Diabetes-Who Knows More Lives More
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About this ebook
The book explains how diabetes can affect physical well-being and lists simple steps to prevent as well as manage diabetes by diet, exercise, yoga and Medication.This book tackles the many insignificant aspects of juggling insulin doses, blood sugar levels and Many misconceptions in diabetes also.
Dr. Ajay Kumar
Dr. Ajay Kumar is Assistant Professor in the Department of Kayachikitsa and Panchakarma at Government Post Graduate Ayurveda College and Hospital, Varanasi. He has completed B.A.M.S. in 2005 from the same college and after this completed M.D. and Ph. D. in Kayachikitsa from Banaras Hindu University. His main areas of specialisation are hypertension, cardio-respiratory and diabetes. He has published so many books such as Hypertension in Ayurveda, Male Infertility and Management, Bimariyo ko Harayege, Madhumeha, Kayachikitsasutram, Bheshaj Darpan & Kayachikitsa. About 20 research papers have been published in international and national level journals & More than 200 health related articles have been written for national level news papers by him. He has presented guest lectures in more than 30 international and national level seminars, and also organised several seminars. He has been awarded "Jeevak Award" by Himalaya Herbal Health Care, "Ayurmedha Award" by Charak Pharma, "Excellence Award" by AIMIL, "Charak Award" by Nirog Street with Collaboration of Min. of AYUSH, "Ayurved Dhanwantari Samman" by District Naukayan Sangh, Varanasi, "Kashi Gaurav Award" by Hockey Varanasi, "Vaidyamitra Award" by District Olympic Association, Varanasi, "Ayush Gaurav" award by Banaras Hindu University and Baikunthi Ayush Research and Social Welfare Society, Lucknow and "Teachers Innovation Award" by Sri Aurobindo Society.
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Diabetes-Who Knows More Lives More - Dr. Ajay Kumar
Dr. Ajay Kumar
B.A.M.S., M.D.(Ay), Ph.D., IMS(BHU)
Asst. Professor, Kayachikitsa & Panchkarma
Govt. P.G. Ayurveda College & Hospital, Varanasi
Ex. Asst. Professor, Kayachikitsa & Panchkarma, IMS, BHU
Email- drajay2000@gmail.com
Facebook-facebook.com/ajayguptavns
Twitter- @drajay_gupta
ATREYA HEALTH SERIES
PREFACE
During the course of about fifteen years of medical practice, I realized that all the diabetic patients who came for treatment, whether they were highly educated or illiterate, all have lack of awareness about diabetes and they were completely ignorant to its complications. Everyone had a lot of question and confusion in their mind and due to these, they were not able to control their blood sugar properly.
Diabetes is a disease in which more effort and understanding is required to be shown by the patient himself. The most important thing to control diabetes is to educate the patient. The father of diabetes, Professor Joslin said, The diabetic who knows more, lives more
means that more a diabetic patient knows about his disease, the more days he lives. Diabetes is a leading cause of blindness, amputation, heart disease, kidney failure and early death. Simple awareness can reduce the risk. World Diabetes Day (WDD) is celebrated globally on November 14 to raise awareness about both Type 1 and Type 2 diabetic patients.
Diabetes is not a new disease; it is mentioned in all the oldest texts of Ayurveda since about five thousand years ago. Along with its origin, medicine is also described in detail in these texts. In the medical context, it has been clearly told that there are two types of diabetic patients, one is obese and the other is lean & thin. This is what modern medical science has described as type-1 and type-2 diabetes. Diabetic patients often complain related to meal. They often say that how can anyone eat the same boring food every day. There is no taste in food and the mind is not satisfied as much as it is eaten. A separate chapter has been given to solve this problem. There are also common misconceptions in diabetic patients. A chapter has also been given to resolve this.
The main purpose of writing this book is that everyone should know about diabetes. By reading this book you can get rid of your misconceptions and achieve long & healthy life.
(Dr. Ajay Kumar)
14 November 2019
World Diabetes Day
Acknowledgment
I would like to express my special thanks of gratitude to my teachers, Colleagues, and Friends who gave me the golden opportunity and guidance to do this wonderful work on Diabetes, and I am really thankful to them.
