Diet and Lifestyle Guidelines for Diabetes: Evidence Based Ayurvedic Perspective

Rohit Sharma 1  and Prajapati Pk 1
  • 1 Department of Rasashastra and Bhaishajya Kalpana, I.P.G.T. & R.A., Gujarat Ayurved University, Jamnagar, India

Abstract

Background and Aims: Ayurveda strongly emphasize on preventive and promotive aspects of health rather than curative. Centuries ago, Ayurveda laid the concepts of Dinacharya (daily regimen for healthy living), Ritucharya (seasonal regimen for healthy living), Sadvaritta (moral conducts) and Achara Rasayana (social conducts) as well established guidelines for healthy diet and lifestyle; but in current era, hardly anyone aptly follow it. As a result, there is tremendous rise in lifestyle disorders as pandemics, diabetes being the most menacing among them. The aim of this review is to bring into the limelight the Ayurvedic dietary and lifestyle guidelines for prevention of type 2 diabetes and available factual research evidence validating it. Materials and methods: Ayurvedic recommendations for prevention of diabetes were rationally reviewed in light of published information from several articles. Publications in Pubmed, Scopemed, Dhara online and other allied databases covering fields of therapeutics, pharmacology, biomedicine and health were also screened and taken into study for the report. Conclusion: Ayurvedic lifestyle guidelines of adopting a healthy dietary pattern together with physical activity are valuable tools in the prevention of type 2 diabetes.

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  • 1. Acharya YT. Charaka Samhita, Sutra Sthana, ch. 17, ver. 78-80, Reprint edition, Chaukhambha Orientalia, Varanasi, pp103, 2004.

  • 2. International Diabetes Federation. Diabetes Atlas. 3rd ed. International Diabetes Federation, Brussels, pp 50-78, 2006.

  • 3. Li R, Zhang P, Barker LE, Chowdhury FM, Zhang X. Cost-effectiveness of interventions to prevent and control diabetes mellitus: a systematic review. Diabetes Care 33: 1872-1894, 2010.

  • 4. Neff LM. Evidence based dietary recommendations for patients with type 2 diabetes mellitus. Nutr Clin Care 6: 51-61, 2003.

  • 5. O’Kane MJ, McMenamin M, Innes J, Moore A, Bunting B, Coates V. The relationship between socioeconomic deprivation, educational attainment and clinical outcomes in type 2 diabetes: A cohort study. Diabetologia 51: 1091-1094, 2008.

  • 6. Bagust A, Hopkinson PK, Maslove L, Currie CJ. The projected healthcare burden of type 2 diabetes in the UK from 2000 to 2060. Diabet Med 19[Suppl. 4]: 1-5, 2002.

  • 7. Acharya YT. Charaka Samhita, Sutra Sthana, ch. 6, ver. 4-46, Reprint edition, Chaukhambha Orientalia, Varanasi, pp 445-46, 2004.

  • 8. Paradakara HS. Astanga Hridaya, Nidana Sthana, ch. 10, ver. 1-16, Reprint edition, Chaukhambha Sanskrita Sansthana, Varanasi, pp 502-503, 2010.

  • 9. Acharya YT. Charaka Samhita, Nidana Sthana, ch. 4, ver. 36-52, Reprint edition, Chaukhambha Orientalia, Varanasi, pp 215, 2004.

  • 10. Acharya YT. Sushruta Samhita, Chikitsa Sthana, ch. 11, ver. 6-12, Reprint edition, Chaukhambha Krishanadas Academy, Varanasi, pp 449-450, 2004.

  • 11. van Dam RM, Willett WC, Rimm EB, Stampfer MJ, Hu FB. Dietary fat and meat intake in relation to risk of type 2 diabetes in men. Diabetes Care 25: 417-424, 2002

  • 12. Marshall JA, Bessesen DH. Dietary fat and the development of type 2 diabetes. Diabetes Care 25: 620-622, 2002.

  • 13. Liu S, Choi HK, Ford E, Song Y, Klevak A, Buring JE. A prospective study of dairy intake and the risk of type 2 diabetes in women. Diabetes Care 29: 1579-84, 2006.

  • 14. Talbot JM, Fisher KD. The need for special foods and sugar substitutes by individuals with diabetes mellitus. Diabetes Care 1: 231-240, 1978.

