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Diabetes and Ayurveda Treatment (1)

What is ayurvedic treatment, is there an ayurvedic treatment for diabetes, how does the treatment work, what is the prognosis when using ayurvedic treatment. Why are more and more people adopting it as an alternative way to manage their diabetes? All these questions and more will be answered in the next article.

Ayurveda is the oldest surviving healing system in the world. A form of alternative medicine and the traditional system of medicine of India, the word is a compound of the words “ayu” meaning life and “Veda” meaning knowledge. Roughly translated, Ayurveda means “the science of life” and is about the care and treatment of people. To bring it home more briefly, the two cardinal goals of Ayurveda are the complete elimination of disease and dysfunction of the body and secondly, the prolongation of life and the promotion of perfect health.

To do this, Ayurveda considers the general life pattern of the individual, including his diet, behavior and health and occupation. But before we go into all that, the question can be asked why anyone would go for this old system of medicine anyway. What is the attraction of such a system over the modern, more generally accepted scientific treatment of diabetes today? Well, the reason is not far to seek.

First, diabetes is generally considered a disease that cannot be cured, only managed. This management basically involves the subject keeping his fasting blood sugar level within a medically determined or advised range (between 70 and 100 milligrams per deciliter or mg/dL). Where he can do this, he will in most cases stop with many of the symptoms of the disease and the associated complications.

For many people, this is not a cure in the true sense of the word, as the individual will still be restricted to a high fiber, low carbohydrate, low fat, non-smoking, no or limited diet for alcohol intake, as well as an ongoing regimen of exercise and blood sugar control.

If we are to follow this line of reasoning, it can be said that any “cure” that does not rejuvenate the Beta cells (the insulin-producing cells of the pancreas), as would be necessary in the case of a cure for Type 1 or help overcome the insulin resistance of the body as in the case of a cure for Type 2, can not really be said one. While stem cell research- whether through the undifferentiated embryonic stem cells or (induced pluripotent) stem cells of today, brings us hope for a cure in the case of type 1, type 2 treatment still remains relatively a case of management.

Moreover, modern medical approaches to treating or managing Type 2 diabetes take dedication and discipline. In addition to that, used drugs can have side effects. For example, the use of the drug metformin is known to cause heart attacks. Again, the use of insulin for the treatment of diabetes must be properly regulated and timed so as not to accidentally induce hypoglycemia or the front hyperglycemia.

If one has to be honest in his analysis, we can say that the ayurvedic method for the treatment of diabetes is probably also a management. However, the ace that may hold it over the modern approach is that, since it is both preventive and holistic in its medical approach to the treatment of the body, it does not hold the risk of complications associated with pharmaceutical treatments.

Furthermore, it has been scientifically established that while some herbs used in Ayurvedic treatment actually stimulate the production of Beta cells, others stimulate the body’s sensitivity to insulin. This is probably the most viable alternative treatment option for diabetes.

In classical ayurveda diabetes was given the name Prameha which means excessive urine. It was also known as Madhumeha which is interpreted as flow of sugar from the body. Again, it was also called Maharoga (Major disease) because almost all parts of the body are affected by it. According to Ayurveda, prameha (diabetes) is divided into 4 main types (and a total of 21 types). Kapha type, itself divided into 10 types, Pitta type, divided into 6 types, Vata type, divided into 4 types and sahaja which corresponds to Type 1 diabetes.

The main causes of prameha (diabetes) are said to be lack of exercise and eating food with too much ushna, snigha and guru nature. Although it is also recognized that Sahaja diabetes is hereditary and caused by defects in the genetics of the patients’ parents.

In Ayurveda, diabetes is classified in different ways; first in the two categories of the lean diabetic and the obese diabetic. The second classification is according to causes of diabetes- Sahaja prameha (congenital) and Apathyanimittaja prameha (due to excess food and bad habits) and finally classification according to Dosha. The first two are obvious. However, what is Dosha?

To understand what Dosha is and indeed how Ayurvedic treatment works, we must first understand the philosophy or “science” behind the ayuveda treatment of diabetes.

First, Ayurveda determines that the entire physical structure and function of man is based on the combination of any 2 of the 5 major elements (Bhuttas). This combination will prevail and as such will determine your nature. It is this nature that is known as Dosha. Going further, these combinations are classified into Vata, Pitta and Kapha. Vata is concerned with movement, Kapha, the functions of metabolism, energy production and heat, while Kapha is concerned with physical structure and fluid balance.

The Ayurvedic view is that disease is caused by an imbalance in these qualities (Vikruiti). Treatment of Type 2 diabetes, like all diseases in this system, therefore requires a restoration of balance (Prakruti) by detoxifying the body of the causative toxins that block circulation and cause the dosha imbalance and also the normal function of dhatu (tissue).

Ayurvedic treatment is remarkably modern in its approach to treating diabetes. Because if a doctor can reflect on the risk factors in a patient when performing diagnosis and making recommendations, Ayurveda treatments also consider family history (in other words genetic predisposition), sex, age, body constitution (consideration of body mass index), stage of the disease, diet, etc. This means that treatment is tailored to the specific needs of each individual and that more often than not, treatment, especially dosage will differ from patient to patient even if they suffer from the same disease and symptoms.

The basic step in a diagnosis that can take up to an hour will therefore be to find a person (dosha), Ie Vatta, Pitta or Kapha. Once found, the imbalance in the dosha is elicited by asking various questions about his or her eating habits, sleeping patterns, behavior, age, height and weight, place of living, occupation, medical reports, health problems, etc.

By knowing the dosha, the health consultant will be able to assess the patient’s dosha attributes that are out of balance and prescribe the changes needed to rebalance them. The health consultant will use wrist, tongue, nail and eye examination. The health of various organs as well as the psychological state of the individual can be deduced from this study and its observation and documentation will help the health consultant in treating the disease. Incidentally, it should be noted that Ayuverdic diagnosis does not exclude complementary diagnosis through laboratory and clinical tests.

So, once a diagnosis of diabetes is made, how does the ayurvedic practitioner treat it? Remarkably again (the first two approaches at least) bears resemblance to Western practice for diabetes treatment. So, first, if the doshas are only slightly unbalanced, then increased activity and restriction of diet is sufficient remedy.

The administration of medicines (herbs) will be called for where the doshas are moderately imbalanced. This will serve to neutralize the imbalanced dosha and along with dietary restriction and increased exercise will serve as a sufficient remedy. However, where the doshas are severely imbalanced, then Panchakarma (five actions of detoxification) will need to be administered in addition to dietary restriction, exercise and medicine. However, Panchakarma is more appropriate for the stout or obese diabetic, not the thin who shows excessive vata dosha should focus more on medicines and diet that will increase the dhatus (rebuilding or toning of the body).

In summary therefore, it can be said that the Ayurveda practice consists of four basic nodes, namely reduction (through exercise), detoxification, nutrition and tonification (through diet) and balancing (through all three). Various agents are used in calibrated amounts to achieve this. They are namely food, exercise, routine and herbs. We will look at the role each of these play in our next article.

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