Prof. S.N. Singh, Director, Ayurvedic Services, Uttar Pradesh
Prof. K.N. Dwivedi, Deptt. of Dravya Guna, IMS, BHU
Prof. Anand Chaudhary, Deptt. of Ras shastra., IMS, BHU
Prof. O.P. Singh, Deptt. of Kayachikitsa, IMS, BHU
Prof. J.S. Tripathi, Deptt. of Kayachikitsa, IMS, BHU
Prof. Rajendra Prasad, Deptt. of Kayachikitsa, IMS, BHU
Prof. H.H. Awasthi, Deptt. of Rachana Sharir, IMS, BHU
Prof. K.N. Singh, Deptt. of Rachana Sharir, IMS, BHU
Prof. P.C. Saxena, Principal, SAC, Lucknow
Prof. Neelam Gupta, Principal, GAC, Varanasi
Prof. Kanchan Gupta, GAC, Varanasi
Prof. A.K. Sonker, Deptt. of Kriya Sharir, GAC, Varanasi
Prof. Awadhesh Kumar Singh, Principal, GAC, Handia
Dr. K.N. Murthy, Deptt. of Kayachikitsa, IMS, BHU
Dr. Yashwant Chauhan, Deptt. of Samhiha, GAC, Varanasi
Dr. K.K. Dwivedi, Deptt. of Kayachikitsa, GAC, Varanasi
Dr. Ajay Kumar, SRM Ayu College, Bareilly
Dr. Ajay Pandey, Deptt. of Kayachikitsa, IMS, BHU
Dr. Vinay Mishra, SMO, GAC, Varanasi
Dr. Shailendra Shrivastav, Deptt. of Shalya, GAC, Varanasi
Dr. S.K. Rathaur, Deptt. of Kriya Sharir, GAC, Varanasi
Dr. Vijay Srivastava, Deptt. of Kayachikitsa, IMS, BHU
Dr. Prakash raj SIngh, Deptt. of Kriya Sharir, GAC, Varanasi
Dr. Tina Singhal, Deptt. of Rachana Sharir, GAC, Varanasi
I am also thankful to my PG and UG students who helped me to a lot with dedication during entire work
Dr. Abhishek Yadav, M.D. Scholar, Panchkarma, GAC, Varanasi
Dr. Jyotima Pandey, M.D. Scholar, Samhita & Sidhant, GAC, Varanasi
Kritika Tripathi, BAMS Student, GAC, Varanasi
Dedicated to
My Guide, Teacher & Mentor
Prof. B.N. Upadhyay
Ex. HOD, Department of Kayachikitsa
Faculty of Ayurveda, IMS, BHU
(23 January 1946 - 4 September 2019)
CONTENTS
WHAT IS DIABETES
TYPES OF DIABETES
TYPE-1 DIABETES
TYPE-2 DIABETES
COMMON SYMPTOMS OF DIABETES: -
HOW DIABETES DEVELOPS
1. DEFORMITY OF PANCREAS
2. IMBALANCE OF INSULIN
3. OBESITY: -
5. GENETIC CAUSES
6. UNHEALTHY EATING PATTERN
7. MEDICAL CAUSES
DIAGNOSIS
1. BLOOD SUGAR LEVEL ESTIMATION -
2 - GLYCOSYLATED HEMOGLOBIN TEST (HBA1C TEST) -
3- ORAL GLUCOSE TOLERANCE TEST: -
4. TEST FOR DIABETES COMPLICATIONS
5. EXAMINATION FOR DIABETES COMPLICATIONS
DIET REGIME IN DIABETES
BALANCED DIET - KEY TO HEALTH
MAIN COMPONENTS OF DIET
CARBOHYDRATE
FAT
PROTEIN
FIBRE
WHY DIET IS IMPORTANT?
GLYCAEMIC INDEX
FOODS TO BE INCLUDED IN THE DIET
DIET TIPS FOR DIABETICS
FOOD & CALORIE VALUE
DAILY REQUIREMENT
CALORIES AND HEALTH
CALCULATION OF CALORIE
CALORIE CHART OF VARIOUS FOODS
HOW MANY CALORIES DO I NEED?
DIET CHART
HOW TO CALCULATE YOUR CORRECT WEIGHT
HOW TO CALCULATE YOUR REQUIRED CALORIES
PREPARE DIET CHART WITH REQUIRED CALORIES
FOOD EXCHANGE
BEFORE MAKING DIET CHART CONSIDER THESE THINGS
COMMON DIET CHART FOR DIABETICS
AYURVEDIC MEDICINE
MADHUMEHA
TYPES OF MADHUMEHA
SPECIFIC FEATURES OF PRAMEHA
KAPHAJ PRAMEHA
PAITTIK PRAMEHA
VATIK PRAMEHA
DIAGNOSIS OF PRAMEHA
MANAGEMENT OF PRAMEHA
1. AHARA (DIET)
2. VIHARA (EXERCISE)
3. AUSADHI (DRUGS)
AUSADHI YOGA (PHARMACEUTICAL PREPARATION)
SINGLE DRUG THERAPY
ALLOPATHY MEDICINE
TYPES OF DRUG
1. SULFONYLUREA GROUP-
2. BIGUANIDE GROUP-
3. ALPHA-CARBOXIDASE INHIBITORS
4. THIAZOLIDINEDIONES
5. DPP-4 INHIBITORS
6. GLP-1 RECEPTOR AGONISTS
7. SGLT-2 INHIBITORS
CHOICE OF ALLOPATHIC MEDICINE
WHY SOME MEDICINE BECOME INEFFECTIVE?
VARIATION IN EFFECT OF ALLOPATHIC MEDICINE
INSULIN THERAPY
WHY INSULIN NEEDED?
TYPES OF INSULIN (BASED ON ORIGIN)
WHICH INSULIN IS BETTER?
TYPES OF INSULIN (BASED ON MEDICAL USE)
TIME OF ONSET OF DIFFERENT INSULIN
RAPID ACTING INSULIN
SHORT ACTING INSULIN
INTERMEDIATE ACTING INSULIN
LONG ACTING INSULIN
PRE-MIXED INSULIN
inhaled insulin
WHICH INSULIN SHOULD BE TAKEN?
INSULIN DOSE ADJUSTMENT
INSULIN PEN
METHOD OF INJECTING INSULIN