Diabetes Control In Your Hands - Dr. A.K.Sethi - E-Book

Diabetes Control In Your Hands E-Book

Dr. A.K.Sethi

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How to keep Diabetes within managing limits

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DIABETES

CONTROL

in Your Hand

Dr. A.K. Sethi(M.B.B.S. F.C.C.P)

Published by:

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© Copyright: ISBN 978-935-05723-4-4

DISCLAIMER

While every attempt has been made to provide accurate and timely information in this book, neither the author nor the publisher assumes any responsibility for errors, unintended omissions or commissions detected therein. The author and publisher make no representation or warranty with respect to the comprehensiveness or completeness of the contents provided.

All matters included have been simplified under professional guidance for general information only without any warranty for applicability on an individual. Any mention of an organization or a website in the book by way of citation or as a source of additional information doesn't imply the endorsement of the content either by the author or the publisher. It is possible that websites cited may have changed or removed between the time of editing and publishing the book.

Results from using the expert opinion in this book will be totally dependent on individual circumstances and factors beyond the control of the author and the publisher.

It makes sense to elicit advice from well informed sources before implementing the ideas given in the book. The reader assumes full responsibility for the consequences arising out from reading this book. For proper guidance, it is advisable to read the book under the watchful eyes of parents/guardian. The purchaser of this book assumes all responsibility for the use of given materials and information. The copyright of the entire content of this book rests with the author/publisher. Any infringement/ transmission of the cover design, text or illustrations, in any form, by any means, by any entity will invite legal action and be responsible for consequences thereon.

Preface

Diabetes is a dreaded disease which is known to mankind from time immemorial. In India there are about 35 million people who are suffering from diabetes. This accounts for about 25% of total diabetic patients in the world. Majority (90%) of these individuals suffer from type 2 diabetes which is usually detected accidently or in advanced stage. The World Health Organisation (WHO) has estimated that by the year 2025, the population of diabetic people in the world would reach 300 millions (presently 150 millions) and in India 57 millions. WHO has declared India as the Diabetes capital of the world.

Majority of Indian individuals suffer from the misconception that diabetes is due to excess intake of “Sweet Items” and will be “Cured” if they stop their intake. Moreover, diabetes is a disease which can be controlled but rarely cured by modern medicines. It has been observed that many diabetic patients improve dramatically when they combine Ayurveda, Naturopathy, Yoga, Magnetotherapy, Acupressure, Colour Therapy, Music Therapy and Feng-Shui with allopathic medicines.

In order to provide all this information for a layman, I have ventured to write this book and hope the readers will find it very useful and enjoyable to read.

Acknowledgement

At the outset I must thank Shri Ram Avtar Gupta, the Managing Director of Pustak Mahal who has given me the opportunity to write this book for laymen on an ailment which is widely prevalent around the globe. I am grateful to the patients who came to our clinic for treatment of Diabetes and benefited from the alternative forms of treatment provided to them. I am indebted to Shri R.L. Jaggi, retired Senior Accounts Officer (Northern Railways) who has been successfully practising in Chromotherapy and had provided me with abundant literature on different systems of Alternative Medicine. (Dr.) Swami Ananta Bharati, Chairman and Founder of Swami Keshwananda Yoga Institute has thoroughly guided me and taught me the art of Yoga, Pranayama and Meditation. Shri N.S. Dabas, an eminent astrologer and Vastu Shastri who is a staunch believer, follower and practitioner of Magnetotherapy has also assisted me in these fields. Dr. Ruma Banerjee, a practising physiotherapist and Naturopath has guided me in her field of practice.

My wife Dr. Sunanda Sethi, an Ayurvedacharya and a Traditional Reiki Master has been a source of inspiration. I thank my children Rupal and Mitali without whose cooperation this book would not have been completed.

