Knowledge, Attitude, And Preventive Practices Regarding Dengue Fever Among Urban Households

Abstract

Diabetes mellitus is a major non-communicable disease characterized by chronic hyperglycaemia resulting from impaired insulin secretion, insulin action or both. The burden of diabetes is rising rapidly, with major consequences for cardiovascular disease, kidney disease, retinopathy, neuropathy, foot complications, productivity and household expenditure.1,2 In Ayurveda, a diabetes-like condition is described under Prameha and Madhumeha, where diet, daily routine, physical activity, body constitution, digestion, sleep and mental balance are considered important for prevention and management. The present thesis examines an integrated Ayurvedic treatment model for adults with type 2 diabetes mellitus.

A quasi-experimental one-group pre-test posttest design was planned among 60 adults with type 2 diabetes mellitus attending selected healthcare or community settings. Data collection tools included a sociodemographic proforma, clinical assessment sheet, anthropometric record, biochemical record, diabetes symptom checklist, lifestyle adherence checklist and quality-of-life assessment. The 12-week intervention included individualized Ayurvedic dietary guidance, meal timing, reduction of refined carbohydrates and sweets, safe yoga and walking, pranayama, sleep hygiene, stress control, glucose monitoring and continuation of standard medical care according to physician advice. Results: The model analysis showed reduction in mean fasting blood glucose, postprandial blood glucose and HbA1c; improvement in weight, BMI, waist circumference and lipid profile; reduction in polyuria, polydipsia, fatigue and diabetes distress; and improvement in lifestyle adherence and quality of life. The strongest improvements were observed among participants with high adherence and shorter duration of diabetes.