manifest

9. 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

10. 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

11. 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.

12. Prevent Type 2 DiabetesBy 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

13. 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.

14. 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.

15. 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.

16. 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%

17. Management Principles/Chikitsa

18. (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

19. 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

20. 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

21. 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.

22. Some recipe for Diabetes Chapatti/Bread:- Multigrain flour 90 gm Fenugreek Seeds powder 12.5 gm

23. 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.

24. 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

25. 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. 

26. Organic DiabexTea 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

27. 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

28. (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 ,AnulomVilom Etc • Meditation: For stress management

29. Do Don’ts • 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 . • 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 DOs and DON'Ts for diabetic dietDiet plan of an individual is based on height, weight, age, sex, physical activity and nature of the disease conditions to managing diabetes.

30. Aushadhi(Ayurvedic Medicine) Seek the ayurvedic Doctor • (C) Aushadhi (Ayurvedic Medicine) Shaman Shodhan Popular & effective Herbs- Amalki(indiangoosberry) Karela(bitter Melon) Methi(Fenugrek) Jamun Seed Gurmar Vijayshar Haridra(Turmeric) Neem Triphala Guduchi Daruharidra Bel Chairayata Kutki Devadaru Shilajatu Panchkarma Vaman Virechan Vasti

31. 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.

32. 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

33. 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.

34. 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.

35. Questions • Discussion

36. Thank You