Diabetes - Introduction
Diabetes is a very serious disease. Left unchecked, it can bring serious consequences including death. Fortunately, it is a disease that can be managed. Unfortunately most of the people who have diabetes do not know that they have it and hence do not treat it till it become very late. If you suspect you have diabetes, it is very important that you get prompt professional attention and to determine whether you suffer from this.
Over 230 million people suffer from diabetes in the world. In the Pakistan , it is believed that over 16 million people suffer from diabetes. That includes people of all ages, from children to the elderly. The Pakistan Diabetes Association estimates that 6 percent of the general Pak population over age 40 has been found to have diabetes-and an equal amount has not been diagnosed yet.
People with Type II diabetes are at higher risk of vision and kidney problems, heart disease and nerve damage. More than 90 percent of the time, lifestyle changes such as losing weight, cutting back on fat and getting daily exercise can help keep your blood sugar levels in line.
Symptoms of Diabetes
| Polyuria: Passing of too much urine, or frequent urination. |
| Thirst |
| Weight loss |
| Tiredness - often present in diabetes. But other disorders can also result in tiredness. So, this alone is not sufficient. |
| Unrelenting hunger |
| Itching of the genitals and skin |
| Visual disturbances (such as blurry vision) |
| Skin disorders (for example, boils) |
| Pain and/or numbness of the extremities |
Diabetes Can Be Life Threatening
Diabetes is believed to be the nation's third or fourth leading cause of death. It makes the sufferer susceptible to serious complications that can lead to death.
Diabetes hastens wear and tear on many crucial functions of the body. In particular, it attacks:
The circulatory system. According to the American Diabetes Association, diabetes leads to coronary heart disease, stroke and circulation problems in the hands and feet. These conditions are two to four times more common in people with diabetes, and they account for most of their hospitalizations. Heart attacks, hardening of the arteries, strokes, poor circulation in the feet, amputations-these are concrete and common examples of diabetes damage.
The kidneys. Diabetes is the leading cause of end- stage kidney disease.
The eyes. Diabetic eye disease, or diabetic retinopathy, is the major cause of new vision loss in Americans 20 to 74 years old, according to the National Eye Institute.
The nervous system. Nerve cells may be disturbed or damaged, causing severe pain or loss of feeling-a condition known as neuropathy.
Many people have the false belief that Type II diabetes is not very serious. But it is not so. In 2006, 104,000 people died as a result of type-II diabetes in the Pakistan , and 251,000 were totally disabled. In 2006, the economic cost of type- II diabetes in Pakistan was estimated at Rs.79.8 million. Of that, Rs.4.8 million was spent on treating related conditions and complications-primarily cardiovascular conditions that manifested themselves in heart attacks, hardening of the arteries and strokes. Circulatory problems, such as poor circulation in the feet, leading to amputation, are also common in type- II diabetes.
Diabetes is a very serious disease and should be treated as such. In nearly all situations, people with diabetes require, at a minimum, routine medical treatment- including daily self-care. Through scrupulous attention to a healthy lifestyle and a strong commitment to maintaining target blood-sugar levels, diabetic people can significantly slow down the degenerative process.
Left unchecked, diabetes shortens life. It is not a condition that goes away.
Herbs for Diabetes
Since antiquity, diabetes has been treated with plant medicines. Recent scientific investigation has confirmed the efficacy of many of these preparations, some of which are remarkably effective. Only those herbs that appear most effective, are relatively non-toxic and have substantial documentation of efficacy are covered here.
Pterocarpus marsupium (Indian Kino, Malabar Kino, Pitasara, Venga)
The tree is the source of the Kino of the European pharmacopeas. The gum-resin looks like dried blood (Dragon's blood), much used in Indian medicine. This herb has a long history of use in India as a treatment for diabetes. The flavonoid, (-)-epicatechin, extracted from the bark of this plant has been shown to prevent alloxan-induced beta cell damage in rats.
Both epicatechin and a crude alcohol extract of Pterocarpus marsupium have actually been shown to regenerate functional pancreatic beta cells. No other drug or natural agent has been shown to generate this activity.
Bitter Melon (Momordica charantia)
Bitter melon, also known as balsam pear, is a tropical vegetable widely cultivated in Asia, Africa and South America , and has been used extensively in folk medicine as a remedy for diabetes. The blood sugar lowering action of the fresh juice or extract of the unripe fruit has been clearly established in both experimental and clinical studies.
Bitter melon is composed of several compounds with confirmed anti-diabetic properties. Charantin, extracted by alcohol, is a hypoglycaemic agent composed of mixed steroids that is more potent than the drug tolbutamide which is often used in the treatment of diabetes. Momordica also contains an insulin-like polypeptide, polypeptide-P, which lowers blood sugar levels when injected subcutaneously into type 1 diabetic patients. The oral administration of 50-60 ml of the juice has shown good results in clinical trials.
