ABSTRACT

Diabetes is a huge problem worldwide. According to WHO around 538 million people are suffering from diabetes worldwide. And the numbers are increasing every year. It is predicted that this number will increase and go upto 780 million people worldwide till 2045. And 1.3 billion by 2050. Diabetes is said to be irreversible, is it so? Diabetes is a condition of the body not a disease on its own and it can be reversed completely in months with proper dietetics and medication. Diabetes sometimes shows complications in new Diabetic patients. Diabetic Ketoacidosis is also a complication of diabetes.

INTRODUCTION

Insulin is a very important hormone of the human body. Which helps in breaking down fats and carbohydrates into glucose, and also helps in absorption of glucose from blood. In absence or without enough supply of insulin the body starts to break down fat as fuel. This creates a Acid buildup in the bloodstream. Ketone is a chemical which is acidic in nature and produced by the liver to break down fat. A high value of ketones in blood is known as diabetic Ketoacidosis.

SYMPTOMS

In a few cases, Diabetic ketoacidosis symptoms can appear quickly in less than 24 hours. Same symptoms may be the early indication of diabetes. Some signs could be:

• Vomiting
• Dehydration
• Weight loss
• Drowsiness
• Increased heart rate (tachycardia)
• Feeling more thirsty than usual
• Frequent micturation
• Experiencing abdominal ache
• Having a fruity breath smell

Below given blood investigations can be performed at home with kits

• Elevated blood sugar
• High urine ketone levels

CAUSES AND RISK FACTORS FOR DIABETIC KETO-ACIDOSIS

The main cause of diabetic ketoacidosis is a lack of insulin in the body. Because your cells can't use the blood sugar for energy, they must instead burn fat. The ketones that are produced when fat is burned. They could amass in your blood if the procedure continues for a while. The excess can disrupt your system as a whole and alter the chemical composition of your blood.

Due to their inability to produce insulin, people with type 1 diabetes are at risk for developing ketoacidosis. Your ketones may also increase if you:

• Pass up a meal
• When ill or stressed
• Have a reaction to insulin
• Insufficient insulin

DKA is a rare complication for persons with type 2 diabetes. If you have type 2, especially as you age, you run a higher risk of developing HHNS (hyperosmolar hyperglycemic nonketotic syndrome), a disorder having some resemblances to type 2. Severe dehydration may result from it. If the patient is not taking an authorized dose of insulin.

DKA Risk Factors Include

• Stomach disorder
• Infections
• Heart conditions, including heart attacks
• Blood clot in lungs
• Severe disease or stress of any kind
• Pregnancy
• Surgery
• Steroids and Antipsychotic medications
• Use of drugs such as cocaine, crack.

DIAGNOSIS AND TESTS FOR DIABETIC KETOACIDOSIS

Ketone levels should be tested if your blood sugar is over 250 mg/dL (milligrams per deciliter) or if you have any of the symptoms of high blood sugar mentioned here-

• Such as dry mouth,
•  feeling really thirsty or urinating frequently.
•  You can check your sugar level with a urine test strip.
•  Some glucometers also measure ketones.
• Try to lower your blood sugar and check your ketones again in 30 minutes.
• Doctors may give you a physical exam, ask about your symptoms, and discuss your medical history. They may also order these tests to diagnose DKA: Blood test including metabolic panel and electrolytes Analysis of urine
• (ABG) Arterial blood gas Blood pressure Tests for signs of infection.
• Electrocardiogram
• X-ray chest

TREATMENT AND REMEDIES

• Insulin injection through an IV to bring your ketones down
• IV Fluids to get you hydrated and bring your blood chemistry back into balance.
• Electrolyte replacement through an IV to replace key minerals like sodium, potassium, and chloride to keep your heart, muscles, and nerves working properly
• If you have any infection, take antibiotics

COMPLICATIONS

• Hypoglycemia/(Low blood sugar)
• Hypokalemia/(Low potassium)
• Loss of consciousness due to hypoglycemia.
• Even Death
• Cerebral Edema - if sugar levels are adjusted too quickly can cause swelling in the brain.

HERBS

• Costus Igneus
• Cinnamon
• Ginger
• Turmeric
• Garlic

REMEDIES AND PREVENTION

• Drink a good amount of water.
• Take your medicines as directed.
• Follow your meal plan closely.
• Keep up with your exercise program.
• Test your blood sugar regularly.
• Check for whether you have expired/fresh insulin.
• Avoid insulin dose if it has clumps. It should be clear.
• If you're on an insulin pump, check for insulin leaks, and check air bubbles.
• Manage your insulin dose.
• If your blood sugar levels are too high or your urine has too many ketones be conscious about this condition.

