This document provides information on managing diabetes through Ayurveda and yoga. It begins with definitions of diabetes and explanations of how insulin works and why blood glucose levels rise in diabetes. It then discusses the prevalence of diabetes in Australia. The document outlines the Ayurvedic understanding of the causes and pathogenesis of diabetes and compares this to modern explanations. It provides case studies of patients who improved their diabetes through Ayurvedic treatment including herbal medicines, dietary changes, and yoga. The document recommends herbal formulations, dietary dos and don'ts, and yoga and lifestyle practices for diabetes management according to Ayurvedic principles. These include consuming fenugreek, bitter gourd juice, and an "organic sugar balance juice

1. Management of Diabetes
by Ayurveda & Yoga
Presentation For the NRSIA in Association with
Diabetes Australia and Australia Yoga, 28 July ,2013
By Dr Santosh Kumar Yadav
(BAMS , PGDAyDS, Dip in Yoga)
Ayurvedic Practitioner, Panchkarma Specialist, Herbalist &
Yoga Teacher

2. What Is Diabetes
Diabetes is a Chronic Disease.
Diabetes is Metabolic disorder.
For our bodies to work properly we need to
convert Glucose from food in to energy, a
hormone called Insulin is essential for the
conversion of glucose in to energy.
In people with diabetes, Insulin is no longer
produced or not produced in sufficient
amounts by the body .

3. What Is Diabetes
 So when people with diabetes eat Glucose ,
which is in food such as Breads, Cereals,
fruit any starchy Vegetables , Yogurt and
sweet things, it can't be converted in to
energy .Instead of being turned in to energy
the Glucose stay in Blood .That’s why blood
glucose levels are higher in people with
diabetes and blood glucose level high
called glycaemia.

4. Diabetes Hidden Epidemic In
Australia
 257 Australian develop diabetes every day
 2005 Australian AusDiab follow –up
study(Australian Diabetes obesity and Life style
study) showed Nearly one million Australians
are currently diagnosed with Diabetes and 1.7
million Australian are not diagnose with
diabetes
 Total Number of Australian with diabetes and
pre –diabetes is estimated at 3.2 million.
 Six leading cause of death in Australia
 By 2031 it is estimated that 3.3 million
Australian will have type -2 diabetes(VOS et al

5. Type
 Based on the Cause:-
 Sahaja(Genetic) (type -1)
 Apathya/Nimittaja (type -2 )
(Wrong Diet and Life style)
 Based on the Dosha:- 20 type
 Kaphaja 10
 Pittaj 6
 Vataj 4

6. Causative factor/Hetu
“Aashyasukham swapnasukham
dadhinigramyoodkanuprasaa pyaamsi
Navaaanpaanam gudvayikritam ch prameha hetu
kapahakrich swaramn.” Chrak.chi.7
 Inactivity, laziness, lack of exercise
 Excessive sleep
 Excessive use of curd
 Meat and soup of the domestic, aquatic and marshy land
animals
 New cereals and drinks
 Products of Jaggery and sugar
 All other kapha-promoting things.

7. Pathogenesis/Samprapti
Due to Causative factors
↓
Doshas get imbalanced(specifically kledak
kapha,pachak pitta, saman vayu
↓
Agnimandya (dhatvagnimadhya)
↓
Culminates all dushyas (specifically
medodhatu)
↓
Kleda vrudhi (unnecessary excessive body
fluid oozed out from all dhatu)
↓
Body tries to excrete in the form of urine
*Kleda = Wasting away of tissues (dhatu)

8. Ayurveda in modern
words
Hetu
Dosha Imbalance
Dhatvagnimandhaya
Apachitdhatuvridhi
Kleda Vrudhi
Prabhoota Mutrata
Insulin
secreted by
pancreas
Body tries to dilute this
high blood glucose
High Blood
sugar
More Glucose present in
the blood
Wrongful Diet
High Glycemic food, Lack of
exercise etc.
Cell become to resistant
to insuline
Polyuria
This happen for the long period
of time then actual diseases
manifest

9. Early Symptoms/Purvarupa
 Excessive thirst
 Dryness of mouth
 Lethargy
 Abnormal and frequent urination
 Burning & numbness in hands and feet
 Sweet taste in mouth
 Coated tongue & teeth etc.
 Bad breath
 Entanglement of hair

