Anoop Misra - Diabetes with Delight: A Joyful Guide to Managing Diabetes In India

Diabetes With Delight

A Joyful Guide to Managing Diabetes in India

Diabetes With Delight

A Joyful Guide to Managing Diabetes in India

Anoop Misra

First published in India 2018

2018 by Anoop Misra

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Discipline of mind and body is my best physician

Anonymous, 3000 AD

Dedication

My Mother: For me, the Vatavriksha

Angeli: Endless river of hope and inspiration

Tanvi and Utkarsh: Bigger bundles of joy

Days of syphilis and plague are over, time of tuberculosis and malaria is lessening, and that of diabetes increasing in geometrical proportions! Bam! Diabetes genie is out of the bottle, growing by the second, and casting bad spell on you. Once a rich mans disease, this menace is now steadily and significantly afflicting the worlds middle-income families, particularly Indians.

Diabetes is an opportunistic killer. What it means is that opportunities are provided by the patients; mostly in the form of bad lifestyle and disciplinary inconsistencies, and this disease grabs the person by the throat and does not leave it. Those who are obese in childhood and with family history of diabetes, are easy prey of this disease right from the early years. What we need is more circulation of healthier blood without much of sugar in it to come out of its grips.

Research done by our group in formulating National guidelines for obesity, diabetes, exercise and diet have helped this book become rigorously evidence and science based, rather than being based on own experience or whims and fancies of a clinician or nutritionist. In these aspects, this book attempts to attain a unique place; mixing simplicity and science to bring best practices and useful tips for preventing and controlling this disease. Frequently asked questions and dialogue boxes prominently displaying key points will help any person in understanding various aspects of treatment quickly.

Most importantly, this book is meant for a person who wants to know how to avoid not only diabetes, but also the related diseases like obesity, polycystic ovarian disease, hypertension, and disorders of cholesterol and thus prevent heart disease too. Moreover, often less-understood issues like fasting, exercising, use of fruits, snacks, artificial sweeteners, vitamins and minerals etc. have been clarified, which may also be of interest to non-diabetic readers who generally want to follow a healthy lifestyle. Simple recipes at the end of the book will help patients construct healthy menu all by themselves.

Many patients ask me, Doc do you practise what you preach? I always say, I do practise to the best limits of my bodys physiology and mind; often stretching these limits. The lifestyle advice written here is religiously practised by me. I hope you follow it too. I am sure, for patients with diabetes, if you read and understand everything in this book, and follow it; you will be masters of your own lives and will be able to overcome diabetes.

I sincerely acknowledge the contributions of by Aanchal Gupta towards writing, editing and proof reading book several times. I also thank Namita Bhatia and Bhavya Munjal for valuable contributions.

CONTENTS

Annexures

Diabetes was recognised in ancient times, and even finds reference in the Indian ancient treatise, Vedas, more than 4,500 years ago. The term diabetes originated from the Greek word for siphon, because of marked urination in pateints. The term mellitus is derived from a Greek word, meaning sweet, in context of presence of sugar in the urine. In second century AD, Aretaeus, a Greek physician, described diabetes accurately in the following manner:

a dreadful afflictiona melting down of the flesh and limbs into urine. The patients never stop making water and the flow is incessantLife is short, unpleasant and painful, thirst unquenchable, drinking excessive, and disproportionate to the large quantity of urine, for yet more urine is passed.If for a while they abstain from drinking, their mouths become parched and their bodies dry; the viscera seem scorched up, the patients are affected by nausea, restlessness and a burning thirst, and within a short time, they expire.

Figure 1: Sushruta, an Indian Physician Examining a Patient.

Sushruta, an Indian physician during the sixth century AD observed that ants were attracted to the urine that was sweet in taste (Hindi name
of diabetes was derived Madhumeha), and used that as a test for
diabetes. The primary test of identifying diabetes until medieval times was by touching, smelling or tasting the urine of the patient!

Figure 2: First Description of Diabetes Mellitus in Ebers Papyrus (Egypt, 1500 B.C.)

Key Landmarks in History of Understanding of Diabetes: