• Users Online: 273
  • Print this page
  • Email this page


 
 Table of Contents  
CASE REPORT
Year : 2022  |  Volume : 5  |  Issue : 4  |  Page : 163-165

Add on Hypoglycemic effect of customized Yoga module in diabetes mellitus: A case report


Department of Swasthavritta, Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital, Hassan, Karnataka, India

Date of Submission02-Mar-2022
Date of Acceptance14-Nov-2022
Date of Web Publication29-Dec-2022

Correspondence Address:
Dr. K K Resmi
Department of Swasthavritta, Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital, Hassan - 673 310, Karnataka
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jacr.jacr_17_22

Rights and Permissions
  Abstract 


Certain limitations of antidiabetic regimens including adverse reactions etc. have raised the need for a drugless approach to improve the health status of diabetic patients. Yoga can act as advantageous therapy in this regard. An attempt has been made to find out the add-on effectiveness of the Yoga package in uncontrolled diabetes mellitus. A 51-year-old male, a known case of type 2 diabetes mellitus with complaints of general weakness, burning sensation over soles, thirst, and dryness of mouth was presented in the OPD of Swasthavritta. The patient was on allopathic medication for 10 years. The report showed uncontrolled diabetes mellitus for the past five years. The patient was selected and underwent one-hour preformed Yoga Module that includes Parivritta trikonasana, Paschimottanasana, Shashankasana, Ardhamatsyendrasana, Bhujangasana, Dhanurasana followed by Kapalbhathi, Bhastrika and Nadishodana Pranayama practice for a period of one month without withdrawing the previous medication. The difference in Fasting Blood Sugar (FBS) and Post Prandial Blood Sugar (PPBS) before and after the treatment were 26mg/dl and 31.4mg/dl respectively. The severity of general weakness, burning sensation over soles, thirst, and dryness of mouth were also reduced after this intervention inferring its influence on disease management.

Keywords: Asana, Drugless therapy, Pranayama, Uncontrolled diabetes mellitus type 2, Yoga


How to cite this article:
Resmi K K, Kavita M B, Yalagachin G. Add on Hypoglycemic effect of customized Yoga module in diabetes mellitus: A case report. J Ayurveda Case Rep 2022;5:163-5

How to cite this URL:
Resmi K K, Kavita M B, Yalagachin G. Add on Hypoglycemic effect of customized Yoga module in diabetes mellitus: A case report. J Ayurveda Case Rep [serial online] 2022 [cited 2023 Jan 27];5:163-5. Available from: http://www.ayucare.org/text.asp?2022/5/4/163/365932




  Introduction Top


Diabetes mellitus is an expanding global problem which is at high risk for both microvascular and macrovascular complications. The occurrence of diabetes mellitus rose from 108 million in 1980 to 422 million in 2014 worldwide.[1] Yoga is considered a lifestyle, which is accepted and adopted nowadays for its various health benefits. Yoga practices generally aim to cultivate the body and mind and it is possible to measure the physical and physiological changes that occur through Yoga practice. If a proper lifestyle is not followed according to the place of inhabitancy, body nature, seasons, and activities, it is likely to cause diseases.[2] Therapeutic Yoga is a self-empowering process that addresses the illness in a multidimensional manner. Most of the diseases that occur in the human body are the result of unhealthy diets and regimens adopted by people.[3]

Yoga aims at balancing and harmonizing the body, mind, and emotions. The abdominal contraction and relaxation during the Yogic practices may help in rejuvenating the pancreatic cells, thereby increasing the activity of β-cells.[4] The insulin sensitivity of the receptors can be improved with the blood circulation in the muscles and thereby it helps to increase the glucose uptake by tissues. This helps in lowering blood glucose. Increasing evidence suggests that Yoga practice tackles the pathophysiologic mechanisms of diabetes and helps in controlling diabetes and its complications.[5] Being a scientific and cost-effective lifestyle modification, a study is planned to evaluate the add-on effectiveness of Yoga packages in diabetes mellitus.