—Dr. A.K. Sethi

Contents

Preface

Acknowledgement

1. What is Diabetes?

Structure and Function of Pancreas

Basic Cause of Diabetes

Ayurvedic Concept of Diabetes

2. Types of Diabetes

Insulin Dependent Diabetes or Type 1 Diabetes

Non-Insulin Dependent Diabetes or Type 2 Diabetes

Diabetes due to Diseases of the Pancreas

Diabetes due to Malnutrition

Diabetes due to Other Hormones

Diabetes due to Medicines and Toxic Chemicals

Diabetes due to Liver Diseases

Diabetes in Pregnancy

Types of Diabetes According to Ayurveda

3. What Causes Diabetes?

Age

Sex

Diet and Nutrition

Lifestyle

Infections

Medicines and Toxic Substances

Stress Factors

Inheritance

Causes of Diabetes According to Ayurveda

4. Signs and Symptoms of Diabetes

5. Complications of Diabetes

Why Diabetes is Considered a Dreaded Disease

When do Complications of Diabetes Occur

Hypoglycemia or Low Blood Sugar

Features of Low-Blood Sugar

Ketoacidosis

Diabetes and Heart Disease

Diabetes and Kidney Disorders

Complications of the Eye in Diabetes

Complications of the Nerves in Diabetes

Infections

Gangrene of Foot

Digestive System Disorders

6. Diagnosis of Diabetes

Criteria for Suspicion of Diabetes

Urine Examination

Blood Tests for Sugar (Glucose) Estimation

Glucose Tolerance Test (G.T.T.)

Dextrometer/Glucometer

Glycosylated Haemoglobin

7. Treatment of Diabetes

The Objectives of Treatment of Diabetes

Treatment Protocol

Changes in the Lifestyle

Dietary Management

The Features of a Diabetic Diet

Menu for Diabetics

Types of Diabetic Diet

Role of Physical Exercise

Benefits of Exercise

Types of Exercises

Frequency and Timing of Exercise

Role of Yoga

Yogasanas

Yogic Kriyas

Pranayama

Stages of Pranayama

Rules for Pranayama

Benefits of Pranayama

Pranayama Useful for Treatment of Diabetes

Meditation

Basic Procedure of Meditation

Auto-Suggestion and Resolution

Naturopathy or Nature Cure

Hydrotherapy

Mud Therapy

Massage

Medical Treatment (Allopathic)

Ayurvedic Treatment of Diabetes

Home Remedies for Treatment of Diabetes

Magnetotherapy

Acupressure and Refexology

Colour Therapy

Music Therapy

Feng Shui

8. What Does the Future Hold for Diabetes?

Better Diagnostic Facilities

Better Treatment Modalities

9. Answers to Your Queries

10. Role of Commonly Available Ayurvedic Medicines

1. What is Diabetes?

Diabetes or Diabetes Mellitus is a disease in which the patient D passes increased quantity of urine. Diabetes is derived from two Greek Words “dia” which means “through” and “betes” which means, “to pass”. “Mellitus” is another Greek word, which means “sweet”. In this disease the patient passes large quantities of urine containing a sweet substance, namely glucose. It is either due to lack of production of a hormone called insulin in the pancreas or due to the inefficient action of insulin.

Structure and Function of Pancreas

Pancreas is an important structure found in the abdomen, which plays a major role in the causation of Diabetes Mellitus. Pancreas is a soft, fat gland, which is 15-20 cm long, 3-5 cm broad, 2-4 cm thick and 80-90 gm in weight. It is situated in the posterior part of abdominal cavity just behind the stomach. Pancreas consists of three parts—the head, the body and the tail.

Fig. 1.1: Pancreas & surrounding organs

The head is enclosed in a C-shaped concave structure, the duodenum that lies between the lower end of stomach and the upper end of small intestine. The tail ends in a firm organ, the spleen that is located in the left upper portion of abdominal cavity. The portion between the head and the tail is the body.

Functionally the pancreas consists of two parts:

The Digestive Part

About 99% of the pancreas consists of the digestive part. It comprises a large number of cells which produce the digestive enzymes which are important for the digestion of proteins, carbohydrates and fats in the food we eat.

