Yoga and Diabetes Mellitus

EFFECT OF INTEGRATED YOGA THERAPY ON NERVE CONDUCTION VELOCITY IN TYPE-2 DIABETICSA CROSS SECTIONAL CLINICAL STUDY

Background: Type 2diabetes mellitus comprises an array of dysfunctions resulting from the combination of resistance to insulin action and inadequate insulin secretion. It is characterized by hyperglycemia and associated with micro vascular i.e., retinal, renal, possibly neuropathic, macro vascular i.e., coronary, peripheral vascular, and neuropathic i.e., (autonomic, peripheral) complications. Yoga has been shown to reduce the hyperglycemia and thereby reducing the underlying nerve damages in diabetics.

Objectives: To observe the nerve conduction velocity variation among practitioners and non practitioners of yoga. And propose yoga as a better method to manage neuropathies in type 2 diabetics.

Materials and methods: Across sectional clinical study was conducted among type 2 Diabetic patients, two groups i.e. yoga practitioners and non yoga practitioners were made with a sample size of 30 in each group and yoga group was prescribed with different yogic practices and both group analyzed for nerve conduction velocity and data analyzed using Independent t-test.

Results: Results were encouraging and Independent sample t-test showed significantly higher means in yoga group for nerve conduction velocity in right (P= 0.004), and left wrist (P=0.017). Mann-Whitney test showed similarly significantly higher mean in yoga group for the variable F-wave in right hand (P=0.004).

Conclusion: People practicing yoga seems to have better nerve conduction parameters compare to control group, hence yoga can be used as useful supporting palliative treatment for managing diabetes mellitus type 2 induced nerve damage.

Keywords: Yoga therapy, Type 2 Diabetes, Nerve conduction velocity

Introduction: Notably, there is growing evidence that yoga practices may aid in the prevention and management of DM 2. By attenuating the
symptoms and signs of those with clinical DM 2, with improved glycaemic control, improve lipid profile and reduce insulin resistance and thus improve its prognosis. A study of effect of forty days of yoga done in
twenty-four type 2 DM cases provides metabolic and clinical evidence of improvement in glycaemic control and autonomic functions. There was a significant decrease in fasting blood glucose level, postprandial blood glucose and glycosylated hemoglobin. Also the pulse rate, systolic and diastolic blood pressure decrease significantly. Four uncontrolled studies targeting adults with diabetes.[i,ii] and/or other chronic conditions,[iii,iv] demonstrated significant positive changes in blood lipid levels following yoga-based interventions that ranged from 8 days to 3 months, [v] in
duration.

Yoga and nerve conduction: A study with yogic intervention has shown that yoga asana have a beneficial effect on glycaemic control and improve nerve function in mild to moderate type 2 diabetes with sub-clinical
neuropathy.

Aims and Objectives: Hence the present study is conducted with an objective of nerve conduction variation among practitioners and non practitioners of yoga. and to propose yoga as a better method to manage neuropathies in type 2 Diabetics.

Materials and Methods: Recruitment was done through public announcements made at different yoga therapy centers and advertisements. Those volunteers who fulfilled the inclusion criteria were selected for the study. The signed informed consent of subjects was
obtained before the data recording.

Study Design: Subjects belonging to two groups (yoga and non yoga) were assessed under standard experimental conditions. Since this was a two group comparative study with onetime assessment, the present study followed a cross sectional design.

The two groups were:

  1. The patients with type two Diabetes, on allopathic medication with yoga relearning.
  2. The patients with type two Diabetes, on allopathic medication

Selection Criteria

A Inclusion Criteria

  • HbA1c >7
  • Fasting Bold Glucose < 270 mg/dl
  • Subject with history of type 2dm who have been on diet and exercise.
  • Willing to participate by giving a written informed consent.
  • Medication- any anti-diabetic medication.
  • Women and men between 40-70 years
  • (married or singles)
  • Those who are not practicing yoga since last 3months (for non yoga group).
  • Those who are practicing yoga since last
  • 6 months (for yoga group).
  • Patients with the history of DM Type-2 for minimum of 1 year.

B Exclusion Criteria

  • Renal dysfunction
  • Congestive heart failure.
  • BMI < 20 or > 40
  • Hypersensitive to Metformin
  • Women of child bearing
  • Uncontrolled hypertension
  • Alcohol abuse
  • Type I DM
  • Retinopathy requiring laser therapy
  • Recent myocardial infarction less than 3 months.

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