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 body’s 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 ac ording 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 especially beneficial. 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.