Sri Sri College of Ayurvedic Science & Research Hospital, Sri Sri University, Cuttack



In modern medicine diabetes is a burden upon health care facilities in all countries & its incidence is rising & it is estimated that in the year 2000, 171 million people had diabetes which is expected to double by 2030. This global pandemic principally involves type-2 DM. So prevention is the only way to have control over the global pandemic. It is possible if a satisfactory management schedule is implemented during the stage of Prediabetes (Purvarupa of Madhumeha).

What is prediabetes (Purvarupa of Madhumeha) ?

  • Unlike many other chronic diseases, T2DM is not heralded by a discrete physiologic event which defines diagnoses; rather it sits at one end of a continuous glucose control spectrum with normal glucose control at the other. In-between these two boundaries exists a region of abnormal glucose control which is already characterized by concomitant insulin resistance & βcell-dysfunction but does not yet reach the criteria for T2DM.Those diagnosed with T2DM typically spend an extended period in this region of impaired glucose regulation, sometimes for more than a decade, before progressing to T2DM.
  • This is a stage in which individuals are at greater risk of progressing to type 2 DM & have an increased risk of cardiovascular diseases & there is predominance of polydipsia, Burning -sensation in the palm and sole,  numbness in palm and sole, Lassitude,etc.)

How can it be diagnosed  ?

Diagnosis based on Symptoms :-
When a person is having the following symptoms :-

  • Pipasa (Thirstyness)                                           
  • Karapada daha ( Burning sensation in the palm and sole)
  • Karapada supata  ( numbness in palm and sole)                          
  • Alasya (Lassitude)

Diagnosis based on Biochemical estimation:-
When a person is having the following blood sugar level

  • IFG        =   100 – 125 mg/dl
  • IGT        =    140 – 199 mg/dl
  • HbA1c   =     5.7 – 6.4  mg/dl

How can it be prevented ?


Exercise for 30 min/d five times/week. The Diabetes Prevention Program (DPP) demonstrated that intensive changes in lifestyle (diet and exercise for 30 min/d fiv times/week) in individuals with IGT prevented or delayed the development of type 2 DM when implemented in the stage of increased risk of diabetes  or pre-diabetes.

If a person possesses different types of strenuous exercise, unction, bath, a sprinkling of water over the body & application of ointment made by Usira,Ela, Aguru, Chandana etc, he never gets affected by this disease100 jojana ( 1000 miles) of walk should be completed in a year.

Limitation of exercise:

  • Exercise should be continued until there is perspiration in the axilla,, forehead, tip of the nose etc.
  • It should be continued until the development of aerophagia.
  • It should be continued till the half of the body power is utilized.

Yogic practices:

Yoga is an ancient discipline to bring balance & health to the physical, mental, emotional & spiritual dimensions in an individual. This form of exercise acts via autonomic nervous system by deviating both sympathetic & parasympathetic indices toward more normal middle region of the reference values. Studies have shown that yoga decreases level of salivary cortisol, blood glucose, as well as plasma rennin levels, & 24 hour urine norepinephrine & epinephrine levels. Yoga significantly decreases HR, systolic & diastolic blood pressures.It has been observed that regular yogic practice at least 1 hour/ day is as effective as medical therapy in  in controlling blood pressure . It retards progression of atherosclerosis in patients with severe CAD. Yoga exerts favourable effect on lipid profile by decreasing LDL & Tg levels.  Yoga controls diabetes by increasing insulin sensitivity & decreasing fasting glucose levels.

The yogasanas like Ardha Matsyendrasan, Dhanurasana,  Bhujangasana, Naukasana, Paschimotasana, Shavasana should be practised.

  • Nutritional recommendations  
    • The hypocaloric diet that is low-carbohydrate. Fat in the diet (optimal % of the diet is not known; should be individualized).
    • Minimal trans fat consumption.
    • A Mediterranean-style diet rich in monounsaturated fatty acids may be better.
    • Carbohydrate in the diet (optimal % of the diet is not known; should be individualized).
    • Monitor carbohydrate intake with regard to calories.
    • Sucrose-containing foods may be consumed but minimize intake.
    • Use the glycemic index to predict how consumption of a particular food may affect blood glucose.
    • Fructose preferred over sucrose or starch.
    • Protein in the diet (optimal % of the diet is not known; should be individualized) Other components.
    • Dietary fibre (25-40gm/day), vegetable, fruits, whole grains, dairy products, and sodium intake as advised for the general population.
    • Nonnutrient sweeteners
    • Routine supplements of vitamins, antioxidants, or trace elements not
    • Salt- 5gm a day.
    • Alcohol is not recommended.
    • Reduction in waist circumference.
    • Decrease weight by5% for overweight, 10% for obesity,15% for severe obesity & maintenance for at least one year.
  • Obesity

Weight loss, of between 5 to 10% of initial body weight and maintenance, was a core component of all successful diabetes prevention programs.

  • Translation of diabetes prevention into routine primary care.
  • Identifying those at high risk.
  • Smoking Cessation
  • Administration of vitamin D.
Related Posts
Leave a Reply

Your email address will not be published.Required fields are marked *