INTERVIEWS

INTERVIEWEE - Dr. Tina Dias
Medical Director of Medicia Clinic FZ LLC

In this article, Dr. Tina Dias, medical director of Medicia Clinic FZ LLC at Dubai Healthcare City and certified doctor of CAM, explains how Ayurveda can treat people with diabetes.

Ayurveda is an ancient system of medicine with historical roots in the Indian subcontinent. Globalized and modernized, the practices derived from Ayurveda traditions are a type of alternative medicine. In countries beyond India, Ayurveda therapies and practices have been integrated in general wellness applications and in some cases also in medical use. Yoga which is a combination of physical exercises, meditation and breathing techniques when combined with Ayurveda helps not only in curing many ailments but helps in prevention of diseases as well.

What is Diabetes as per Ayurveda?

Diabetes occurs due to pancreas either not producing enough insulin or the produced insulin is not getting effectively utilised by body. The hormone insulin is a blood sugar regulator. When there is rise in blood sugar, this condition is known as Hyperglycaemia resulting in uncontrolled diabetes. To sum up it is reduced insulin secretion, decreased glucose utilization and increased glucose production.

Described as Type 1 and Type 2 Diabetes, Type 1 is characterised by insulin production deficiency with symptoms like excessive excretion of urine, excessive thirst, constant hunger, weight loss and fatique, whereas Type 2 Diabetes is due to body’s ineffective use of insulin, major group of diabetic people come under this type and seen in the adult stage of life because of factors like obesity, physical inactivity etc.

Diabetes is a major cause of kidney failure, heart attacks, stroke, blindness and lower limb amputation and its chronicity and effect on life makes a person suffer and kind of die- by- bit is well termed ‘Diabetes’.

Ayurveda describes it as Prameha, further leading to Madhumeha.

Prameha meaning passing of urine profusely both in quantity and frequency along with turbidity. Madhumeha is a disease in which mutra or urine of the person is similar to Madhu or honey. Ayurveda says when prameha remains untreated it leads to a condition called Madhumeha or like an advanced stage of prameha. Madhumeha can be equated with diabetes mellitus because of many of the similarities in view of factors causing it, signs and symptoms, classification, complication and treatment.

Ayurveda’s central concept of health based on 3 doshas namely – Vata, Pitta, Kapha. The balance of this 3 bio-elements is a healthy condition of the body and mind. When there is an imbalance in these 3 bio-elements due to our diet or lifestyle, it leads to illness or diseased state of body and mind. So our body constitution is also determined by the dosha dominance, which causes symptoms of the disease as each dosha has its own characteristics when they are normal or abnormal.

The classification can also be done under 2 categories – Sahaj meaning hereditary and Apathyanimittaja meaning acquired.

Ayurveda also classifies based on obese and lean category of patients.

What are the causes of Diabetes as per Ayurveda?

Ayurveda describes unhealthy foods and inactivity of body as the primary cause along with excessive sleep and stress as causative factors. In addition to the other factors like heredity and over indulgence of sweets in pregnancy can lead to prameha.

How do you describe Diabetic Treatment as per Ayurveda ?

The clinical management of Diabetes is a triangular approach
1]  Ahara - Diet
2]  Vihara - Exercise and yoga
3]  Aushadhi- Medicines in Ayurveda.

Diet

I always advise my patients and believe that eating the right kind of food at a right time in right quantity, taking into consideration your digestive fire and its capacity combined with other two aspects of diabetic management, that is exercise and medicines can help in the diabetes management very well.

Vihara or Exercise

  • Exercise plays a very important role in Diabetic Management. Since lack of exercise, sedentary lifestyle, excessive sleep especially day sleep plays a very important role in etiology and pathogenesis of prameha.
  • So daily walking, exercise, and yoga helps in diabetes management.
  • Yoga is mostly prescribed in obese category of patients as well. Studies have been done on Yoga where Dhanurasana, Halasana, Vajrasana, Paschimotanasana, Ardhmatsyendrasana have been proved to help.

Aushadhi or Medicines

  • Ayurveda describes the treatment of Diabetes with internal treatment which is called as shaman chikitsa, as well as panchakarma, which basically means the cleansing treatment program. It recommends Abhyangam with steam. Based on physical strength of patient, fasting under supervision can be done as well. Purgation can also be done and colon therapy.
  • For Internal medicine, please consult a certified Ayurveda Doctor who will understand your body constitution and your stage of disease, its type and would prescribe medicine based on proper analysis.

Diabetes Management is all about Do’s and Don’ts:

Don’ts are:

  • Don’t Skip your meals and especially for more than 6 hours.
  • Don’t indulge in excessive sugar and salty food.
  • Carefully read the labels of your foods while purchasing them.
  • Don’t keep eating when your body signals you that you are full. Understand whether you are really hungry or it’s your mental hunger related to cravings.
  • Don’t give up socialising with family instead learn to control, eat healthy portions and educate the whole family about diet and its importance. Prevention is always better.

Diabetic patient must learn to choose options and alternatives.

Do’s are:

  • Do limit your sugary intake and simple carbohydrate with variety of whole grain foods and complex carbohydrate.
  • Stop smoking and alcohol
  • Go Green: Vegetables must be a part of our everyday life. 60%of your platter content should be vegetables.
  • Walk, walk, walk. Breathe deep
  • Prameha in Ayurveda being mostly Kapha dominated, we must eat Kapha dosha pacifying diet which includes vegetables like bottle gourd, bitter gourd, snake gourd, leafy vegetables like spinach etc. Protein rich foods like soya beans, lentils like green gram, chickpea, cereals like ragi, millet and corn can be chosen.
  • Avoid rice, potato, sweet fruits, wheat, white flour, red meat, sugar and products, sugarcane, jaggery; sweetened fruit juices must be avoided.

For an appointment contact:

Dr. Tina Dias

Medical Director,

Medicia Clinic FZ LLC,

Building No: 40,

Clinic No: 04, Ground Floor,

Dubai Healthcare City, UAE


Telephone: +971 4 564 6010

Mobile: +971 50 502 7927



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