10. Symptoms of Type -2
Diabetes
 Excessive thirsty
 Passing more urine
 Feeling tired and lethargic
 Always feeling hungry
 Having cuts that’s heals slowly
 Itching, skin infections
 Blurred vision
 Gradually putting weight
 Mood swings
 Feeling dizzy
 Leg cramps

11. Preventing of Type 2 Diabetes
 Maintaining a healthy weight
 Regular physical activity
 Making healthy food of choices
 Managing Blood pressure
 Managing Cholesterol levels
 Not Smoking
 No Alcohols
 Regular Monitoring Blood Glucose Level:-
 Classification Value for fasting blood glucose levels are:-
Normal Blood Glucose: 4 - 6 mmol/L
Moderate blood glucose: 4 – 7 mmol/L
High blood glucose : Above 7 mmol/L
How ever the symptoms of diabetes may not appear until blood glucose
level are higher. so some people may have diabetes without knowing
about it.

12. Prevent Type 2 Diabetes
By Eating the Six Taste of food
By Eating :
Sweet
Salty
Acidic Taste of food
Kapha Producing
Above Three taste of
food Increase the
Risk of Diabetes .
By Eating:
Pungent
Bitter
Astringent
Taste of food Less
Kapha Producing
Food
Above taste of
Reduces /prevent
the Risk of
Diabetes

13. Case Study: 1
 Name Of Patient: XXXXX Mahara
 Age :65 Year
 Location: Mulgrave
 Diabetes :Diagnosed since 8 year
 Modern medicine: Metformin, Insulin 25 Unit In Morning & 15 Unit at
night
 Complication of diabetes : Stoke, Skin disease Psoriases, CVS,
sever constipation
By Using the
 Ayurvedic Medicine and yoga
 Home remedy, Sugar balance juice, Karela Juice
 Adapting constructive life style
 Is conditions and Much better and managing the diabetes with the
ayurvedic medicine and Modern medicine
After Following the above :Now He is 5 Unit induline In Morning
Night only one Tab Metformin ,No psoriasis improvement in general

14. Case Study: 2
 Name Of Patient: XXXXX James
 Age :46 Year
 Location: Hampton park
 Diabetes :Diagnosed since 16year
 Modern medicine: Metformin and Antihypertensive medicine and
also for cholesterol
 Diagnosed: diabetes with High cholesterol with High Blood presser
and Constipation
By Using the:
 Ayurvedic Medicine and Yoga
 Home remedy ,Sugar balance juice ,Karela Juice and Adopting
constructive life style
 Is conditions and Much better and managing the diabetes with the
ayurvedic medicine and Modern medicine
 After Following the above :Now NO Medicine, only some Home
remedies , Yoga and Good life style.

15. Case Study: 3
 Name Of Patient: XXXXX Dhra
 Age : 67 Year
 Location: Berwick
 Diabetes :Diagnosed since 16year
 Modern medicine: Metformin and Antihypertensive medicine and also for
cholesterol and also on dialysis 3 day in week
 Diagnosed: diabetes with High cholesterol with High Blood presser and
Constipation with renal failure.
By Using the:
 Ayurvedic Medicine and Yoga
 Home remedy ,Sugar balance juice ,Karela Juice and Adopting constructive
life style
 Is conditions and Much better and managing the diabetes with the ayurvedic
medicine with Modern medicine
 After Following the above :Now 6 Unit Insulin ,Metformin with anti
hypertensive medicine , No cholesterol medicine quality of life Much better
then previous with twice dialysis in week.
 With ayurvedic medicine we reduce the Next complication of Diabetes.

16. Diabetes Registration
@AYWC
Every year we register the
Diabetes Client with complication
around 180 to 240.
Improvement in individual
conditions by 70- 80 %
Reduction in complications of
diabetes upto 90%

17. Management
Principles/Chikitsa
Management
(Chikitsa)
Ahar(Diet) Vihar(Lifestyle) Aushadhi
(Medicine)

18. (A) Ahar(Diet)
• Selective Food (e.g. Low GI Food)
• Small meals
• Frequent intake
Foods that can be use frequently:-
Vegetables green leafy
vegetables Spices
High fibres Food

19. Ahar(Diet)
Food that Can be used in Moderate:-
Fat Nuts
Cereals Milk Products Meat
products
Eggs Artificial
Sweeteners
Food that can be avoided:-
Sugar , sweets , Honey , Jam And
Jellies
Cakes and Pastries , Sweetened Juices
and soft drinks