The Hormonal Part

About l-2% of the weight of the pancreas constitutes the hormonal part. A hormone is a chemical substance which is produced by an organ or a gland and sent to another part of the body through the blood where it increases the functional activity of that part. The hormonal part of the pancreas consists of large clusters of cells called the islets of Langerhans, named after the discoverer Paul Langerhan who discovered them in 1869. There are about two million islets in the pancreas. The islets consist of 4 types of cells:

A or alpha cells produce the hormone glucagon.

B or beta cells produce the hormone insulin.

D or delta cells produce the hormone somatostatin.

F cells produce pancreatic polypeptide.

Insulin is the most important hormone whose deficiency is responsible for producing the disease Diabetes Mellitus.

Basic Cause of Diabetes

Diabetes is mainly due to two causes:

Reduced production of Insulin.

Reduced efficacy/effectiveness of Insulin.

Ayurvedic Concept of Diabetes

In order to understand the Ayurvedic concept of Diabetes we must first understand the 3 bodily elements, which are responsible for sustaining the living body in their normal state.

These 3 elements are:

“Dosha”

“Dhatu”

“Mala”

Any imbalance in the 3 elements produces disease or ill health.

“Doshas” govern the physical and chemical functions of the body. They are of 3 types:

“Vata”

“Pitta”

“Kapha”

1. “Vata” is responsible for active movements of different organs and parts of our body.

There are 5 types of Vata:

Prana refers to functions of the brain and nervous system i.e. sensations of smell, taste, touch, hearing and vision, movements of upper and lower limbs, rectum and sex organs and breath.

Udana refers to movements of the chest, diaphragm and voice box. It controls movements of breathing out, sneezing and speech.

Samana refers to movements of the intestine along with digestion and absorption of food substances.

Apana refers to the movements of the bladder, rectum, uterus and is important for passing urine, stools, menstrual fluids, semen and foetus (delivery).

Vyana is concerned with movements of all kinds of both voluntary and involuntary muscles. It is responsible for movements of the heart e.g. blood vessels, lymph (special white fluid present in different parts of the body) glands and glands which produce hormones.

The diseases caused by the disorder of Vata are as follows:

Asthma

Epilepsy (fts) and other mental disorders

Urticaria (a skin disease)

Viral fever (due to temperature changes)

Anaemia (lack of iron in blood)

Obesity (Increased weight gain)

Diabetes

Diarrhoea or constipation

Reduced functions of thyroid and adrenal glands

2. “Pitta” is responsible for the chemical reactions that take place in our body. It is of 5 types:

Pachaka is due to digestive enzymes and other chemicals in the body, which control the digestion and absorption of food substances.

Ranjaka is responsible for haemoglobin (the iron-containing pigment in blood) production.

Alochaka is responsible for the biochemical activity of the eye, which is responsible for perception of vision.

Sadaka is responsible for normal functions of the mind.

Brajaka is responsible for removing waste products in the form of sweat and enhancing the natural glow of the skin.

The diseases caused by disorders of Pitta are as follows:

Toxic fevers

Hyperacidity (Gastritis)

Vomiting

Diarrhoea

Jaundice

Anaemia (due to destruction of blood cells)

Bronchitis

Skin diseases associated with pus formation

All infections due to toxins, bacteria, viruses etc.

3. Kapha refers to promotion of growth brought about by secretions of different types of the body and organs. It is of 5 types:

Kledaka refers to secretions of the mouth, stomach and intestines, which dissolve the food and destroy bacteria.

Avalambika refers to secretions of the respiratory tract from the nose to the lungs and facilitates passing of air and flushes out foreign substances.

Bodhaka is the watery secretion of the glands around the taste buds of the tongue which help in perceiving the taste.

Tarpaka refers to the cerebrospinal fluid which is a secretion surrounding the brain and spinal cord. It provides nutrition to the brain and protects it from toxic substances.