  • 15. McDonald J. Alcohol and diabetes. Diabetes Care 3: 629-637, 1980.

  • 16. Franz MJ, Horton ES Sr, Bantle JP et al. Nutrition principles for the management of diabetes and related complications. Diabetes Care 17: 490-518, 1994.

  • 17. Taylor R. Type 2 Diabetes: Etiology and reversibility. Diabetes Care 36:1047-1055, 2013.

  • 18. Scott FW, Norris JM, Kolb H. Milk and type I diabetes. Diabetes Care 19: 379-383, 1996.

  • 19. Willett W, Manson J, Liu S. Glycemic index, glycemic load, and risk of type 2 diabetes. Am J Clin Nutr 76: 274-280, 2002.

  • 20. Nicki RC, Brian RW, Stuart HR. Davidson’s principles and practice of medicine. 21st ed. Ch. 21. Churchill Livingstone Elsevier, pp 802-803, 2010.

  • 21. World Health Organisation. Diabetes Mellitus: Report of a WHO study group Geneva World Health Org., (Tech. Rep. Ser., no. 727), 1985.

  • 22. Diabetes India. Available from: http://www.diabetesindia.com/template.php?incfile=newdi ab.html&titleWhat+Is+New+In+Diabetes? [Last accessed on 2014 Feb 22].

  • 23. Helgason T, Ewen SWB, Ross IS, Stowers JM. Diabetes produced in mice by smoked/cured mutton. Lancet 2: 1017-1024, 1982.

  • 24. Acharya YT. Charaka Samhita, Vimana Sthana, ch. 1, ver. 21, Reprint edition, Chaukhambha Orientalia, Varanasi, pp 235, 2004.

  • 25. Acharya YT. Charaka Samhita, Sutra Sthana, ch. 7, ver. 41, Reprint edition 2004, Chaukhambha Orientalia, Varanasi, pp 52, 2004.

  • 26. Acharya YT. Charaka Samhita, Chikitsa Sthana, ch. 11, ver. 11-12, Reprint edition Chaukhambha Orientalia, Varanasi, pp 449, 2004.

  • 27. Burkitt DP, Trowell H. Refine carbohydrate foods and diseases. Academic Press, New York, pp 35, 1975.

  • 28. Acharya RK, Upadhyay BN, Dwivedi LD. Dietary management in Prameha. Anc Sci Life 1996; 15: 176- 189.

  • 29. TNAU Agritech Portal, Post harvest technology. Available from: http://agritech.tnau.ac.in/postharvest/pht_pulses.html. [Last accessed on 2014 Feb 27].

  • 30. Mushtaq A, Rahmatullah Q, Muhammad A, Mir AK, Muhammad J. Traditional herbal remedies used for the treatment of diabetes from district Attock (pakistan). Pak J Bot 41: 2777-2782, 2009.

  • 31. Kahleova H, Hrachovinova T, Hill M, Pelikanova T. Vegetarian diet in type 2 diabetes- Improvement in quality of life, mood and eating behavior. Diabet Med 30: 127-9, 2013.

  • 32. Wiwanitkit V. A noted for study on the prevalence of diabetes mellitus in a sample of vegetarians. Diabetol Croat 36: 11-3, 2007.

  • 33. Kahleova H, Matoulek M, Malinska H et al. Vegetarian diet improves insulin resistance and oxidative stress markers more than conventional diet in subjects with Type 2 diabetes. Diabet Med 28: 549-59, 2011.

  • 34. Erejuwa OO, Sulaiman SA, Wahab MS. Honey-a novel antidiabetic agent. Int J Biol Sci 8: 913-934, 2012.

  • 35. Erejuwa OO. The use of honey in diabetes mellitus: is it beneficial or detrimental? Int J Endocrinol Metab 10: 444-445, 2012.

  • 36. Baldi A, Choudhary N, Kumar S. Nutraceuticals as therapeutic agents for holistic treatment of diabetes. Int J Green Pharm 7: 278-87, 2013.

  • 37. Hari K, Baruah MM. Nutritional endocrine disorders. J Med Nutr Nutraceut 1: 5-8, 2012.

  • 38. Asif M. The role of fruits, vegetables, and spices in diabetes. Int J Nutr Pharmacol Neuro Disease 1: 27-35, 2011.

