Effect of Ayurvedic therapy in the management of Lower Limb Complications related to Diabetes Mellitus - A Case Study

According to data presented by WHO, The global prevalence of diabetes among adults is projected to be 7.7% of (439 million) adults by 2030. Study estimated that 47% of patients with diabetes have some peripheral neuropathy and is estimated to be present in 7.5% of patients at the time of diabetes diagnosis. Diabetes is the leading cause of Non traumatic lower extremity amputations in India, with approximately 5% of diabetics developing foot ulcers each year and 1% requiring amputation . Various oral hypoglycaemic agents, insulin formulations, life style modification plans consisting of dietary management and exercise, are some of the important efforts towards the management of diabetes. In spite of fascinating advances in pharmaco-therapeutic agents, world is seeking for safer and effective remedies. Increased side effects, lack of effective treatment for complications, high cost of new drugs and resistance to the drugs are some reasons for renewed public interest in Ayurvedic medicines. Now the primary goal is not merely to achieve normoglycemia, but also to minimize its complications. Basti karma is one among the Panchakarma in Ayurveda. Panchakarma intervenes at the systemic level regardless of the tissue or organ involved in the pathology. Here the case study with diabetic peripheral neuropathy and vasculopathy has shown beneficial immediate and mid-term improvement after Ayurvedic treatments. The study provides early basis for larger studies regarding role of Ayurvedic treatment in management and prevention of DM related complications