A review of obese and lean diabetes with special reference to sthula and krusha prameha

According to new data released by The Lancet on World Diabetes Day, the number of adults with diabetes has more than quadrupled since 1990, reaching over 800 million globally. The alarming rise in diabetes over the last three decades can be attributed to increasing obesity rates, poor food marketing, sedentary lifestyles, and financial difficulties. Conversely, malnourished individuals accounted for the majority of hyperglycaemia in another semi-urban/rural Indian study. The key feature of non-obese T2D seems to be a defect in insulin secretion capacity rather than peripheral insulin resistance seen in classical diabetes. Ayurveda emphasizes that the approach to lean diabetic patients should differ from that of obese diabetic patients and identifies medo-dhatu (fat metabolism) as the primary pathology in any type of prameha (diabetes).