AN EPIDEMIOLOGICAL STUDY TO FIND OUT SANTARPANOTTHA HETU IN PATIENTS OF MADHUMEHA (DIABETES MELLITUS) AT JAIPUR AND ITS PERIPHERY

Abstract

Madhumeha (Diabetes mellitus) is classical metabolic disorder of tissue and cellular level. Unhealthy diet and physical inactivity are the leading causes of the major non communicable diseases (NCDs) which are similar to Santarpaṇa Hetu as mentioned by Acharya Charaka in Nidana of Prameha. A survey study was carried out to study the prevalence of Madhumeha patients and associated risk factors in terms of Santarpa ṇa Hetu on randomly selected 240 diabetic patients from OPD of NIA hospital & diabetes camps at Jaipur region. A survey proforma was prepared and detailed history of each patient fulfilling the diagnostic criteria of ADA 2016 was taken. On considering data of Santarpana Hetu, maximum patients were taking potato (100%); dairy products (100%); Basmati rice (88.75%); jaggery and its preparations (73.33%); junk food (81.66%); bakery products (72.08%) in excessive quantity and 55.41% patient were found to be with increased BMI. Factors observed related to life style are Avyayam (70.41%); Divasvap (62.08%) & Aasyasukham (58.75%). Chinta (stress) were found in 62.91% patients. This study revealed that prevalence of high glycemic index diet; dairy products; junk food and increased BMI are found dominant in diabetes patients in Jaipur and its periphery. If people avoid these faulty dietary habits and sedentary lifestyle (Nidana Parivarjana Chikitsa) then development of diabetes will be controlled upto some extent.