A rationale approach to Gestational Diabetes Mellitus through Ayurveda - Case Series

  • Dr. Gayathri Bhat N.V. Professor & HOD, Dept of Prasutitantra and Streeroga, Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital, Hassan, Karnataka, INDIA.
  • Dr. Deepthi G.B. Final Year Post Graduate Scholar, Dept of Prasutitantra and Streeroga, Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital, Hassan, Karnataka, INDIA.
Keywords: Gestational Diabetes Mellitus, Ayurveda, Garbha Avastha Janya Prameha, Case Series

Abstract

Introduction: Gestational diabetes mellitus results in stages of carbohydrate tolerance levels with its first onset during pregnancy. This happens due to the alterations in the glucose metabolism during pregnancy. The incidence of diabetes complicating pregnancy has increased approximately 40% from 1989-2004. The increasing prevalence of type-2 diabetes in pregnant younger women has led to adverse maternal complications and fetal mortality and morbidity. Methodology: Here is a case series of 3 primigravida patients admitted in the In-patient department of Prasuti Tantra & Stree Roga, SDM Hospital, Hassan, 2 of these patients in 2nd trimester and 1 patient in 3rd trimester with increased blood glucose levels first diagnosed during pregnancy. They were given Ahara, Vihara and Aushadha as per principals of Ayurveda, Nishamalaki tablet and Asanadhi Gana Kashaya was given in same quantity and duration. Regular diabetic chart was maintained in the In-patient department and alternative day blood sugar levels were measured. Discussion: The holistic approach of treating gestational diabetes mellitus with Ayurveda utilizing the concept given by Acharyas have shown good results in patients paving the way in controlling the blood sugar levels and preventing the complications caused by GDM on both mother and the fetus. There was reduction in the blood glucose levels and no complications were noticed during delivery. Hence here is an article regarding rationale approach to GDM through Ayurveda.

References

Cunningham, F. G., Leveno, K. J., Bloom, S. L., Spong, C. Y., Dashe, J. S., Hoffman, B. L., Sheffield, J. S. William’s Obstetrics, 24th edition. New York: McGraw-Hill Education diabetes, 2014.

DC Dutta's Textbook of Obstetrics. 7th ed. New Delhi: Jaypee Brothers Medical Publishers, 2013;p.294-301.

Reece EA, Leguizamon G, Wiznitzer A: Gestational diabetes: the need for a common ground. Lancet 2009, 373:1789–1797.)

Avi Ben-Haroush, Yariv Yogev, Moshe Hod. Epidemiology of gestational diabetes mellitus. Textbook of Diabetes and Pregnancy. 2003:85-6.

Van Assche FA, Holemans K, Aerts L. Long term consequences for offspring of diabetes during pregnancy. Br Med Bull 2001;60:173-82.

Seshiah V, Balaji V, Balaji MS, Sanjeevi CB, Green A. Gestational diabetes mellitus in India. Japi. 2004 Sep 21;52(9):707-11.

Kowsalya RG, Jain A, Naik AD S. Significance of Rasayana Dravyas for Garbha Poshana- A review. J Ayu Herb Med 2020;6(1):37-3)

Vaidya Jadavji Trikamji Acarya (Ed.), Sushruta, Sushruta Samhita with the Nibandhasangraha Commentary of Sri Dalhanacharya, Eight edition, Chaukhamba Orientalia, Varanasi. 2009;p.357

Jadavaji Trikamji Aacharya (Ed.), Charaka, Charaka Samhita. Sutra Sthana, Cha.5, Matrashitiyam Adhyaya. 1st ed. Varanasi: Krishnadas Academy;2000. p.24

Jadavaji Trikamji Aacharya (Ed.), Charaka, Charaka Samhita. Shareera Sthana, Cha.8 Jatisutriya Adhyaya. 1st ed. Varanasi: Krishnadas Academy;2000. p.1-24

Jadavaji Trikamji Aacharya (Ed.), Dalhana, Sushruta, Sushruta Samhita, Sutra Sthana, Cha.14, Doshadhatumalakshayavrudhivijnaneeya Adhyaya, Verse 16. 8th ed. Varanasi: Chaukhambha Orientalia;2005;p.1.

P. V. Tewari (Ed.), Kashyapa. Kashyapa Samhita. Khilasthana 10, Reprint Edition, Varanasi: Chaukhambha Vishvabharati;2008;p.575.

