Role Of Ayurveda In Prevention Of Garbhini Madhumeha (Gestational Diabetes Mellitus)

Abstract

Gestational diabetes mellitus is one of the common problem during pregnancy due to altered life style  and diet pattern. Prevalence of GDM has been greatly increased since 10 yrs, in which 90% of diabetes  in pregnant women is gestational and 10% is pre gestational. Healthy state of pregnancy could be  possible by adopting Garbhadhana vidhi. Garbhini paricharya. Further samsodhana followed by  rasayana, vajikarana as a part of Garbhadhana vidhi prevents possibilities of different ailments during  pregnancy. Similarly, Garbhini paricharya that includes aahara, vihara, oushadha prescribed with  monthly variations may also prevent several ailments during pregnancy. Any violations in the said  regimen may lead to Atiyoga, Ayoga and Mithya yoga resulting in to diseases such as madhumeha particularly santarpana janya vikara and aavaranajanya madhumeha. In Madhu kosa vyakhya, it is  explained that women with irregular menstruation are more prone to diabetes in their future pregnancy.Concept of Asta vidha aahara vishesha ayatana also plays a role in prevention of diabetes. Aahara  vidhi also varies from sthula pramehi to krusha pramehi. viharas such as yoga and pranayama during pregnancy helps to reduce anxiety and endocrine measures. Finally, there is need to adopt for safer  management of GDM through Ayurvedic principles.