  • 39. Khan A, Safdar M. Role of Diet, Nutrients, Spices and Natural Products in Diabetes Mellitus. Pak J Nutr 2: 1-12, 2003.

  • 40. Schlichtmann J, Graber MA. Hematologic, electrolyte, and metabolic disorders. In: Graber MA, Toth PP, Herting RL. The Family Practice Handbook. 3rd ed.

  • St. Louis, Missouri: Mosby-Year Book Inc, pp 192-251, 1997.

  • 41. Fadupin GT, Keshinro OO, Sule ON. Dietary recommendations: example of advice given to diabetic patients in Nigeria. Diabet Int 11: 59-61, 2001.

  • 42. World Health Organisation. Prevention and management of global epidemic of obesity. Report of the WHO consultation on obesity. Geneva: WHO; 1998.

  • 43. Raghuram TC, Pasricha S, Sharma RD. Diet and Diabetes. National Institute of Nutrition, Indian Council of Medical Research, Hyderabad-500007, pp 49, 2009.

  • 44. Acharya YT. Charaka Samhita, Sutra Sthana, ch. 23, ver. 4-5, Reprint edition, Chaukhambha Orientalia, Varanasi, pp 122, 2004.

  • 45. Acharya YT. Sushruta Samhita, Nidana Sthana, ch. 6, ver. 3, Reprint edition, Chaukhambha Krishanadas Academy, Varanasi, pp 289, 2004.

  • 46. Acharya YT. Charaka Samhita, Chikitsa Sthana, ch. 24, ver. 30, Reprint edition, Chaukhambha Orientalia, Varanasi, pp 583-87, 2004.

  • 47. Fauci, Braunwald, Kasper, Hauser, Longo, Jameson, Loscalzo. Harrison’s Principles of Internal Medicine. 17th ed. Ch. 338, Diabetes Mellitus, Fig-338-2.

  • 48. Steppan CM, Bailey ST, Bhat S et al. the hormone resistin links obesity to diabetes. Nature 409: 307-12, 2001.

  • 49. Shuldiner AR, Yang R, Gong DW. Resistin, obesity and insulin the emerging role of the adipocyte as an endocrine organ. N Engl J Med 345: 1345-6, 2001.

  • 50. Liese AD1, Mayer-Davis EJ, Tyroler HA et al. Development of the multiple metabolic syndrome in the ARIC cohort: Joint contribution of insulin, BMI and WHR. Atherosclerosis risk in communities. Ann Epidemiol 7: 407-416, 1997.

  • 51. Hu F, Willett W, Li T et al. Adiposity as compared with physical activity in predicting mortality among women. N Engl J Med 351: 2694-703, 2004.

  • 52. Xu Q, Song Y, Albert H, Aaron B, Arthur S, Honglei C. Day napping and short night sleeping are associated with higher risk of diabetes in older adults. Diab Care 33: 78-83, 2010.

  • 53. Ayas NT, White DP, Al-Delaimy WK, Manson JE, Stampfer MJ, Speizer FE et al. A prospective study of self-reported sleep duration and incident diabetes in women. Diabetes Care 26: 380-384, 2003.

  • 54. Sridhar GR, Madhu K. Prevalence of sleep disturbances in diabetes mellitus. Diabetes Res Clin Pract 23: 183-186, 1994.

  • 55. Scheen AJ, Byrne MM, Plat L, Leproult R, Van Cauter E. Relationships between sleep quality and glucose regulation in normal humans. Am J Physiol 271: 261-270, 1996.

  • 56. Virtanen M, Ferrie JE, Tabak AG et al. Psychological Distress and Incidence of Type 2 Diabetes in High-Risk and Low-Risk Populations: The Whitehall II Cohort Study. Diabetes Care 37:2091-2097, 2014.

  • 57. Pouwer F, Nina K, Adriaanse MC. Does emotional stress cause type 2 diabetes mellitus? A review from the european depression in diabetes (EDID) research consortium. Discovery medicine 9: 112-118, 2010.

  • 58. Mohanty B. Concept of Mano-Abhighatkara Bhavas on Ama (free radical) utpatti particular to Madhumeha (Diabetes Mellitus). MD Dissertation, Department of Basic Principles, IPGT and RA, GAU, Jamnagar, 2001.

