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DIABETES

 Diabetes is a common life-long health condition.

Diabetes is a condition where the amount of glucose in your blood is too high because the body cannot use it properly.

This is because your pancreas doesn’t produce any insulin, or not enough

insulin, to help glucose enter your body’s cells – or the insulin that is produced does not work properly (known as insulin resistance).

 As of 2013, 382 million people have diabetes worldwide. Type 2 makes up

about 90% of the cases

In 2014, the International Diabetes Federation (IDF) estimated that diabetes resulted in 4.9 million deaths.

 TheWorld Health Organization (WHO) estimated that diabetes resulted in 1.5 million deaths in 2012, making it the 8th leading cause of death.

CLASSIFICATION

 TYPE 1 DIABETES MELLITUS

 TYPE 2 DIABETES MELLITUS

GESTATIONAL DIABETES

OTHER SPECIFIC TYPES

MODY {MATURITY ONSET DIABETES OF THE YOUNG}

 LADA {LATENT AUTOIMMUNE DIABETES OF ADULT}

 NEONATAL DIABETES MELLITUS [NDM]

5. WOLFRAM SYNDROME

6. ALSTROM SYNDROME

Type I -{IDDM,JUVENILE DIABESTES}

It occurs when the individuals own immune system acts against pancreatic β-cell and destroys it.

Causes- beta cell loss, severe insulin secretary, deficiency, genetic, immunogenic

c/f- age below 20 yrs, osmotic symptoms i.e. wt loss Dehydration,

Type II-{NIDDM}

It is a disorder of metabolism of carbohydrate, protein and fat due to absolute or relative deficiency of insulin secretion and with varying degree of insulin resistance.

Age 35-65 yrs

Often obese

Slow insidious

Ayurvedic view :-

Pramēha:

Almost all causative factors of Santarpaṇajanya diseases have been found in Pramēha.  and Obesity They are as follows-

Sr no	Santarpaṇajanya hētus	Santarpaṇaetar hētus	a/c Carak	a/c suśrut	a/c ashtang hrudya
1	Aasysukha		+	-	+
2	Swapnasukha		+	-
3	Divaswapna		+	-	+
4	Aanupa mamasa		+	-
5	Payas		+	-	+
6	Navanna		+	-
7	Gudavaikrut		+	-	+
8	Aatimatra Navdhanya		+	-	+
9	Ghee		+	-	-
10	Pishtanna		+	-	-
11	Kshir		+	-	-
12	Navmadya		+	-	+
13	Madhur		+	-	+
14	Guru		-	-	+
15	Snigdha		-	+	+
16	Pichhila		-	+	+
17	Aalasya		--	+
18		Avyayam	-	+
19		Medya ahar	--	+	+
20		Aamla	-	-	+
21		Kaphaj ahar	+	-	+
22		Sheet	-	+	+
23		Lavan	-	-	+
24		Dadhi	+	-	+
25		Ikshu	-	-	+

bahud`va SlaoYmaa daoYa ivaSaoYa: | ca.ina.4.6

Pramēha is generated by vitiated Kapha Dōṣahaving dominance of Drava Guṇa . Dushyasangrah of pramēha is 1) Meda, 2) Mamsa,3) Vasa, 4) Majja, 5) Kleda 6) Sukra, 7) Rakta, 8) Lasika 9) Rasa 10) Oja.

Nidans of Pramēha like navaanna, gudvikruti, pishtanna, and guru are guru in nature in which Pruthavi mahabhoot is dominant. And the nidan like kshir, kaphaj ahar, with vihāraj aasansukha divaswapn are responsible for aggravation of Kapha. The lavan and amla ahar have results in shithilatwa in the body.

Santarpaṇa as Cikitsā in Pramēha:-

isnagQasya yaaogaa ivaivaQaa: p`yaaojyaa: klpaopidYTa malaSaaoQanaaya |}Qva-M tqaa|QaEca malao|pnaIto maohoYau saMtp-Namaova kaya-ma\ | 16 | ca.saU. 6.16

Though Pramēha is developed by over use of Santarpaṇa i.e. maximum causative factors of Pramēha creates Santarpaṇa in the body, still Santarpaṇa is treatment prescribed for Pramēha in specific condition for specific purpose. It is as follows. 

In Vātj Pramēha, when patient is weak, Br̥haṇa Cikitsā is advised in  Caraka . After proper virechan, patients become weak hence to regain the strength of Dhatus, Santarpaṇa is advised. If Apatarpan given in such patient it will cause more weakness in the body and results in Vātaj Pramēha. 

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