INDIA -THE DIABETIC CAPITAL OF THE WORLD

India is known as the diabetic capital of the world by having the maximum number of diabetic people. India has the second-highest number of diabetes patients aged 20-79 years as of 2019. Not only in the whole of the world but also in India there is a massive growth in the number of diabetic patients. The drug companies show rapid growth in the sales of antidiabetic drugs and insulin injections. But now India maintains the number one position in the world concerning the number of diabetic patients. One in six people with diabetes in the world is from India. The numbers place the country among the top 10 countries for people with diabetes, coming in at number two with an estimated 77 million diabetics. China leads the list with over 116 million diabetics. Today there are as many as 30- 50 million diabetic patients in this country and the number is still growing. In terms of drug companies, India is now the diabetic capital of the world.

Diabetes is a lifestyle-related disease. Excessive psychological stress, lack of physical activity, the presence of overweight, bad food habits all contribute to the disease heavily. The disease if it remains uncontrolled slowly damages the whole of the body. The kidneys, the brain, the heart, the nerves, and the eyes are affected first. India is on the top of the table of a clutch of countries in Southeast Asia — Bangladesh, Sri Lanka, Nepal, and Mauritius. Bangladesh, which is second on the list of top five countries with diabetes (20-79 years), however, has only 8.4 million diabetics.

Diabetes, a global public health problem, is now emerging as a pandemic and by the year 2025, three-quarters of the world’s 300 million adults with diabetes will be in non-industrialized countries and almost a third in India and China alone. There is evidence from several studies that the prevalence of Type 2 diabetes is increasing in migrant Indians. Today, the prevalence of diabetes in the urban metros of India is approaching the figures reported in the affluent migrant Indians. Environmental and lifestyle changes resulting from industrialization and migration to the urban environment from rural settings may be responsible to a large extent, for this epidemic of Type 2 diabetes in Indians. Obesity, especially central obesity and increased visceral fat due to physical inactivity, and consumption of high-calorie/high-fat and high sugar diets are major contributing factors. There is also strong evidence that Indians have a greater degree of insulin resistance and a stronger genetic predisposition to diabetes. As several of the factors associated with diabetes are potentially modifiable, this epidemic of diabetes can be curbed if proper measures are taken to increase physical activity and reduce obesity rates in adults, and most importantly, in children. Also, strategies to achieve healthy fetal and infant growth and encouraging the use of traditional diets rich in fiber are important steps. Such interventions should be attempted in those who are genetically predisposed to diabetes to tackle the explosion of, and thereby reduce the burden due to, diabetes within the Indian subcontinent.

In this disease, there is a decreased utilization or slow utilization of glucose in the billions of cells of the body. Ideally, glucose can easily enter these cells with the help of Insulin and get utilized to create energy. Insulin’s job is like a gatekeeper. When an inadequate amount of insulin is produced by the islet cells of Pancreas loses its efficiency the blood glucose level rises in the blood. On the other hand, cells lack Glucose. This condition, by a series of complicated mechanism, keeps on damaging the small blood vessels in the whole of the body (called Microangiopathy). This in the long run produces complications of diabetes.
Till now the medical treatment, like any other lifestyle diseases, remain temporary and chronic in nature. The tablets have to be consumed continuously and regularly. In advanced cases outside Insulin will be required, which has to be injected at least two times to the patients, throughout their lives.

Saaol program is also a way to control and treat this dreaded lifestyle disease. The diet advocated by Saaol takes care of the blood glucose control, the weight reduction process of Saaol increases the effectiveness of insulin; exercise program increases the peripheral utilization of glucose and the meditation, yoga process causes more insulin secretion. We have seen diabetic patients withdrawing their insulin and drugs by following the Saaol program and diet specification. Since it is a practical process. Diabetes can be controlled for a long period with Saaol.