Diabetes: 3 experts, three remedies

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Three experts tell us how they approach diabetes and offer remedial measures. Dr. Narendra Bhatt, Ayurvedic doctor Ayurvedic texts have described `Madhumeha', which is similar to diabetes as one of the 20 forms of dysuria. While Madhumeha falls under, vaat -the cosmic phenomenon is functionally represented in human body in terms of vaat (air), pitta(fire) and kapha(earth) -category of dysuria, the role of agni, the metabolic factor and disturbances of urinary and sweat channels, are of great significance too. One of the greatest strengths of ayurveda is in identifying possible causative factors that relate to clinical manifestation, excessive urinary flow is one such. Careful study of lifestyle can help identify the cause for the illness in an individual. Diet, not only in terms of the quality of food, but when and in what manner you eat are equally important. Irregular timings of food intake or eating dinner continuously late are definite invitation to this illness. Sedentary lifestyle, particularly working on computers and use of air-conditioners, are other contributing factors, as these lead to controlled metabolic circulation against natural processes, which must be in sync with the environment. Those who travel frequently by air or in airconditioned cars -if not balanced with physical activities -are susceptible to early onset of this disease. Ayurveda also acknowledges that diabetes is a genetically predisposed disease and can be tackled by following a proper diet. The best solution I could offer is to exercise and to go for regular walks. There is no substitute to walking for prevention or management of diabetes. Abhishek Sharma, Yoga teacher Diabetes is acknowledged as a lifestyle disease. It's the disorder of the metabolic system. Yoga offers prevention, helps in the management of diabetes and in some cases even cures it. This is because yoga offers a holistic regime. It creates a balance in the body. It works on the system as a whole, and brings equilibrium in the body.Yoga works on balancing the nervous system, endocrine system, and helps the coordination between different systems in the body. While yoga in totality is helpful for diabetics, there are some asanas and pranayam that are specifically beneficial. Ardha matsyendra, which essentially is a spinal twist, is very effective for one. The posture compresses pancreas, kidneys and stimulates digestion and squeezes out toxins. It rejuvenates the insulin producing beta cells in the pancreas. Urdhva-mukh Svanasanis another powerful pose that awakens upper-body strength and offers a wonderful stretch for the chest and abdomen. Be cause you're holding the stretch in the abdomen region, you are increasing the blood circulation in the area and the effect it has on digestive system is great. This, if practised along with SHASHANKASANA -performed by lowering your body and placing your head on floor -in rhythm, is extremely beneficial. It improves the function of the pancreas, kidney and intestine. Surya Namaskar, a series of 12 asanas performed in a dynamic manner -increases the blood circulation in the entire system.It tones the spine and stomach, and helps in the coordination of the different systems in the body, which helps in diabetes. It rejuvenates the entire body. Anulom vilom - or alternate nostril breathing exercise -is one of the main practices of pranayama.The entire nervous system and the endocrine system creates an equilibrium in the system and regulates the secretion of different glands in the body. It also helps to calm the nerves and reduce stress, which also is a big factor in diabetes. Kapalbhati (refer to the process below) is a breathing technique that directly stimulates the pancreas. It also helps the body get rid of toxins and increases the metabolic rate.D Elongate your spine upwards, lengthen your neck and bring your chin back. Relax your stomach muscles. D Now expel the air as forcefully as you are comfortable with through the nose. This should cause the abdominal muscles to con tract and should draw the abdomen inwards towards the spine (like when you suck in your stomach). Then allow the inhalation to occur passively. To repeat, the exhalation is done using conscious force, while the inhalation is just a recoil action bringing the air back into the lungs. All the breathing takes place through the nose. Right after the pas sive inhalation, exhale again forcefully and continue at a steady rhythm. Dr.Manish Motwani , Bariatric surgeon Obesity is a complex, clinical disorder. Studies have proven that there are many detrimental health effects of obesity with an increased risk of developing heart disease, diabetes, gall bladder disease, asthma, obstructive sleep apnea, chronic musculoskeletal problems, polycystic ovary syndrome, infertility, psychosocial problem as well as some forms of cancer. Bariatrics is the field of medicine that specialises in treating obesity.Bariatric surgical procedures bring about major weight loss for people with morbid obesity. But let me point out, weight loss surgery is not only for obese people, but also for those who are unable to shed weight through dieting or other hormonal problems. What weight loss surgery does is it causes pro found changes in the incretions -hormones in the gastrointestinal tract that cause insulin to be released. Another reason for control of diabetes after laparoscopic weight loss surgery is significant weight loss and reduced dietary intake. These changes lead to significant improvement in Type 2 diabetes and can cause long-term changes in the pancreas that causes diabetes to go away.These changes help individuals: Get remission for Type 2 diabetes Decrease the amount of medications they need on a daily basis Postpone the onset of diabetes (especially for individuals with pre-diabetes). Obesity is a grave disease and root cause of various medical problems. The best treatment for obesity is prevention. So, healthy lifestyle choices would ensure long-term fitness.Bariatric surgery, also called metabolic surgery is a safe and proven option for morbid obesity and diabetes and the only method in the world giving a cue rate of more than 75-80 per cent. A word of caution- A patient, especially if he/she suffers from diabetes, must take preventive measures after a bariatric surgery. Various preventive measures that must be adopted post bariatric surgery are: Close follow-up postoperatively is needed because of the high risk of hypoglycaemia. No self-medication or self-reduction of medicines. These should be supervised by endocrinologists.Regular follow up meetings with a nutritionist. Diet post-surgery should be systematic and supervised.

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