20. USE FENUGREEK SEEDS TO MANAGEMENT
DIABETES
 Take 25 gm – 50 gm
fenugreek seed in
two equal dose
 Begins 25 gm of
fenugreek seeds in
two equal dose of
12.5gm before Lunch
and dinner

21. SOME RECIPES:-
Rice 30gm
Black gram lentils 15gm
Red gram lentils 15gm
Green gram lentils 15gm
Fenugreek seeds 12.5gm
oil 15gm
Salt to taste
Method :-
Soak rice ,lentils and fenugreek
seeds over night, In morning
grind them coarsely .Add all
the spices and spread on hot
pan. fry it slow heat on both
side. when its become golden
brownish in colour ,serve it.

22. Some recipe for Diabetes
Chapatti/Bread:-
Multigrain flour 90 gm
Fenugreek Seeds powder 12.5 gm

23. DALIA/LENTIL SOUP:
Broken wheat 60gm
Green Gram lentils 30 gm
Fenugreek seeds 12.5 gm
Cumin 2-3 gm
Black Pepper 2gm
Water 250ml
Salt to taste
Method:-
Soak fenugreek seeds Overnight.
In morning heat oil, fry wheat
and green gram lentils till
golden brown add fenugreek
seeds and water and cooked
till soft and semisolid, add salt
to taste and serve hot.

24. BITTER GOURD JUICE/ BITTER MELON JUICE
Its activate pancreas, spleen and liver and helps in
admirable absorption of food in the GI tract.
Karela Juices is extremely beneficial in treating
Diabetes mellitus.
Karela juice is an outstanding blood purifier and
helps in maintaining good and clear skin.
Karela juices helps in lowering blood sugar levels
and also helps in suppressing sugar out flow in urine.
Karela juices help to attain supportive sugar
regulating outcome by suppressing the neural retort to
sweet taste stimuli.
Karela juices has exposed significant antilipolytic
and lipogenic movement.
Karela treats worm infestations and also helps in
evading parasitic attack
Karela is helpful as an emetic, purgative, as an
Antihelminthic, useful in piles, and jaundice

25. ORGANIC SUGAR BALANCE JUICE
Its principle constituents are:
• Gudmar (GYMNEME SYLVESTRE)Juice.
• Aloe Vera (Aloe barbadensis) Juice.
• Karela/ Bitter Gourd (Momordica charantia) Juice.
• Jamun/Indian Blackberry (Syzygium cumini) Juice.
• Triphala Juice (A combination of the fruits of Emblica officinalis
(Amla), Terminalia chebula (Haritaki) and Terminalia bellirica
(Vibhitaki).
Sugar balance juice known as “Sugar destroyer”
Benefits: 100% Herbal Organic Juice.
Its regulate Carbohydrate metabolism.
It ideal juices for the Type 2 diabetes, reduces blood sugar levels.
Ideal for the pre diabetes patients.
Controls sugar craving.
Its activate pancreas to secret the more Insulin hormone.
It’s useful in obesity, high cholesterol levels, anaemia and
digestion.
Balance the whole metabolism.
Cleanse the colon.
Reduce the Complication of diabetes.
Rich source of antioxidant.
Antihelminthic or Antihelminthic compounds. This property is
used for the treatment of gastrointestinal diseases and can kill
parasitic worms inside our body.

26. ORGANIC DIABEX TEA
Improve Insulin Production.
Gymnema has been shown to lower
fasting blood sugar levels and regenerate
pancreatic cells that produce insulin.
Diabex tea is an incredibly important
herb for diabetes both type I and II.
Herbs Gymnema enhances insulin action
reduces fasting blood sugar levels (only in
diabetics) and may stimulate islet cell
regeneration.
Gymnema is indicated in 1 Type I & II
diabetes .
Weight loss programs.
Diabex TEA totally CAFFEINE FREE and
Natural Source of ANTIOXIDANTS.
100% Organic Herbal Tea

27. HOME RECIPE
Fenugreek Powder : 3 Part
Cumin Powder : 2 Part
Cinnamon Powder: 2 Part
Turmeric Powder : 3 Part
Neem Powder : 2 Part
Jamun Powder: 2part
Ashwagandha Powder: 2 Part
Kalmegha : 2 part
Chirayta: 2part
Regular usage of above powder in
mention ration
Doses: Take 1 tea spoon twice a day
Reduce Blood sugar level
Reduced the complication of diabetes
Activate the pancreases and Liver