Excessively high doses of bitter melon juice can cause abdominal pain and diarrhea. Small children or anyone with hypoglycemia should not take bitter melon, since this herb could theoretically trigger or worsen low blood sugar, or hypoglycemia. Furthermore, diabetics taking hypoglycemic drugs (such as chlorpropamide, glyburide, or phenformin) or insulin should use bitter melon with caution, as it may potentiate the effectiveness of the drugs, leading to severe hypoglycemia.
Gymnema Sylvestre (Gurmar, Meshasringi, Cherukurinja)
Gymnema assists the pancreas in the production of insulin in Type 2 diabetes. Gymnema also improves the ability of insulin to lower blood sugar in both Type 1 and Type 2 diabetes. It decreases cravings for sweet. This herb can be an excellent substitute for oral blood sugar-lowering drugs in Type 2 diabetes. Some people take 500 mg per day of gymnema extract.
Onion and Garlic ( Allium cepa and Allium sativum)
Onion and garlic have significant blood sugar lowering action. The principal active ingredients are believed to be allyl propyl disulphide (APDS) and diallyl disulphide oxide (allicin), although other constitutents such as flavonoids may play a role as well.
Experimental and clinical evidence suggests that APDS lowers glucose levels by competing with insulin for insulin-inactivating sites in the liver. This results in an increase of free insulin. APDS administered in doses of 125 mg/ kg to fasting humans was found to cause a marked fall in blood glucose levels and an increase in serum insulin. Allicin doses of 100 mg/kg produced a similar effect.
Onion extract was found to reduce blood sugar levels during oral and intravenous glucose tolerance. The effect improved as the dosage was increased; however, beneficial effects were observed even for low levels that used in the diet (eg. 25 to 200 grams). The effects were similar in both raw and boiled onion extracts. Onions affect the hepatic metabolism of glucose and/or increases the release of insulin, and/or prevent insulin's destruction.
The additional benefit of the use of garlic and onions are their beneficial cardiovascular effects. They are found to lower lipid levels, inhibit platelet aggregation and are antihypertensive. So, liberal use of onion and garlic are recommended for diabetic patients.
Fenugreek (Trigonella foenum-graecum)
Experimental and clinical studies have demonstrated the antidiabetic properties of fenugreek seeds. The active ingredient responsible for the antidiabetic properties of fenugreek is in the defatted portion of the seed that contains the alkaloid trogonelline, nicotinic acid and coumarin.
Blueberry leaves (Vaccinium myrtillus)
A decoction of the leaves of the blueberry has a long history of folk use in the treatment of diabetes. The compound myrtillin (an anthocyanoside) is apparently the most active ingredient. Upon injection it is somewhat weaker than insulin, but is less toxic, even at 50 times the 1 g per day therapeutic dose. A single dose can produce beneficial effects lasting several weeks.
Blueberry anthocyanosides also increase capillary integrity, inhibit free-radical damage and improve the tone of the vascular system. In Europe , it is used as an anti-haemorrhagic agent in the treatment of eye diseases including diabetic retinopathy.
Asian Ginseng
Asian ginseng is commonly used in traditional Chinese medicine to treat diabetes. It has been shown to enhance the release of insulin from the pancreas and to increase the number of insulin receptors. It also has a direct blood sugar-lowering effect.
A recent study found that 200 mg of ginseng extract per day improved blood sugar control as well as energy levels in Type 2 diabetes (NIDDM).
Bilberry
Bilberry may lower the risk of some diabetic complications, such as diabetic cataracts and retinopathy.
Stevia
Stevia has been used traditionally to treat diabetes. Early reports suggested that stevia might have beneficial effects on glucose tolerance (and therefore potentially help with diabetes), although not all reports have confirmed this. Even if stevia did not have direct antidiabetic effects, its use as a sweetener could reduce intake of sugars in such patients.
Ginkgo Biloba
Ginkgo biloba extract may prove useful for prevention and treatment of early-stage diabetic neuropathy.
Cinnamon - Triples insulin's efficiency
Barberry - One of the mildest and best liver tonics known. Dosage: tincture, 10-30 drops; standard decoction or 3-9 g.
Ayurvedic Treatment of Diabetes
According to ayurveda, diabetes is a metabolic kapha type of disorder in which diminished functioning of agni leads to a tendency toward high blood sugar. (Ayurveda recognizes 24 forms of the disease commonly classified under Prameha - 4 are due to Vata dosha, 6 are due to Pitta dosha, and 10 are caused by Kapha dosha. The main causes of these diseases are fat, urine, and Kapha buildups due to foods, liquids, lifestyle and others.)
