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Ayurvedic Diabetes Prevention Program


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Achar Rasayana is probably the best holistic lifestyle modification program for diabetes described in any medicinal system of the world till date..

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Ayurvedic Diabetes Prevention Program

  1. 1. Dr. Vikas Chothe Dr. Arti Firke Guide, Dept of SwasthavrittaPG Scholar, Dept of Swasthavritta CARC, Pune (India)CARC, Pune (India)
  2. 2. Burden of Diabetes Global India2010 285 million 51 million2030 438 million 87 million -( Snehalatha and Ramachnadaran. Diabetes Care 2009) •loss of national income •high treatment costs •low priority to prevention © Dr. Chothe. V.R
  3. 3. IN ALLOPATHY IN AYURVEDA  oily and heavy diet Family History  cold ,sweet, sour food Genetic factors  excessive intake of Obesity (via BMI and WHR) yogurt Hypertension  sugar and jaggery Low/High Birth Weight  sleeping during the (Intra-uterine Environment daytime exposure)  excessive sex  jaatah(C. Chi)/sahaja(Su. Chi) and kulaja -Charak sutrasthana 17/78-81 © Dr. Chothe. V.R
  4. 4.  stress (Discovery Medicine 2010 by Frans Pouwer et al.). tobacco and alcohol (Lancet 1991 by Rimm EB). anxiety ( Golden et al. Psychoneuroendocrinology 2006). depression (vishada) ( Knol et al. Diabetologia 2006) anger and hostility (J Intern Med 2009 Rod et al.).
  5. 5.  habitual sleep disturbances (Cappuccio FP. Diabetes Care 2010) unhealthy diets (C.Su.17) abdominal obesity ( S.Ni.6/25 and C.Su.17 and Arch Gen Psychiatry 2008 ). high cholesterol
  6. 6.  Over 25 percent of peoplenewly diagnosed with diabetesare smokers.(Malarcher AM et al. Diabetes Care 18:694–697, 1995) Alcohol abuse increases therisk for diabetes.(C.Su.17.78-89 and Diabetes Jan 2011;60(1):74-9 Joosten MMet al. ) © Dr. Chothe. V.R
  7. 7. Work Stress (Kumari M et al. Arch Intern Med 2004)• excessive overtime• over commitment to workUnsatisfactory interpersonal relationships (Diabetes Care 1998 by Trief PM et al )• poor marital relationship• family conflicts• nuclear families• social withdrawal © Dr. Chothe. V.R
  8. 8. © Dr. Chothe. V.R
  9. 9.  no smoking  healthy diet according weight reduction ≥ to the Smart Diet 5% Score (SDS) leisure-time physical  eat ≥400 g of activity (LTPA), vegetables and fruits walking for ≥30 per day. minutes per day  limit salt consumption BMI<23 kg/m2(Mohan et al. to <6 g/d. Diabetic Medicine, 2007)by The Finnish Diabetes Prevention Study(DPS) and The Diabetes Prevention ProgramResearch Group published in New England Journal of Medicine (2002)
  10. 10. Labhopayo Hi Sastanam Rasadinam Rasayanam (C.Chi1/8)  Rasayana is any herb, food, or activity which confers youthfulness and cures diseases.  rasayana includes purification of all tissues from rasa to shukra.  special health promoting conduct and behavior © Dr. Chothe. V.R
  11. 11. SADVRITTA KALA CHIKITSA (ETHICAL REGIMEN) ( ART THERAPY) Good mental conduct  aalekh Good Good  geetreligiousconduct social conduct  nrutya  natya  vadya Good Good moral personal conduct conduct © Dr. Chothe. V.R
  12. 12.  LobhaShokaBhayaKrodhaManaVegan Vidharayet (C. Su 7/27) Anger and hostility are associated with diabetes and influence HbA1c in diabetic patients struggling with glycemic control. (Diabetes Research and Clinical Practice.2006 by Attari A et al.) akrodham – calm and cheerful personality (C. Chi. 1/4) Dhiram- perseverant (C. Chi. 1/4) anrushasyaparam nityamnityam karunavedinam – devoted to love and compassion (C. Chi. 1/4) Hence one should strive to bring happiness and positive manasbhavas to all. This attitude is termed as Hitaya in our Indian culture. © Dr. Chothe. V.R