28. (B)Vihar(Lifestyle)
Exercise Daily for 30 to 45 minutes or walk 3-5
Km
 Yoga asana :
 Pashchimotanasan
 Halasan(Plaugh asana)
Peacock pose
 Chest knee pose
Sun Salutation.
Pranayama: Kapalbhastrika,Bahya ,Anulom
Vilom Etc

29. DOs and DON'Ts for diabetic diet
Diet plan of an individual is based on height, weight, age, sex,
physical activity and nature of the disease conditions to managing diabetes.
Do Don’ts
 Drink plenty of water
 Eat 20 - 25 grams of raw onion
daily. Onions contain properties
that actually fight against diabetes.
 Try to switch to herbal tea rather than
caffeinated tea or coffee
 Try to choose low or non fat dairy
products,
 Eat at least 3 servings of fresh
vegetables daily. Vegetables that
can be consumed in larger
quantities such as cabbage, mint,
spinach, bitter gourd, lady's finger,
cauliflower, cucumber, carrots,
radish, onion ,gourd and pumpkin.
 eat foods that contain wheat, rye,
barley and, for some, oats
 It is very important to never skip
any meal
 Eat Small meal ,frequent
 Regular walk and exercise .
 Avoid eating or drinking anything
containing a lot of sugar likes
cakes, sweets, chocolate etc.
 Don't over eat at any time of the
day
 Do not sleep in day time
 Stop eating fried or fatty foods.
 Avoid eating large quantities of lots
of rice, potatoes, bananas as these
can raise your blood sugar level.
 Avoid fatty products like butter,
cheese, ghee etc. It is better to use
low fat milk or skimmed milk.
 Try to reduce the intake of salt in
your food. To reduce the CVS
problem.
 On an empty stomach, alcohol can
cause hypoglycaemia, especially if
you are taking insulin

30. Aushadhi(Ayurvedic
Medicine)
Seek the ayurvedic
Doctor
Shodhan
Shaman
Panchkarma
Vaman Virechan Vasti
Popular & effective Herbs-
Amalki(indian goosberry)
Karela(bitter Melon)
Methi(Fenugrek)
Jamun Seed
Gurmar
Vijayshar
Haridra(Turmeric)
Neem
Triphala
Guduchi
Daruharidra
Bel
Chairayata
Kutki
Devadaru
Shilajatu
(C) Aushadhi
(Ayurvedic
Medicine)

31. People at risk of Type 2
Diabetes
People over 55 years of age
People with a family history of diabetes
Overweight individuals
People with high blood pressure
People with heart diseases
Women who had pregnancy related
diabetes
People over 35 years of age who are of
Aboriginal Torres Strait Islander, Chinese,
Indian , Mori or pacific island heritage.

32. Complications of Diabetes?
Over time ,untreated high blood glucose
level will cause:-
Increase risk of heart attack or stroke
Blood vessel and nerve damage
Eye disease or blindness
Kidney disease
Poor circulation(some time requiring
limb amputation)
Poor wound healing
Impotence in Men

33. Facts About Diabetes
 Diabetes is the world’s fastest growing chronic
diseases. Currently 246 million people affects world
wide.
 The number expected to rise to 380million by 2025.
 In 2007, the five countries with the largest number
of people with diabetes are INDIA(40.9Million),
CHINA(39.8 million),The United State (19.2
Million),Russia(9.6million) and Germany(7.4million)
 Each year 3.8million death are attributable to
diabetes.
 Every 10 second a person dies from diabetes –
related cause.
 Every 10 second s two people develop diabetes.

34. Facts About Diabetes
 Diabetes is fourth leading cause of global death.
 At least 50% of all people with type 2 diabetes are
unaware of their condition.
 Up to 60% of type 2 diabetes is preventable by adopting
a healthy diet and increases physical activity.
 Diabetes is the largest cause of kidney failure in
developed countries.
 10% - 20% people with diabetes will die of renal failure.
 It is estimated that more than 2.5 million people
worldwide are affected by diabetic retinopathy.
 CVS(Cardio vascular disease) is the major cause of
death in diabetes.
 People with type 2 diabetes are two times more pron to
heart attack or stroke.

35. Questions
Discussion

36. Thank You