Jadavaji Trikamji Aacharya (Ed.), Charaka, Charaka Samhita. Shareera Sthana, Cha.8, Jateesutriya Adhyaya. verse 22, 1st ed. Varanasi: Krishnadas Academy;2000.

Jadavaji Trikamji Aacharya (Ed.), Dalhana, Sushruta. Sushruta Samhita. Shareera Sthana, Cha.3 Garbhavakranti Adhyaya, verse 4. 8th ed. Varanasi: Chaukhambha Orientalia;2005.

P. V. Tewari (Ed.), Kashyapa. Kashyapa Samhita. Khilasthana, Reprint Ed. Varanasi: Chaukhambha Vishvabharati;2008.

Dr. Mangalagowri Rao, Text Book of Swasthavritta, chapter no. 8, Chaukhamba Orientalia, Varanasi, 2014;p.79

Ali HI, Jarrar AH, El Sadig M, Yeatts KB. Diet and carbohydrate food knowledge of multi-ethnic women: a comparative analysis of pregnant women with and without gestational diabetes mellitus. PLoS One. 2013 Sep 12;8(9):e73486.)

Kaviraj Govind Das Sen. Bhaisajya Ratnavali, edited by Mishra S, Shodhana-Marana-Gunadi Prakaranama: Chapter 21, Verse 97-102. Reprint ed. Chaukhamba Surbharati Prakashan, Varanasi, 2013:p.42-43.

Yadavji Thrikamji Acharya, Ashtanga Hridaya, Uttarasthana 40/48, Chaukhambha Surbharti Prakashan, 2013.

Gunderson EP (1997) Intensive nutrition therapy for gestational diabetes. Rationale and current issues. Diabetes Care 20: 221–226).

Sharangdhar Samhita, Dipika Hindi commentary by Brahmanand Tripathi, Choukhambha Sanskrit Bhawan, Varanasi, Madhyama khanda 2/154, 2011.)

Nishteswar K. Ayurvedic Concept of Food and Nutrition. J Nutrition Food Science, 2016; (6)46: 530. doi:10.4172/2155-9600.1000530

Bagde A, Ramteke A, Nimbalkar M, Tirpude S. NITYA SEVANIYA AAHARA (WHOLESOME DAILY FOOD) IN AYURVEDA–REVIEW ARTICLE.)

Sharama PV. Dravyaguna Vignana. Vol. 2. Varanasi: Chaukhambha Bharati Academy; 2005. p. 824; 684; 70; 363-4; 72-3.

Sharma PC, Yelne MB, Dennis TJ. Database on Medicinal plants. Vol. 4.New delhi, CCRAS Publication; 2002. p. 407; 291

Belguith-Hadriche O, Bouaziz M, Jamoussi K, El Feki A, Sayadi S, Makni-Ayedi F. Lipid-lowering and antioxidant effects of an ethyl acetate extract of fenugreek seeds in high-cholesterol-fed rats. J Agric Food Chem 2010;58:2116-22

Shukla K, Narain JP, Puri P, Gupta A, Bijlani RL, Mahapatra SC, et al. Glycaemic response to maize, bajra and barley. Indian J Physiol Pharmacol 1991;35:249-54. 11. Shukla K, Narain JP, Puri P, Gupta A, Bijlani RL, Mahapatra SC, et al. Glycaemic response to maize, bajra and barley. Indian J Physiol Pharmacol 1991;35:249-54.

R H Singh. Charak Samhita of Agnivesha. Chawkhambha Surabharati Prakashana, Varanasi, 1 st edition, reprint, 2011; 2: 1042. 2. Narayanram. Sushrut Samhita. Chawkhambha Surabharati Prakashana, Varanasi, 2014; 452.)

Bedarkar PB, Ranpara N, Sawaliya V, Nariya MB, Prajapati PK, Patgiri B. Antihyperglycemic activity of Nishamalaki-An Ayurvedic formulation of Turmeric and Emblica officinalis. EJBPS. 2017;4(9):853-6.

Amrutha BS, Padmasaritha K. Ayurvedic Management of Gestational Diabetes Mellitus-A Case Study. Journal of Ayurveda and Integrated Medical Sciences (ISSN 2456-3110). 2020 Jul 8;5(3):176-9.
Section
Case Report