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Diabetes
mellitus is a nutritional disorders, characterized by an
abnormally elevated level of blood glucose and by the
excretion of the excess glucose in the urine. It results
from an absolute or relative lack of insulin which leads
to abnormalities in carbohydrate metabolism as well as in
the metabolism of protein and fat.
Diabetes is a disease known to the medical world since
time immemorial. Its incidence is , however, much higher
at present than ever in the past. This is especially true
in case of more advanced countries of the world due to
widespread affluence and more generous food supply.
The most commonly-used screening tests are the
determination of the fasting blood glucose level and the
two-hour postprandial, that is after a meal. The normal
fasting blood sugar content is 80 to 120 mg. per 100 ml.
of blood and this can go up to a level of 180 mg. per 100
ml. of blood two hours after meals. Anything above these
norms can be termed diabetic levels.
Diabetes occurs in all age groups, from young infants to
the elderly. The greatest incidence occurs in middle or
older aged persons. It is estimated that 80 to 85 per
cent of all individuals with diabetes mellitus are 45
years of age or older. Symptoms
The word
diabetes is derived from the Greek word meaning "to
siphon to pass through", and mellitus comes from the
Latin word "honey". Thus two characteristic
symptoms, namely, copious urination and glucose in the
urine give the name to the disease. The normal volume of
urine passed daily is about one and a half litres. The
urine is of a pale colour, has an acidic reaction and
sweetish odour. The quantity of sugar present in it
varies from one-and-quarter decigram to two and-a-half
grams the total per day in many cases reaching as much as
one kg in 15 litres of urine.
A diabetic feels hungry and thirsty most of the time,
does not put on weight, though he eats every now and
then, and gets tired easily, both physically and
mentally. He looks pale, may suffer from anaemia,
constipation, intense itching around the genital organs,
palpitations and general weakness. He feels drowsy and
has a lower sex urge than a normal person.
Causes
Diabetes has
been described by most biological doctors as a
"prosperity" disease, primarily caused by
systematic overeating and consequent obesity. Not only
the overeating of sugar and refined carbohydrate but also
of proteins and fats, which are transformed into sugar if
taken in excess, is harmful and may result in diabetes.
Too much food taxes the pancreas and eventually paralyses
its normal activity. It has been estimated that the
incidence of diabetes is four times higher in persons of
moderate obesity and 30 times higher in persons of severe
obesity.
Grief, worry and anxiety also have a deep influence on
the metabolism and may cause sugar to appear in the
urine. The disease may be associated with some other
grave organic disorders like cancer, tuberculosis and
cerebral disease. Heredity is also a major factor in the
development of the disease. It has been rightly said,
" Heredity is like a cannon and obesity pulls the
trigger."
Treatment
Any successful
method of diabetes treatment should aim at removal of the
actual cause of the disease and building up of the whole
health-level of the patient. Diet plays a vital role in
such a treatment. The primary dietary consideration for a
diabetic patient is that he should be a strict
lacto-vegetarian and take a low-calorie, low-fat,
alkaline diet of high quality natural foods. Fruits, nuts
and vegetables, whole meal bread and dairy products form
a good diet for the diabetic. These foods are best eaten
in as dry a condition as possible to ensure thorough
salivation during the first part of the process of
digestion.
Cooked starchy foods should be avoided as in the process
of cooking the cellulose envelops of the starch granules
burst and consequently, the starch is far too easily
absorbed in the system. The excess absorbed has to be got
rid of by the kidneys and appears as sugar in the urine.
With raw starchy foods, however, the saliva and digestive
juices in the small intestine regulate the quantities
required to be changed into sugar for the bodys
needs. The unused and undigested portion of raw starchy
foods does not become injurious to the system, as it does
not readily ferment.
The diabetic should not be afraid to eat fresh fruits and
vegetables which contain sugar and starch. Fresh fruits
contain sugar fructose, which does not need insulin for
its metabolism and is well tolerated by diabetics. Fats
and oils should be taken sparingly, for they are apt to
lower the tolerance for proteins and starches. Emphasis
should be on raw foods as they stimulate and increase
insulin production. For protein, home- made cottage
cheese, various forms of soured milks and nuts are best.
The patient should avoid overeating and take four or five
small meals a day rather than three large ones.
The following diet should serve as a guideline.
Upon
arising : A
glass of lukewarm water with freshly squeezed lemon
juice.
Breakfast
: Any fresh
fruit with the exception of bananas, soaked prunes, a
small quantity of whole meal bread with butter and fresh
milk.
Lunch
: Steamed or
lightly cooked green vegetables such as cauliflower,
cabbage, tomatoes, spinach, turnip, asparagus and
mushrooms, two or three whole wheat chapatis according to
appetite and a glass of butter-milk or curd.
Mid-afternoon
: A glass of
fresh fruit or vegetable juice.
Dinner
: A large
bowl of salad made up of all the raw vegetables in
season. The salad may be followed by a hot course, if
desired, and fresh home-made cottage cheese.
Bedtime
Snack : A
glass of fresh milk.
Flesh foods find no place
in this regimen, for they increase the toxaemic condition
underlying the diabetic state and reduce the sugar
tolerance. On the other hand, a non-stimulating
vegetarian diet, especially one made up of raw foods,
promotes and increases sugar tolerance.
Celery, cucumbers, string beans, onion and garlic are
especiallybeneficial. String bean pod tea is an excellent
natural substitute for insulin and highly beneficial in
diabetes. The skin of the pods of green beans are
extremely rich in silica and certain hormone substances
which are closely related to insulin. One cup of string
bean tea is equal to one unit of insulin. Cucumbers
contain a hormone needed by the cells of the pancreas for
producing insulin. Onion and garlic have proved
beneficial in reducing blood sugar in diabetes.
Recent scientific investigations have established that
bitter gourd (karela) is highly beneficial in the
treatment of diabetes. It contains an insulin-like
principle, known as plant-insulin which has been found
effective in lowering the blood and urine sugar levels.
It should, therefore, be included liberally in the diet
of the diabetic. For better results, the diabetic should
take the juice of about 4 or 5 fruits every morning on an
empty stomach. The seeds of bitter gourd can be added to
food in a powdered form. Diabetics can also use bitter
gourd in the form of decoction by boiling the pieces in
water or in the form of dry powder.
Another effective home remedy is jambul fruit known as
jamun in the vernacular. It is regarded in traditional
medicine as a specific against diabetes because of its
effect on the pancreas. The fruits as such, the seeds and
fruit juice are all useful in the treatment of this
disease. The seeds contain a glucoside
jamboline which is believed to have power to
check the pathological conversion of starch into sugar in
cases of increased production of glucose. They should be
dried and powdered. This powder should be taken mixed in
milk , curd or water.
The patient should avoid tea, coffee and cocoa because of
their adverse influence on the digestive tract. Other
foods which should be avoided are white bread, white
flour products, sugar tinned fruits, sweets, chocolates,
pastries, pies, puddings, refined cereals and alcoholic
drinks.
The most important nutrient in the treatment of diabetes
is manganese which is vital in the production of natural
insulin. It is found in citrus fruits, in the outer
covering of nuts, grains and in the green leaves of
edible plants. Other nutrients of special value are zinc,
B complex vitamins and poly-unsaturated fatty acids.
Exercise is also an important factor in the treatment of
diabetes. Light games, jogging and swimming are
recommended. Yogic asanas such as bhujangasana,
shalabhasana, dhanurasana, paschimottanasana,
sarvangasna, halasana, ardha-matsyendrasana and
shavasana, yogic krisyas like jalneti and kunajl and
pranayamas such as kapalbhati, anuloma-viloma and ujjai
are highly beneficial.
Hydrotherapy and colonic irrigations form a very
important part of treatment. The colon should be
thoroughly cleansed every second day or so, until the
bowel discharge assumes normal characteristics. Bathing
in cold water greatly increases the circulation and
enhances the capacity of the muscles to utilise sugar.
The diabetic patient should eliminate minor worries from
his daily life. He must endeavor to be more easy-going
and should not get unduly worked up by the stress and
strain of life.
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