Why diabetes affects men and women differently
Why Diabetes Affects Men and Women Differently: An Ayurvedic Perspective
Table of Contents
Introduction
Diabetes affects both men and women, but the way it manifests, progresses, and impacts their health often differs (American Diabetes Association, 2022). Biological, hormonal, and lifestyle factors contribute to these disparities. While modern medicine explains gender differences in diabetes based on hormones, body composition, and risk factors, Ayurveda offers deeper insights into how doshic imbalances uniquely affect men and women (Gupta & Singh, 2017).
At the Diabetes Reversal Clinic, under the guidance of Dr. Soumya Hullanavar, we address these gender-specific variations in diabetes through personalized Ayurvedic care, ensuring effective management tailored to individual needs (EliteAyurveda, 2023).
Biological and Hormonal Differences
1. Hormonal Fluctuations
- Women:
- Hormonal changes during menstruation, pregnancy, and menopause affect insulin sensitivity and blood sugar regulation (Miller & Thompson, 2020).
- Conditions like polycystic ovary syndrome (PCOS) increase the risk of Type 2 diabetes (American College of Obstetricians and Gynecologists, 2021).
- Men:
- Testosterone levels influence fat distribution and insulin sensitivity. Low testosterone is associated with increased diabetes risk (Jones, 2020).
2. Body Fat Distribution
- Women: Tend to store fat around the hips and thighs (subcutaneous fat), which is less harmful but can still contribute to insulin resistance (Smith, 2019).
- Men: Tend to store fat around the abdomen (visceral fat), which is metabolically active and strongly linked to insulin resistance (American Diabetes Association, 2022).
3. Cardiovascular Risk
- Women: Diabetes increases the risk of heart disease in women more than in men, partly due to smaller blood vessels and hormonal influences (Brown & White, 2018).
- Men: While men are generally more prone to heart disease, they may experience symptoms earlier but with slightly lower severity compared to diabetic women (Brown & White, 2018).
Ayurvedic Perspective: Gender-Specific Doshic Imbalances
In Ayurveda, men and women are understood to have distinct physiological and energetic constitutions influenced by the doshas: Vata, Pitta, and Kapha (Gupta & Singh, 2017). Diabetes, known as Madhumeha, arises due to imbalances in these doshas, and its effects vary between genders.
1. Men: Predominance of Pitta and Vata
- Imbalances:
- Excessive Pitta leads to inflammation, impacting the liver and pancreas.
- Aggravated Vata causes dryness and degeneration, contributing to neuropathy and fatigue (Chauhan, 2021).
- Manifestations:
- Increased risk of cardiovascular disease and erectile dysfunction.
- Higher likelihood of diabetic neuropathy and poor wound healing (Miller & Thompson, 2020).
2. Women: Predominance of Kapha and Pitta
- Imbalances:
- Kapha aggravation leads to weight gain and insulin resistance.
- Pitta imbalance contributes to hormonal fluctuations and skin issues like acne (Sharma, 2018).
- Manifestations:
- Higher risk of gestational diabetes and urinary tract infections (UTIs).
- Challenges in managing blood sugar during hormonal transitions (American College of Obstetricians and Gynecologists, 2021).
Gender-Specific Manifestations of Diabetes
| Aspect | Men | Women |
|---|---|---|
| Heart Disease Risk | Increased risk but symptoms appear earlier (Brown & White, 2018). | Higher risk of severe heart disease complications (Brown & White, 2018). |
| Neuropathy | More likely to experience numbness, tingling, and pain (Miller & Thompson, 2020). | Less severe symptoms but greater discomfort in extremities (Sharma, 2018). |
| Sexual Health | Erectile dysfunction due to poor blood flow and neuropathy (Jones, 2020). | Increased risk of sexual discomfort and UTIs (American College of Obstetricians and Gynecologists, 2021). |
| Hormonal Impact | Low testosterone affects energy and fat metabolism (Jones, 2020). | Menstrual irregularities, PCOS, and gestational diabetes (Miller & Thompson, 2020). |
| Bone Health | Moderate risk of osteoporosis with prolonged diabetes (Smith, 2019). | Higher risk of osteoporosis post-menopause (American Osteopathic Association, 2021). |
Challenges in Diabetes Management
Men
- Delayed Diagnosis: Men are less likely to seek medical care for early symptoms, leading to delayed diagnosis (Miller & Thompson, 2020).
- Erectile Dysfunction: Poor circulation and neuropathy significantly impact sexual health (Jones, 2020).
- Higher Alcohol Consumption: Can exacerbate blood sugar fluctuations (American Diabetes Association, 2022).
Women
- Hormonal Variability: Fluctuations during the menstrual cycle, pregnancy, and menopause affect blood sugar levels (Miller & Thompson, 2020).
- Increased Risk of UTIs: High sugar levels create a favorable environment for infections (American College of Obstetricians and Gynecologists, 2021).
- Gestational Diabetes: Poses risks to both mother and child, increasing long-term diabetes risk (Miller & Thompson, 2020).
Ayurvedic Management for Men and Women
1. Balancing Doshas
- For Men: Focus on pacifying Pitta and Vata.
- Include cooling herbs like amla and neem to reduce inflammation (Sharma, 2018).
- Use rejuvenating herbs like Ashwagandha to support energy and nerve health (Gupta & Singh, 2017).
- For Women: Focus on pacifying Kapha and Pitta.
- Incorporate spices like cinnamon and turmeric to balance blood sugar (Chauhan, 2021).
- Use Shatavari to support hormonal health and reduce Kapha aggravation (Sharma, 2018).
2. Dietary Adjustments
- Men: Emphasize light, cooling, and easily digestible foods.
- Avoid spicy, fried, and excessively salty foods (Sharma, 2018).
- Women: Focus on high-fiber and low-glycemic foods.
- Avoid dairy and sugary foods that aggravate Kapha (Gupta & Singh, 2017).
3. Lifestyle Modifications
- Men:
- Regular physical activity like strength training and yoga to improve circulation (Miller & Thompson, 2020).
- Stress reduction practices like meditation to calm Vata (Sharma, 2018).
- Women:
- Incorporate walking and yoga to support hormonal balance and manage Kapha (Sharma, 2018).
- Pranayama (breathing exercises) to reduce Pitta-related stress and anxiety (Gupta & Singh, 2017).
Success Stories from the Diabetes Reversal Clinic
Case 1: Managing Erectile Dysfunction in Diabetic Men
- Patient Profile: A 50-year-old male with Type 2 diabetes and neuropathy.
- Ayurvedic Intervention: Ashwagandha supplements, Triphala for detox, and a Pitta-pacifying diet.
- Outcome: Improved nerve function, better blood circulation, and restored confidence within three months (EliteAyurveda, 2023).
Case 2: Stabilizing Blood Sugar During Menopause
- Patient Profile: A 48-year-old female with fluctuating blood sugar levels and weight gain.
- Ayurvedic Intervention: Shatavari and turmeric supplements, Kapha-pacifying diet, and yoga therapy.
- Outcome: Stabilized blood sugar levels, improved energy, and reduced weight within four months (EliteAyurveda, 2023).
From the Doctor’s Desk
Dr. Soumya Hullanavar shares her insights:
“Diabetes affects men and women differently, but a tailored approach can make all the difference. Ayurveda considers these gender-specific factors to create personalized treatment plans that address the root cause of imbalances. By balancing doshas and integrating lifestyle changes, we help patients manage diabetes holistically and sustainably.” (Hullanavar, 2023)
Why Choose the Diabetes Reversal Clinic?
- Personalized Care: Tailored Ayurvedic treatments for men and women.
- Holistic Approach: Focus on dosha balance, diet, and lifestyle for sustainable outcomes.
- Expert Guidance: Led by Dr. Soumya Hullanavar, a specialist in Ayurvedic endocrinology.
- Sustainable Results: Effective management of diabetes and prevention of complications.
- Proven Expertise: Trusted by countless patients for gender-specific diabetes care (EliteAyurveda, 2023).
Conclusion
The effects of diabetes on men and women are influenced by biological, hormonal, and lifestyle differences. Understanding these distinctions is crucial for effective management. At the Diabetes Reversal Clinic, our holistic Ayurvedic approach empowers patients to manage diabetes based on their unique needs and regain control of their health.
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References
References
1.Manicardi V., Russo G., Napoli A., Torlone E., Li Volsi P., Giorda C.B., Musacchio N., Nicolucci A., Suraci C., Lucisano G., et al. Gender-disparities in adults with type 1 diabetes: More than a quality-of-care issue. A cross-sectional observational study from the AMD Annals Initiative. PLoS ONE. 2016;11:e0162960. doi: 10.1371/journal.pone.0162960. [DOI] [PMC free article] [PubMed] [Google Scholar]
2.Campesi I., Franconi F., Seghieri G., Meloni M. Sex-gender-related therapeutic approaches for cardiovascular complications associated with diabetes. Pharmacol. Res. 2017;119:195–207. doi: 10.1016/j.phrs.2017.01.023. [DOI] [PubMed] [Google Scholar]
3.Samuelsson U., Lindblad B., Carlsson A., Forsander G., Ivarsson S., Kockum I., Lernmark Å., Marcus C., Ludvigsson J., Better Diabetes Diagnosis (BDD) Study Group Residual beta cell function at diagnosis of type 1 diabetes in children and adolescents varies with gender and season. Diabetes Metab. Res. Rev. 2013;29:85–89. doi: 10.1002/dmrr.2365. [DOI] [PMC free article] [PubMed] [Google Scholar]
4.Martínez D., Castro A., Merino P.M., López P., Lardone M.C., Iñiguez G., Cassorla F., Codner E. Oestrogen activity of the serum in adolescents with Type 1 diabetes. Diabet. Med. 2016;33:1366–1373. doi: 10.1111/dme.13078. [DOI] [PubMed] [Google Scholar]
5.Tiano J.P., Mauvais-Jarvis F. Importance of oestrogen receptors to preserve functional beta-cell mass in diabetes. Nat. Rev. Endocrinol. 2012;8:342–351. doi: 10.1038/nrendo.2011.242. [DOI] [PubMed] [Google Scholar]
6.Mauvais-Jarvis F. Role of Sex Steroids in beta Cell Function, Growth, and Survival. Trends Endocrinol. Metab. 2016;27:844–855. doi: 10.1016/j.tem.2016.08.008. [DOI] [PMC free article] [PubMed] [Google Scholar]
7.Gourdy P., Bourgeois E.A., Levescot A., Pham L., Riant E., Ahui M.L., Damotte D., Gombert J.M., Bayard F., Ohlsson C., et al. Estrogen Therapy Delays Autoimmune Diabetes and Promotes the Protective Efficiency of Natural Killer T-Cell Activation in Female Nonobese Diabetic Mice. Endocrinology. 2016;157:258–267. doi: 10.1210/en.2015-1313. [DOI] [PubMed] [Google Scholar]
8.Nishioka Y., Noda T., Okada S., Myojin T., Kubo S., Higashino T., Ishii H., Imamura T. Incidence and seasonality of type 1 diabetes: A population-based 3-year cohort study using the National Database in Japan. BMJ Open Diab. Res. Care. 2020;8:e001262. doi: 10.1136/bmjdrc-2020-001262. [DOI] [PMC free article] [PubMed] [Google Scholar]
9.Redondo M.J., Hagopian W.A., Oram R., Steck A.K., Vehik K., Weedon M., Balasubramanyam A., Dabelea D. The clinical consequences of heterogeneity within and between different diabetes types. Diabetologia. 2020;63:2040–2048. doi: 10.1007/s00125-020-05211-7. [DOI] [PMC free article] [PubMed] [Google Scholar]
10.Unwin N., Shaw J., Zimmet P., Alberti K.G. Impaired glucose tolerance and impaired fasting glycaemia: The current status definition and intervention. Diabet. Med. 2002;19:708–723. doi: 10.1046/j.1464-5491.2002.00835.x. [DOI] [PubMed] [Google Scholar]
11.International Diabetes Federation . Diabetes Atlas. 8th ed. International Diabetes Federation; Brussels, Belgium: 2017. [Google Scholar]
12.Stadlmayr A., Aigner E., Huber-Schönauer U., Niederseer D., Zwerina J., Husar-Memmer E., Hohla F., Schett G., Patsch W., Datz C. Relations of vitamin D status, gender and type 2 diabetes in middle-aged Caucasians. Acta Diabetol. 2015;52:39–46. doi: 10.1007/s00592-014-0596-9. [DOI] [PubMed] [Google Scholar]
13.Singh A.K., Singh R. Gender difference in cardiovascular outcomes with SGLT-2 inhibitors and GLP-1 receptor agonist in type 2 diabetes: A systematic review and meta-analysis of cardiovascular outcome trials. Diabetes Metab. Syndr. 2020;14:181–187. doi: 10.1016/j.dsx.2020.02.012. [DOI] [PubMed] [Google Scholar]
14.Rea F., Ciardullo S., Savaré L., Perseghin G., Corrao G. Comparing medication persistence among patients with type 2 diabetes using sodium-glucose cotransporter 2 inhibitors or glucagon-like peptide-1 receptor agonists in real-world setting. Diabetes Res. Clin. Pract. 2021;180:109035. doi: 10.1016/j.diabres.2021.109035. [DOI] [PubMed] [Google Scholar]
15.Lende M., Rijhsinghani A. Gestational Diabetes: Overview with Emphasis on Medical Management. Int. J. Environ. Res. Public Health. 2020;17:9573. doi: 10.3390/ijerph17249573. [DOI] [PMC free article] [PubMed] [Google Scholar]
16.Mack L.R., Tomich P.G. Gestational Diabetes: Diagnosis, Classification, and Clinical Care. Obstet. Gynecol. Clin. N. Am. 2017;44:207–217. doi: 10.1016/j.ogc.2017.02.002. [DOI] [PubMed] [Google Scholar]
17.Retnakaran R., Shah B.R. Sex of the baby and future maternal risk of type 2 diabetes in women who had gestational diabetes. Diabet. Med. 2016;33:956–960. doi: 10.1111/dme.12989. [DOI] [PubMed] [Google Scholar]
18.Gabory A., Roseboom T.J., Moore T., Moore L.G., Junien C. Placental contribution to the origins of sexual dimorphism in health and diseases: Sex chromosomes and epigenetics. Biol. Sex. Differ. 2013;4:5. doi: 10.1186/2042-6410-4-5. [DOI] [PMC free article] [PubMed] [Google Scholar]
19.Rosenfeld C.S. Sex-specific placental responses in fetal development. Endocrinology. 2015;156:3422–3434. doi: 10.1210/en.2015-1227. [DOI] [PMC free article] [PubMed] [Google Scholar]
20.Shen L., Song L., Li H., Liu B., Zheng X., Zhang L., Yuan J., Liang Y., Wang Y. Association between earlier age at natural menopause and risk of diabetes in middle-aged and older Chinese women: The Dongfeng-Tongji cohort study. Diabetes Metab. 2017;43:345–350. doi: 10.1016/j.diabet.2016.12.011. [DOI] [PubMed] [Google Scholar]
21.Mauvais-Jarvis F., Manson J.E., Stevenson J.C., Fonseca V.A. Menopausal hormone therapy and type 2 diabetes prevention: Evidence, mechanisms and clinical implications. Endocr. Rev. 2017;38:173–188. doi: 10.1210/er.2016-1146. [DOI] [PMC free article] [PubMed] [Google Scholar]
22.Tramunt B., Smati S., Grandgeorge N., Lenfant F., Arnal J.F., Montagner A., Gourdy P. Sex differences in metabolic regulation and diabetes susceptibility. Diabetologia. 2020;63:453–461. doi: 10.1007/s00125-019-05040-3. [DOI] [PMC free article] [PubMed] [Google Scholar]
23.Beaudry K.M., Devries M.C. Sex-based differences in hepatic and skeletal muscle triglyceride storage and metabolism 1. Appl. Physiol. Nutr. Metab. 2019;44:805–813. doi: 10.1139/apnm-2018-0635. [DOI] [PubMed] [Google Scholar]
24.Wang Q., Zhang M., Xu M., Gu W., Xi Y., Qi L., Li B., Wang W. Brown adipose tissue activation is inversely related to central obesity and metabolic parameters in adult human. PLoS ONE. 2015;10:e0123795. doi: 10.1371/journal.pone.0123795. [DOI] [PMC free article] [PubMed] [Google Scholar]
25.Grefhorst A., van den Beukel J.C., van Houten E.L., Steenbergen J., Visser J.A., Themmen A.P. Estrogens increase expression of bone morphogenetic protein 8b in brown adipose tissue of mice. Biol. Sex Differ. 2015;6:7. doi: 10.1186/s13293-015-0025-y. [DOI] [PMC free article] [PubMed] [Google Scholar]
26.Delaney K.Z., Santosa S. Sex differences in regional adipose tissue depots pose different threats for the development of Type 2 diabetes in males and females. Obes. Rev. 2022;23:e13393. doi: 10.1111/obr.13393. [DOI] [PubMed] [Google Scholar]
27.Hocking S., Samocha-Bonet D., Milner K.L., Greenfield J.R., Chisholm D.J. Adiposity and insulin resistance in humans: The role of the different tissue and cellular lipid depots. Endocr. Rev. 2013;34:463–500. doi: 10.1210/er.2012-1041. [DOI] [PubMed] [Google Scholar]
28.Pan J.J., Fallon M.B. Gender and racial differences in non-alcoholic fatty liver disease. World J. Hepatol. 2014;6:274–283. doi: 10.4254/wjh.v6.i5.274. [DOI] [PMC free article] [PubMed] [Google Scholar]
29.Buday B., Pach P.F., Literati-Nagy B., Vitai M., Kovacs G., Vecsei Z., Koranyi L., Lengyel C. Sex influenced association of directly measured insulin sensitivity and serum transaminase levels: Why alanine aminotransferase only predicts cardiovascular risk in men? Cardiovasc. Diabetol. 2015;14:55. doi: 10.1186/s12933-015-0222-3. [DOI] [PMC free article] [PubMed] [Google Scholar]
30.Muka T., Nano J., Jaspers L., Meun C., Bramer W.M., Hofman A., Dehghan A., Kavousi M., Laven J.S., Franco O.H. Associations of Steroid Sex Hormones and Sex Hormone-Binding Globulin with the Risk of Type 2 Diabetes in Women: A Population-Based Cohort Study and Meta-analysis. Diabetes. 2017;66:577–586. doi: 10.2337/db16-0473. [DOI] [PubMed] [Google Scholar]
31.Kautzky-Willer A., Dorner T., Jensby A., Rieder A. Women show a closer association between educational level and hypertension or diabetes mellitus than males: A secondary analysis from the Austrian HIS. BMC Public Health. 2012;12:392. doi: 10.1186/1471-2458-12-392. [DOI] [PMC free article] [PubMed] [Google Scholar]