  • 59. Barry J, Goldstein, Derk MW. Type-2 Diabetes Principles and Practice. Epidemiology of Type-2 Diabetes, 2nd ed. chapter 1, Informa healthcare publication, pp 6, 2010.

  • 60. Diabetes Prevention Program Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 346: 393-403, 2002.

  • 61. Pan X, Li G, Hu Y, Wang J, Yang W, An Z. Effects of diet and exercise in preventing NIDMM in people with impaired glucose tolerance. The Da Qing IGT and Diabetes Study. Diabetes Care 20: 537-544, 1997.

  • 62. Zierath JR, Wallberg-Henriksson H. Exercise training in obese patients. Special considerations. Sports Med 14: 171-189, 1992.

  • 63. Sigal RJ, Kenny GP, Wasserman DH, Carmen CS, White RD. Physical Activity/Exercise and Type 2 Diabetes, A consensus statement from the American Diabetes Association. Diabetes Care 29: 1433-1438, 2006.

  • 64. Jimenez CC, Corcoran MH, Crawley JT et al. National athletic trainers' association position statement: management of the athlete with type 1 diabetes mellitus. J Athl Train 42: 536-545, 2007.

  • 65. Li G, Zhang P, Wang J et al. The long-term effect of lifestyle interventions to prevent diabetes in the China. Da Qing Diabetes Prevention Study: a 20-year follow-up study. Lancet 371: 1783-1789, 2008.

  • 66. Tuso P. Prediabetes and lifestyle modification: Time to prevent a preventable disease. Perm J 18: 88-93, 2014.

  • 67. Tuomilehto J, Lindstrom J, Eriksson JG et al. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med 344: 1343-50, 2001.

  • 68. Abuissa H, Bell DSH, O'Keefe JH Jr. Strategies to prevent type 2 diabetes. Curr Med Res Opin 21: 1107-1114, 2005.

  • 69. Boule NG, Haddad E, Kenny GP et al. Effects of exercise on glycemic control and body mass in type 2 diabetes. JAMA 286: 1218-27, 2001.

  • 70. Salmeron J, Manson J, Stampfer M et al. Dietary fiber, glycemic load, and risk of non-insulindependent diabetes mellitus in women. JAMA 277:472-7, 1997.

  • 71. Hodge A, English D, O’Dea K et al. Glycemic index and dietary fiber and the risk of type 2 diabetes. Diabetes Care; 27: 2701-6, 2004.

  • 72. Tsunehara C, Leonetti D, Jujimoto W. Diet of second-generation Japanese-American men with and without non-insulin-dependent diabetes. Am J Clin Nutr 52:731-8, 1990.

  • 73. Marshall J, Hamman R, Baxter J et al. Highfat, low-carbohydrate diet and the etiology of non-insulindependent diabetes mellitus: the San Luis Valley Diabetes Study. Am J Epidemiol 134: 590-603, 1991.

  • 74. Meyer K, Kushi L, Jacobs D et al. Carbohydrates, dietary fiber, and incident type 2 diabetes in older women. Am J Clin Nutr 71: 921-30, 2000.

  • 75. Fung T, Hu F, Pereira M et al. Whole grain intake and the risk of type 2 diabetes: a prospective study in men. Am J Clin Nutr 76: 535-40, 2002.

  • 76. Salmeron J, Ascherio A, Rimm E et al. Dietary fiber, glycemic load, and risk of NIDDM in men. Diabetes Care 20:545-50, 1997.

  • 77. Malhotra V, Singh S, Singh KP, Sharma SB, Madhu SV, Gupta P. Effects of yoga asanas and pranayama in non-insulin dependent diabetes mellitus. Ind J Trad Knowl 3: 162-167, 2004.

  • 78. Singh S, T, Singh KP, Tandon OP, Madhu SV. Influence of pranayamas and yoga-asanas on serum insulin, blood glucose and lipid profile in type 2 diabetes. Ind J Clin Biochem 23: 365-368, 2008.

  • 79. Sahay BK. Yoga and Diabetes. Proceedings of Noro Nordisk diabetes update, Ed. Anil Kapur Health Care Communication, Bombay, pp 159-167, 1994.

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