Madhumeha: Ancient Origins, Recent Epidemic | Best Indo-American Magazine | San Jose CA.

Diabetes has been around for thousands of years. It has been recognized by several ancient cultures including Indian, Egyptian, Chinese, and Persian. Sushruta, a surgeon and doctor who lived around 600 BC. He lived in the Varanasi region in northern India, documented this in his work. They realized that ants were attracted to the urine of affected people, and it was called Madhumeha (Sanskrit; Madhu honey).

Ancient doctors also recognized that there were two types of conditions which included excessive urination and weight loss. This detection of excess sugar in individuals with diabetes was refined over the next 2000 years and 18 yearsth Century, England Johann Peter Frank is credited with identifying two forms of diabetes – diabetes mellitus and diabetes insipidus. Mellitus (Greek; honey) was associated with high levels of sugar in the urine, whereas Insipidus was not. Indeed diabetes Insipidus is an unrelated condition that is related to the hormonal control of the kidneys and leads to excessive urination.

Until the 5thth Centuries doctors in India and China had established that there are two types of diabetes mellitus, one of which was widespread in older and heavier people. The methods of recognizing, understanding, and treating diabetes mellitus have evolved with technological developments. Relatively quick progress since the 18thth Century identified insulin as the hormone secreted by the pancreas that plays a central role in this indication, and also defines type 1 and type 2 diabetes.

Type 1 (also known as “early onset” and “insulin dependent”) is a disease that generally develops in children and younger people who have impaired or completely stopped insulin production by the pancreas for a number of reasons. Type 2 diabetes (also known as “adult onset” and “non-insulin dependent”) is the focus of this article and has become a global health problem.

In its current prevalence trend, type 2 diabetes (T2D) has blurred two lines. It used to be limited to low- and middle-income countries, but now it’s on the rise in higher-income countries too. Second, the age of onset is not limited to elderly patients. Among the Indian population worldwide, T2D is increasing in number in India and also in expatriate Indian and Southeast Asian communities. Some studies give the number of Indians in the USA considered the group with the highest incidence of diabetes than any other racial group in an age group over 20. Similar reports were made in relation to Europe and UAE. Within India itself, the number of T2D has increased in adults over the age of 20 tripled over the past 3 decades.

This marked increase in T2D in Southeast Asian expatriate communities, and also in their countries, particularly India and China, is believed to be due to the relatively recent cultural changes in diet and lifestyle over the past 50 years, such as an increase in the Consumption of deep-fried foods, fast foods, refined grains and sugars, lack of fiber and sedentary lifestyle.

In addition to these behavioral changes, T2D is caused by an interplay of genetic and environmental factors, and family history serves as an indicator that people are being warned about their own health. However, given the speed with which changes in the age of onset and the incidence of T2D are documented, it appears that changes in the environment, diet and lifestyle are the main drivers of the current epidemic. In addition, Indians generally have higher levels of insulin resistance than Caucasians, which occurs when the body’s cells lose the ability to respond to insulin, even if it is produced by the pancreas.

The burden of long-term health effects from T2D is significant for individuals and from a public health perspective. The more severe chronic manifestations include neuropathies, foot ulcers, blindness, kidney dysfunction, accelerated aging, and a general decline in health and productivity. In addition to insulin, newer drugs exist to control blood sugar and the insulin response, and other therapies are being developed, including stem cell therapeutics.

If T2D has a good aspect, it can be prevented or its onset delayed. The fact that the onset can be delayed is a point of practical concern as most of the clinical manifestations occur with high blood circulation due to the cumulative effects of sugar. Prevention is the best cure, as the saying goes. Regular health checks indicate pre-diabetes. Condition. Glucose intolerance tests, HbA1c levels in the blood, body mass index, and obesity are common tests used to measure pre-diabetes. This indication should be understood as a warning and should be taken seriously and treated with a positive attitude.

The trinity of diet, exercise and stress management is often required. Eat less. Eat on time. Run more. In general, the recommended lifestyle changes are aimed at maintaining steady blood sugar levels and achieving or maintaining optimal body weight.

Processed grains and refined carbohydrates like maida (all-purpose flour) have a high glycemic index. Unlike whole grains, they are quickly metabolized to sugar and cause a sudden spike in blood sugar levels. Our standard tariff includes white rice or chappatis / other breads as a base and can be replaced with brown rice and atta (whole grain wheat).

Instead of serving a plate with a large serving of rice and side dishes of vegetables and egg whites, switch the quantities and serve rice as a side dish instead. Control the portion sizes and keep constant time intervals between meals and snacks. Add low-calorie soup products that are designed to fill the stomach. Fasting is not recommended. Eat a high-fiber diet that includes leafy green vegetables and excludes starchy vegetables, skimmed-milk yogurt, and whole grains. High fiber dals (moong, masur, urad, etc. along with sprouted whole dals) and beans (like chole and rajma) should be a mainstay. The regular inclusion of methi (fenugreek) in cooking as well as in salads and dals after sprouting (sprouting methi completely reduces the bitter taste) adds flavor and health benefits. Delicious and low-sugar fruits include papaya, guava, blueberries, and jam.

Items to consider and exclude or eat in disciplined quantities include fried foods and fatty foods in general (including our delicious tea time snacks!), Foods that contain sugar and artificial sweeteners (yes, some sweeteners and additives in large amounts) sweeteners can create a sugar spike!) and processed grains. While regulating these factors will help maintain body weight, avoiding sugar, sweeteners, and including whole grains will help maintain even blood sugar levels. Depending on the stage of diabetes, fruits can be eaten in moderation, but fruits with high sugar content such as mangoes, grapes, and sapotas should be avoided.

As with diet, even exercise is highly recommended in diabetes. Even our hoarse sage Sushruta recommended This, and in some studies, the inclusion of exercise had the most obvious enhancement effect. The type of exercise must vary based on the age and capacity of the individual, but even a basic activity like a brisk 30-minute daily walk would make a difference. Obviously more will be needed if weight loss is a goal. While yoga is great for weight maintenance, it is not enough for weight loss. Walking, yoga, and exercise generally also help with stress management, and depending on individual preferences, others may be included, such as: B. Reading, meditation, etc.

The fight against the diabetes epidemic on a global scale would have to start with the individual.

L Iyengar has lived and worked in India and the USA. As a trained scientist, she enjoys getting to know different cultures and ideas. She can be found on Twitter at @l_iyengar.

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