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  3. NON COMMUNICABLE DISORDERS WITH SPECIAL REFERENCE TO DIABETES MELLITUS RELATED COMPLICATIONS
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Dr. Priyanka yadav, Dr. Lokesh yadav, Prof. Balbir Singh Prof. O.P. Singh, Dr. J.P. Singh,

NON COMMUNICABLE DISORDERS WITH SPECIAL REFERENCE TO DIABETES MELLITUS RELATED COMPLICATIONS

The major cause responsible for the non communicable diseases (NCD) is inappropriate lifestyle that include  reduced physical activity , consumption of unwholesome diet, improper work schedules and many more like these. Ayurveda narrated these phenomenons as ‘Prajnaparadha’ (intellectual blasphemy). The incidence of lifestyle diseases like hypertension, diabetes mellitus, dyslipidaemia, obesity and their related complications are on the rise.  Diabetes Mellitus is regarded as a syndrome characterized by chronic hyperglycaemia due to relative deficiency of insulin or resistance or both . These complications associated with uncontrolled diabetes are due to vascular changes, diabetic neuropathy and infections in glucose loaded tissue. Prominent among these complications are conditions like abscesses, multiple boils, cellulites, carbuncles, phosthitis, balano-phosthitis, diabetic foot lesions, fungal infections like candidiasis, muco-mycosis , empyematous lesions like pyothorax, pyometra , appendicitis, subdural empyema, septic arthritis , pyocele (empyema affecting gall bladder) , cholecystitis, empyematous pyelonephritis, necrotising fasciitis & fournier’s gangrene requiring the surgical concern. These all conditions requires a strict diabetic control that could be achieved following the standard guidelines  mentioned concerning the madhumeha  followed by the surgical & parasurgical measures followed by the standard wound care as described in shashti-upkrama. The role of  vranshodhaniya & vranropaniya kshaya is also of worth mention.