“…Good metabolic karma/kamma/kan refers to multifactorial diabetes management, using effective, safe, and well-tolerated drugs to improve outcomes. 12,13 It is further explained in Buddhist teachings that the karmic seeds (beeja, Sinhala; bija, Sanskrit and Pali; ah saet in Myanma) that are sown today may sprout either immediately or may bear results after a lag period. While Buddhism, like most other religions of the East such as Hinduism, Jainism, and Sikhism, proposes the philosophy of transgenerational karma, the effects of karma/kamma/ kan may be cultivated in the present lifetime itself and this has been referred to as dittha dhamma vedaniya karma (Sinhala, Pali, Myanma).…”