Shleshaka is the fluid lying in the bones and joint spaces called as synovial fluid producing movements of bones and joints with ease. The watery fluid surrounding and protecting the heart, and lungs are also referred to as Shleshaka Kapha.

The diseases caused by disorders of Kapha are as follows:

Common cold.

Infection of the lungs and other parts of respiratory system.

Diarrhea due to infection.

Jaundice.

Eczema, pimples and other skin infections.

Arthritis (painful joints).

Rheumatic heart disease.

Swelling and infection of the kidneys (glomerulonephritis).

Peritonitis (swelling of abdominal cavity).

Encephalitis, meningitis and other infections of the brain.

Benign tumours of different parts of body.

Dhatu is a substance which is responsible for formation of basic structure of body. There are 7 types of dhatus i.e. lymph, blood, muscle tissue, fat tissue, bone-marrow, sperm or ovum.

Malas are waste products of various dhatus produced during the course of metabolic changes in the body. Examples of malas are sweat, urine, stool, gases, bile, ear-wax, nasal discharge, mucous secretions etc.

Thus disease is the imbalance of doshas, dhatus and malas.

Diabetes is one Type of disorder of the urinary tract in which patients pass excessive and turbid urine (PRAMEHAS).

There are 20 Types of Pramehas which are classified according to the doshas into 3 major types:

Vataja Pramehas—which are 4 in number.

Pittaja Pramehas—which are of 6 types.

Kaphaja Pramehas—which are of 10 types.

Diabetes (Madhumeha) is a type of Vataja Prameha.

2. Types of Diabetes

Diabetes Mellitus is divided into different types, depending on the cause of disease and the situation in which it develops. Each type is distinctly different from the other by virtue of the cause of the disease, its presentation, complications, diagnosis and treatment. The different types of Diabetes Mellitus are discussed below.

Insulin Dependent Diabetes or Type 1 Diabetes

This type of diabetes is commonly known to occur during early childhood and adolescence. This is sometimes also known as Juvenile Diabetes due to this reason. It can also occur in middle aged and older individuals. In this disease, the pancreas produces very little or no insulin due to which the patient has to depend on artificial source of insulin. It develops suddenly and progresses rapidly. By the time it is diagnosed the patient may have developed many complications in the body. It is not commonly present in other family members. The individuals who develop this disease are usually not obese and have a normal dietary pattern and an active lifestyle. These individuals respond only to insulin injections and if not treated properly they develop complications and outcome may sometimes be fatal. The disease is more common in Europe and America. It affects 1 in 500 children and 1 in 200 adolescents.

Non-Insulin Dependent Diabetes or Type 2 Diabetes

This type of diabetes is seen in middle-aged adults and older individuals. This disease is more common than Type 1. It develops slowly and gradually and may not be noticed for years together. It is commonly detected when a person goes for a medical check-up before joining employment or before an operation. Such individuals are obese/overweight, voracious eaters and have a sedentary life-style. Often such people have other family members especially parents, grand parents, uncles, aunts or siblings with the same disease. The disease is not as serious as Type-1, with fewer complications developing and patients respond to oral medicines, diet restriction and exercise. The major differences between the two Types of diabetes are outlined below:

Differences Between Type 1 and 2 Diabetes

Diabetes due to Diseases of the Pancreas

Since the main cause of diabetes is the production of insulin in the pancreas, any disease affecting it will indirectly give rise to diabetes. The common disease/disorders of the pancreas are as follows:

a) Any infection of the pancreas

b) Tumour related to the pancreas

c) Any obstruction between pancreas and other organs due to stone, toxic chemicals etc.

d) Removal of pancreas by operation.

Such individuals may develop the disease at any age irrespective of their body weight, eating habits, life style and family history. They commonly require insulin injections for treatment while some may respond to oral medicines.

Diabetes due to Malnutrition

In developing countries like India many individuals in the adolescence and adulthood develop diabetes due to severe malnutrition. These people are commonly deprived of food in early life especially protein-rich food. Due to this they are undernourished and very lean and have very little production of insulin hormone.