HERBAL REMEDIES FOR DIABETIC KETOACIDOSIS BY PLANET AYURVEDA

Planet Ayurveda manufactures Ayurvedic medicines derived entirely from plants. Planet's medicine does not contain additives, chemicals or preservatives. All products are GMP certified and 100% vegan. Planet Ayurveda provides herbal remedies for Diabetic Ketoacidosis they are as following:

PRODUCTS LIST

1. MADHUMEHANTAK CHURNA
2. ATIRASADI CHURNA
3. CHANDRAPRABHA VATI
4. MUSLI STRENGTH CAPSULES
5. DIA-FINITO CAPSULES

Herbal Remedies For Diabetic Ketoacidosis

PRODUCTS DESCRIPTION

1. Madhumehantak Churna

The most effective Ayurvedic herbal remedy for diabetic ketoacidosis is madhumehantak churna. It is brimming with spices like Tulsi (Ocimum sanctum), Neem Patra (Azadirachta indica), Babool (Acacia arabica), (Momordica charantia), Sadabahar (Lochnera rosea), Methi (Trigonella foenum graceum), Jamun (Syzygium cumini), Karela Bilva Patra (Aegle marmelos) and others. It is one of the most amazing restoring meds known to help control and forestall diabetes. Additionally, it has the best outcomes for diabetic ketoacidosis.

Dosage: ½ tsp twice daily with lukewarm water.

2. Atirasadi Churna

Planet Ayurveda's Atirasadi Churna is a natural remedy called atirasadi churna. The primary constituents of this herbal churna include Safed musli (Chlorophytum borivilianum), vidar kand (Pueraria Be tuberosa), ashwagandha (Withaniah), semal musli (Salmalia malabarica) shatavari (Asparagus racemosus), Kali musli (Curculigo orchioides), Talmakhalla spinosa (H).) and many others. Your immune system may be strengthened by using this churna, which is also helpful for diabetic ketoacidosis.

Dosage: ½ tsp twice daily with lukewarm water.

3. Chandraprabha Vati

Chandraprabha vati is one of the best classical Ayurvedic herbal remedies, formulated with herbs such as Kapoor (cinnamomum) Guggul (Commiphora mukul), Haridra (Curcuma longa), Amalaki (Emblica officinalis), shilajit (Asphaltum), sarkara (guggul), Vacha (acorus calamus), Mustak (Cyperus rotundus), chavya (piper chaba) and many other useful herbs. This herbal combination strengthens the nervous system and increases immunity. One of the finest herbal treatments for diabetes and diabetic ketoacidosis, according to several sources

Dosage: 2 tablets twice a daily with water after a meal.

4. Dia-Finito Capsules

Planet Ayurveda's Dia-finito capsules are a natural Ayurvedic remedy. Kali marich (Piper nigrum), and Pippali (Piper longum), Sunthi (Zingiber officinale) are the key components of this capsule. All of these plants support the body's normal glucose levels. Additionally, it helps our hormones and digestive system work better. In diabetic ketoacidosis, it works well.

Dosage: 1-2 capsules twice a day with lukewarm water after a meal.

5. Musli Strength Capsule

It is a multi-herbal formulation from Planet Ayurveda. The combination of Gokshura, Tribulus terrestris and Safed musli (Chlorophytum Borivilianum) is the strength of this composition. In men and women, these capsules are specifically formulated for the strengthening of the reproductive system. They'll also strengthen the immune system, giving strength to your body's muscles. Improved stamina, self confidence, fertility, sex and a range of other health conditions are also beneficial in the use of muscle strength capsules. In the treatment of diabetic ketoacidosis, it is also very useful.

Dosage: 1-2 capsules twice daily with lukewarm water.

CONCLUSION

We Ayurvedic people believe 75% of disorders and health conditions are the result of our bad habits and lifestyle. Ayurveda says we are the outcome of what we eat and do. We become as we eat and do. Ayurveda has also proved its authenticity and effective nature of curing diseases which are said to be irreversible in today's modern world, by slowly reversing the disease. If we adapt our ancient vedic way of living we can actually prevent many health conditions. This article can help you by giving you complete information/knowledge about diabetic ketoacidosis, its prevention remedies and precautions. If we start following proper dinacharya and Ritucharya we can actually make India healthy and help in countries development and a faster progression. Follow ayurveda, stay healthy, stay happy and make the world a happy planet.