  13. 13.  Jitatmanam-optimist and positivist (C. Chi. 1/4) Prashantam- calm (A.H.Su.2:46-48) Shastaacharamsankeernam- well behaved and simple Vrudhanamastikanam-keeping company of elders (C. Chi. 1/4) Dev go Brahman acharya vrudharchane ratam- worshipping God, cow, brahmanas, teacher, preceptor and elders (C. Chi. 1/4) Nivruttam madyamaithunat- abstaining from liquor and excessive sexual intercourse (C. Chi. 6) (James E Muller et al. The American Journal of Cardiology 1999)
  14. 14. © Dr. Chothe. V.R
  15. 15.  Adhyatma pravanendriyam -Having senses concentrated to spiritualism (C. Chi. 1/4) Japa- repeating incantations (C. Chi. 1/4) Dharma shastraparam- devoted to holy scriptures (C. Chi. 1/4) religious involvement or spiritual well-being helps in coping with social isolation (Brown, & Manger, 1983. Journal of Religion and Health) and depression in T2DM patients (Bickel et al.1998 American Journal of Epidemiology) © Dr. Chothe. V.R
  16. 16. Spirituality for Healthy Living
  17. 17. DINACHARYA RITUCHARYA dina – day & acharya –  Following the seasonal behavior taste adjustments, dietetics In order to keep the and regime is beneficial tridoshas and agni in keeping seasonal and (metabolism) in a state lifestyle disorders at of healthy bay. equilibrium, Ayurveda prescribes for each individual a specific daily routine © Dr. Chothe. V.R
  18. 18. snan (daily clean bath) (C.Chi.6/50)nivrutam madya (alcohol)shaucha (Cleanliness) (C. Chi. 1/4)vyayama(Exercise) (A.H.Su.2, C.Ni.4/5 C.Chi6/50) (Orozco al. Cochrane Database Syst Rev. 2008 July)chankraman (Daily walking)(C.Ni 4/50)yoga (Badr Aljasir et al. Evid Based ComplementAlternat Med. 2010 )samajagarana swapnam (Goodsleep) (C. Chi. 1/4) (Chisa G. Int J Endocrinol.2011,Cappuccio FP. Diabetes Care 2010)
  19. 19.  dananityam and tyaga- observing charity and simplicity (A.H.Su.2:46-48) yuktidnyamahankrutam- intelligent and unconceited (C. Chi. 1/4) upasitaram-self controlled (C. Chi. 1/4) satyavadinam- speaking the truth (C. Chi. 1/4) priyavadinam- sweet spoken (C. Chi. 1/4) marital adjustment, high family cohesion and social support are important in improving glycemic control and self-management behavior (Garay-Sevilla ME. J Diabetes Complications 9:81–86, 1995)
  20. 20.  Art is the expression of feeling of the artist, who derives the joy of aesthetic experience (ananda) influencing beneficially the mind of the viewers– Abhinavagupta Ranging from ancient rock cave paintings at Bimbetaka and mandalas to new aged clinical therapy, art has been used for stress reduction in Ayurveda. © Dr. Chothe. V.R
  21. 21. Art therapy is a ‘mental health’profession that uses the creation ofart as a way to increase mental andemotional well-being. -(American Art therapy Association) © Dr. Chothe. V.R
  22. 22.  A good painting cleanses and curbs anxiety and banishes bad dreams -Vishnudharmottara Puranana Ragas (Music) exhibit positive effect on sleep, emotions and prolongs life. – (A.H.Su-7) Imagery, touch, music and dance as adjuncts to diabetic and cardiac care. - Lancet 366:211- 217. Dancing (nrutya) is a good form of exercise and helps in management of stress and obesity
  23. 23.  If every individual observes rules and regulations as described in Swasthavritta i.e. daily and seasonal regimen, ethical regimen, takes proper food, sleep and enjoys controlled sexual activity, he can enjoy long and healthy life. © Dr. Chothe. V.R
  24. 24. © Dr. Chothe. V.R
  25. 25.  cost-effective strategy to reduce global burden of diabetes Achara Rasayana (Ayurvedic lifestyle modification) has been highly significant clinically. Hence there is need for conducting prospective cohort studies without publication bias. awareness about Achara Rasayana in physicians and health care policy makers needed. © Dr. Chothe. V.R
  26. 26. There is more to life thanincreasing its speed.-Mohandas K. Gandhi Thank You
  27. 27. Acknowledgements• Thank you Dr. Atul Rakshe Sir, Dr. Bobade Sir and Dr. Arti Firke who have always been my guide and inspiration.• Thanks to Department of Swasthavritta, CARC, Akurdi (India) © Dr. Chothe. V.R