Tuesday, October 1, 2024

Curated Paper 1 - Kaden Jensen

 My excitement for Ayurveda began when I first read the phrase, "Ayurveda incorporates yoga." That statement was very exciting to me because although my knowledge of Ayurveda was limited, I had always connected deeply with yoga, so the idea that the two were intertwined intrigued me. As I dug deeper, I learned that Ayurveda is much more than just an ancient system of stretching, but is an entirely holistic approach to health that seeks to treat both the body and the mind. One article I came across referred to modern medicine as a "reductionist approach" compared to the holistic nature of Ayurveda. The term reductionist struck a chord with me, as it made me reflect on how Western medicine often focuses on treating symptoms rather than understanding and addressing the full context of a person's health.

This was especially relevant to me because I have personal experience with chronic illness in my family. My mother has suffered from debilitating migraines throughout her life. Her migraines are severe, sometimes lasting days and usually cause her to vomit. For as long as I can remember, she has been searching for ways to manage her migraines, trying medication after medication, but rarely finding relief. It’s painful to watch, especially during the worst of her migraines, when she’s bedridden and unable to anything she wants to. Over the years, she has found more success in using holistic practices, taking care of her overall health, and focusing on the periods when she is pain-free. Those windows of well-being have allowed her to enjoy her favorite activities, such as hiking, which has brought balance to her life. Seeing her embrace holistic healing strategies, despite the constant challenges, has made me eager to explore more about Ayurveda and its potential to help people with chronic illnesses.

Ayurveda’s holistic philosophy applies to chronic conditions, including one that uniquely concerns me: diabetes. Diabetes is largely influenced by factors that are within our control, yet many people are unwilling to make the lifestyle changes necessary to manage or prevent it. Reflecting on diabetes has also pushed me to confront my own habits. I know I live a largely sedentary lifestyle, and my diet is not great to say the least. It consists almost entirely of cereal. I rarely make time for physical exercise, beyond walking to school. It’s become clear to me that if I don't change these habits, I could be setting myself up for long-term health issues. Thinking about the potential of developing diabetes has made me more introspective and motivated to improve my lifestyle, especially considering the changes I could make to better align with Ayurveda and improving the balance in all areas of my life.

My concern about diabetes is not just the concern I possess for every chronic illness. Type 1 diabetes runs in my family, and it’s a reality I can’t ignore. My cousin, only two years older than me, was diagnosed with Type 1 diabetes. His diagnosis was a shock to all of us. Despite his efforts to manage the condition, his situation has been made more complicated by the fact that he is uninsured and unemployed, meaning he struggles to afford insulin. His mother has had to step in to help cover the costs. This has made me especially aware of how fragile health can be and how difficult it is to manage a condition like Type 1 diabetes without proper support. The sudden onset of the disease is particularly terrifying. Johns Hopkins lists the warning signs of Type 1 diabetes as including abnormal thirst, frequent urination, blurred vision, and nausea. I’ve noticed some of these symptoms in myself from time to time, but I’ve avoided confronting them, out of fear. However, after talking to my cousin and learning about his experiences, I’m more alert to the possibility that I need to monitor my own health more closely.

As I continued learning about Type 1 diabetes, I found it fascinating how intricate the treatment process is, especially with insulin management. There have been various types of insulin distribution technologies, and the introduction of closed-loop systems offer some hope for better control. These closed-loop systems are devices that automatically monitor glucose and administer insulin. Still, the unpredictability of blood sugar changes due to factors like stress, physical activity, or diet means even the best technology can only do so much. The promise of a fully autonomous closed-loop system in the future is encouraging, but the reality is that managing diabetes is a constant balancing act.

Unfortunately, the cost of insulin in the U.S. is a major issue. A vial of insulin can cost around $250, yet it only costs a few dollars to produce. I was shocked when I learned about this price discrepancy, especially knowing that it affects so many people, including my cousin. The high price of insulin is largely due to a lack of competition among manufacturers, which has created a sort of monopoly. The reality that one in four patients in the U.S. has to ration their insulin because they can’t afford it is appalling. I read about a young man who died because he couldn’t afford insulin, and the idea that a life can be lost over something so preventable feels deeply terrifying and inequitable.

Diabetes also made me reflect on the balance within the body, a concept that Ayurveda emphasizes. One of the most interesting things I learned was how diabetes affects the pancreas and liver, disrupting glucose regulation and potentially causing a cascade of other health issues. It made me appreciate how interconnected our organs and systems are. This sense of interconnectedness reinforces Ayurveda’s focus on balance. Everything in the body works together, and when one part is out of balance, the whole system suffers.

The modern lifestyle has made maintaining that balance increasingly difficult. I read a statistic that physical inactivity is now considered a pandemic, contributing to rising rates of obesity and diabetes, among other health issues. This really hit home for me. It’s so easy to fall into a sedentary lifestyle, especially when social norms and modern conveniences often encourage sitting at a device to be productive. But knowing that something as simple as regular movement could prevent or mitigate chronic illnesses has motivated me to make changes in my own life.