Ayurvedic practitioners attack diabetes using a multiprong approach. First, they address diet modification, eliminating sugar and simple carbohydrates, and emphasizing complex carbohydrates. Protein is limited, since excessive intake can damage the kidneys. Fat is also limited because there is often a deficiency of pancreatic enzymes, making fat digestion difficult. Since many diabetics have autoantibodies, a cleansing program is instituted. Panchakarma is typically used for this purpose. This begins with herbal massages and an herbal steam sauna, followed by fasting to cleanse the body. This is followed by an herbal purge for the liver, pancreas, and spleen.
Ayurvedic practitioners also use several herbal preparations for diabetics. Exercise is another cornerstone of ayurvedic treatment of diabetes. Yoga and breathing exercises are traditionally used.
Herbs
The most important herbs for all doshas are shilajit, gudmar turmeric, neem, amalaki, guggul, and arjuna. Turmeric with aloe vera gel (1 to 3 gms./.035 to .1 oz) is best used during the early stages of diabetes for regulating pancreas and liver functions.
1. Juice of bitter melon or bitter gourd (Momordica dioica, Roxb., Karela), or Rose apple (Eugenia Jambos, Linn., Jambu) or two tender leaves of Bilva (Aegle Marmelos, Corr., Bael fruit) and Neem (Melia azadirachta, Ravipriya, or Indian Lilac) may be taken on empty stomach daily. Juice of Jambu should be taken in an ounce quantity twice daily, and that of Karela in 1-1/2 ounce dose daily. Shilajit (Swertia Decussata Nimmo.) is another useful medicine (250 mg as a single dose) should be taken, twice daily with juice of stone apple.
2. Use turmeric. Fill some 00-size capsules with turmeric, and take 2 capsules 3 times a day, a few minutes before meals. Continue this program for up to a month, and then reevaluate your condition. Clinical observation suggests that a person who is insulin dependent will experience a markedly diminished requirement for insulin; the diabetes can often be brought under control.
3. Take 1/2 teaspoon of ground bay leaf and 1/2 teaspoon turmeric, mixed in 1 tablespoon aloe vera gel. Take the mixture twice a day before lunch and dinner.
4. The ayurveda preparation Vasanta Kusumakar Ras, is very good but is extremely costly. Take two grains daily with a tsp. of cream or honey. In certain cases, the said medicine brings down sugar lever quite quickly, hence sugar-levels should be carefully monitored. When sugar has touched its normal range, the dose should be tapered in a graduated manner, and added with 500 mg pill of Chandraprabhavati which is called a 'Poor man's remedy.'
5. Mix and grind seeds of Fenugreek (Methi) 100 gm, turmeric 50gm, Dakhni Mirch (white pepper). Take one teaspoon of this powder with a glass of milk twice daily. Alternately, immerse and soak one teaspoon of fenugreek seed in water. Take this in the morning, with water or with milk.
6. Take twice daily, with powder of rose apple stones (powder of Jambu or Jamun-ki-Guthali).
7. Include decoctions of triphala, fenugreek, musta, arjuna, sandalwood, lodhra, ajwan, gokshura, vidanga, guduchi, haritaki, and chitrak. These may be taken with a small amount of ghee. Gudmar and shilajit are excellent.
8. Amalaki Churna (500mg), Haldi Powder (Turmeric Powder) 500mg and Naag Bhasma (125mg) should be taken with honey, twice daily ( A 12-hourly dose ).
Diet
Follow the kapha-pacifying diet. Avoid excess intake of sweets, carbohydrates, and dairy products. Take more fresh vegetables and bitter herbs. Other useful foods include: roasted or fried barley, corn flour, light, bitter vegetables, barley porridge, ghee, rice, and herbs like gokshura, gudmar, triphala, musta, cardamom, fenugreek, or coriander, mixed with honey. Triphala with amalaki juice can also be used to heal prameha. Barley is the main food to heal urinary diseases. Other ayurvedic methods to heal prameha (diabetes) include strenuous exercises, oil massage, steam, sitz or waist bath, and sprinkling of water and ointment. Dry ginger, cardamom, and sandalwood may be used in baths or taken orally. Gudmar is the best herb for digesting sugar in the pancreas. A combination of gudmar and shilajit is an excellent remedy for diabetes that is often prescribed by Ayurvedic practitioners.
| Eliminate all objects that contain sugar from diet, like wheat, rice, potato, sugar, sugar cane and its juice, jaggery , sweet fruits. |
| Reduce fats, especially butter and ghee from diet. |
| Take barley soaked in a triphala decoction overnight, then mixed with honey and eaten several times a day. |
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| Take bitter melon, in any form, without any fear, and Jamun and powder of its seed. |
| Take plenty of green vegetables, black gram, soy, fish etc. |
Copper Water
Put one cup of water into a copper vessel at night, and drink the water in the morning.
Exercise
| Take morning and evening walk |
| Do Pranayama/Five Time Salah |
| Do yoga asanas |
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