Diabetes (Madhumeha)

Definition

Diabetes mellitus is a chronic disorder marked by elevated blood glucose (hyperglycemia). Excess glucose spills into urine (glycosuria), increasing urination, dehydration and thirst. Glucose comes from food and the liver/muscles; insulin from the pancreas enables glucose to enter cells for energy. When insulin is insufficient or doesn’t work well, blood sugar rises.

Common Types

• Type 1: autoimmune insulin deficiency
• Type 2: insulin resistance ± reduced insulin production
• Gestational: first recognized during pregnancy
• Prediabetes: elevated glucose not yet in diabetes range

Symptoms

Frequent urination (day & night), increased thirst, weight change, fatigue, blurred vision, slower wound healing, and higher risk of infections (e.g., urinary tract). Without care, complications can affect eyes, kidneys, nerves, heart and feet.

Ayurvedic Perspective (Supportive)

In Ayurveda, Madhumeha is often described with Vata involvement and impaired digestion (agni) leading to accumulation of by-products (ama). Supportive care focuses on restoring balance with individualized diet, herbal formulations, daily routine, and physical activity. These approaches are best used alongside modern diabetes management and under qualified supervision.

Diet & Lifestyle Advice

• Include whole grains (e.g., whole-wheat bread/pasta, brown rice).
• Low-fat dairy like curd/yogurt or cheese made from skimmed milk.
• Use garlic, onion, bitter gourd (karela), spinach, raw banana, and black plum.
• Try a flour mix: 1 part barley, 1 part black chickpeas, 4 parts whole-wheat flour (for rotis/pancakes).
• Avoid sweet, sour, and very salty items; potatoes, yams, taro; fresh (new) grains & pulses; full-fat yogurt; heavy, oily, and spicy foods.
• Avoid sweet fruits like pineapple, grapes, and mango.
• Build up regular activity: brisk walk 30–40 minutes morning and evening.
• Avoid daytime sleeping, which may aggravate Kledaka Kapha.

Some Home Remedies

• 2 tsp bitter gourd (karela) juice once daily (also as a cooked vegetable).
• 1 tsp fenugreek seed powder with water, twice daily.
• 1 tsp Indian gooseberry (amla) juice + 1 tsp bitter gourd juice, twice daily.

Always discuss new remedies with your clinician, especially if you use diabetes medicines.

When to Seek Care (Important)

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