My diet, too, is in need of improvement. As I mentioned earlier, my diet consists primarily of cereal, and while I’ve always seen this as a convenient, low-waste food, I’ve come to realize that it’s terribly unhealthy. My research into the connections between obesity, depression, and diabetes was a wake-up call. Many members of my family have experienced depression, and some have gained significant weight during depressive episodes. While obesity is not something I’ve fully confronted in my own life, I know I need to stay aware when I’m feeling down. Ayurveda’s holistic approach teaches that the mind and body are not separate, and addressing both is essential for well-being. Changing my diet and incorporating more nutrient-dense foods is a simple step I can take toward better health.

Exploring Ayurveda and my diet also introduced me to the concept of the gut microbiome. I had always thought of obesity as a simple competition between calories in versus calories out. However, I learned that the gut microbiome plays a much larger role in weight regulation and overall health. This was humbling, as I realized how much I didn’t know about the complexity of our bodies. The microbiome’s impact on our physical and mental health is profound, and I now see obesity and weight management in a completely different light. It’s not just about diet and exercise—there are deeper biological forces at play, and Ayurveda’s emphasis on maintaining balance within the body makes even more sense in this context. I had to apologize to family members who I had castigated for blaming their weight on biological factors outside of their caloric intake, so I think this consideration has improved my relationships.

I was especially fascinated to learn that the gut microbiome can influence our circadian rhythm and sleep patterns. I’ve struggled with poor sleep for years, often feeling exhausted during the day and wide awake at night. It’s something that has frustrated me, but now I’m curious about whether changes to my diet could improve my sleep. I’ve already started incorporating more variety into my meals. I read that some of the most important foods to add are oatmeal and beans, and I’m hopeful that these small changes will lead to better sleep and a more balanced life overall.

It was also surprising to learn how early childhood diets can shape the gut microbiome. Growing up in a low-income household, I didn’t always have access to the healthiest foods, and great value cereals made up the entirety of my diet. I had no idea that my childhood eating habits could have a lasting impact on my microbiome into adulthood, but one of the studies showed that there the effects of juvenile poor diets can be seen even six years later. While I can’t change my past, I’m hopeful that by making changes now, I can still improve my overall health and bring my body back into balance.

One of the most surprising aspects of my research was learning about fecal microbiota transplants (FMTs). The idea that healthy bacteria from one person’s gut can be used to treat diseases in another person’s gut by restoring balance is mind-blowing to me. The treatment wasn’t to directly kill the bad bacteria, but to dilute it with beneficial bacterial. This was another example of many that shows how much Ayurveda’s concept of balance applies to modern medicine, even when the method might seem unconventional.  The more I learn about Ayurveda, the more I see how relevant its principles are to achieving long-term health, especially when dealing with chronic conditions.

 

https://www.goodrx.com/healthcare-access/research/how-much-does-insulin-cost-compare-brands

https://www.ncbi.nlm.nih.gov/books/NBK597411/#:~:text=About%2050%25%20of%20the%20risk,overall%20genetic%20risk%20is%20variable.

https://medicine.yale.edu/news-article/the-price-of-insulin-a-qanda-with-kasia-lipska/

https://www.npr.org/sections/health-shots/2018/09/01/641615877/insulins-high-cost-leads-to-lethal-rationing

https://www.hopkinsmedicine.org/health/conditions-and-diseases/diabetes/type-1-diabetes#:~:text=Key%20points%20about%20type%201%20diabetes&text=It%20most%20often%20develops%20in,vision%2C%20nausea%2C%20and%20vomiting.

https://newsroom.uw.edu/blog/adding-key-foods-diet-will-help-restore-gut-health#:~:text=Microbiome-promoting%20fibers%20are%20particularly,%2C%20sauerkraut%2C%20kimchi%20and%20yogurt.

https://www.science.org/content/article/swabbing-c-section-babies-mom-s-microbes-can-restore-healthy-bacteria#:~:text=The%20microbiomes%20of%20C-section,Bacteroides%20bacteria%20in%20their%20guts.

https://newatlas.com/science/poor-diet-childhood-lingering-effects-gut-microbiome/

https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/fecal-transplant#:~:text=The%20procedure%20works%20by%20taking,be%20performed%20with%20upper%20endoscopy.

1 comment:

  1. I've heard about the mouse experiments with the microbiome and obesity but I always imagined that "obese microbiome" caused increased appetite which lead to obesity. Your paper prompted me to fact check that and I learned that with the same quantity of food, the mice with the obese microbiome harvested more energy and stored more fat than the mice with the lean microbiome. I am very surprised. I've been struggling to resonate with the ayurveda concept this semester but your paper helped me see ways that I do. I am surprised how much modern medicine is still so focused on symptoms and not holistic treatment.

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