  Patient Information Top


A 51-year-old male, a known case of diabetes mellitus (type 2) for the past 10 years approached OPD with chief complaints of tiredness, a burning sensation over the soles, and dryness of the mouth. His past five years' reports showed him to be having uncontrolled diabetes. He was on medication for the past 10 years having sedentary lifestyle and unscheduled eating habits. The lifestyle modification that was advised included a specially designed Yoga package to be practiced an hour a day for a period of one month. Four years ago, the patient consulted with an Ayurveda physician and was on Asanadi kashayam (15 ml) with 60 ml warm water twice a day before food, Shivagulika (2gm) twice daily before food, Amalaki choornam (10 gm) with lukewarm water twice a day. When the sugar level was not brought down to the expected level, the patient consulted an allopathy physician where Tab. Glycomet (1000 mg) once daily in the morning on empty stomach was prescribed. Both these medications are then being continued since six years. The patient is a voracious rice predominant eater with more amount of sweets in his diet. He is habituated to taking chicken or mutton preferably in the fried state once a week. Food includes the consumption of more milk products and includes all vegetables approximately 250 gm per day.


  Clinical Findings Top


The patient presented with general weakness associated with burning sensation over the sole, thirst, and dryness of the mouth for the past six months. Nadi (~pulse) was Vata-pitta; Mutra (~urine), Mala (~waste products), Jihva (~tongue), Shadbha (~sound), and Drik (~vision) were Prakruta (~normal); Akriti (~form) was Madhyama (~medium built); Sparsa (~touch) was Anushnasita (~lukewarm); Prakriti (~constitution) was Pitta-vata; and Samhanana (~compactness), Pramana (~anthropometry), Satwa (~psyche), Satmya (~habituation), Ahara shakti (~power of intake and digestion of food), Vyayama shakti (~power of performing exercise) and Vaya (~age) were Madhyama (~medium).


  Timeline Top


A detail of the timeline is mentioned in [Table 1].
Table 1: Timeline

Click here to view



  Diagnostic Assessment Top


The assessment was done by comparing changes in fasting blood sugar (FBS), postprandial blood sugar (PPBS), and subjective parameters.


  Therapeutic Intervention Top


The Yoga package was started on January 21, 2021, for a period of 30 days. Every day in the morning from 7 am to 8 am, Yoga was taught. The loosening exercise followed by the main set of Asana and Pranayama was taught for the patient. Each Asana was done for three counts with maintaining normal breathing for 10 s. After 30 days, FBS and PPBS were evaluated [Table 2].
Table 2: Yoga Package

Click here to view



  Follow-Up and Outcome Top


There was a reduction in blood sugar levels. Symptomatic improvement in the subjective parameters like burning sensation over the sole, general weakness, thirst, and dryness of the mouth after the administration of Yoga package for a period of one month. The patient reported a feeling of betterness physically and psychologically at the end of the month [Table 3].
Table 3: Outcome after the administration of Yoga package

Click here to view



  Discussion Top


The decrease in blood sugar levels indicates the potential role of Yoga in preventive and management strategies for diabetes mellitus type 2. The beneficial effect of Yoga in diabetes mellitus has been attributed to increased insulin sensitivity at target tissues which decreases insulin resistance and consequently increases the peripheral utilization of glucose.[6]

Regular practice of Yoga activates the parasympathetic system and releases endorphins which are neuromodulators that act by modifying the way in which nerve cells respond to neurotransmitters.[7] Though it is not possible to reverse the nerve damage, Yoga practice can reduce the impact of nerve damage. In addition, Yoga has a positive effect on general well-being and stress.[8]


  Conclusion Top


Administration of Yoga with appropriate antidiabetic the medication is found to be effective in mitigating diabetes mellitus, giving a ray of hope to the ailing global diabetic population. Additional studies with longer follow-up are needed to determine the long-term efficacy of the Yoga module in diabetes mellitus.

Declaration of patient consent

Authors certify that they have obtained patient consent form, where the patient has given his consent for reporting the case along with the images and other clinical information in the journal. The patient understands that his name and initials will not be published and due efforts will be made to conceal his identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Sharma M, Majumdar PK. Occupational lifestyle diseases: An emerging issue. Indian J Occup Environ Med 2009;13:109-12.  Back to cited text no. 1
[PUBMED]  [Full text]  
2.
Krishnamacharya T. Nathamuni's Yoga Rahasya. Ch. 1, Ver. 24. Chennai: Krishnamacharya Yoga Mandiram; 1998.  Back to cited text no. 2
    
3.
Nagarathna RB. Yoga based lifestyle for prevention of medical emergencies. Int J Emerg Ment Health Hum Resil 2015;17:1.  Back to cited text no. 3
    
4.
Malhotra V, Singh S, Sharma SB, Gupta P, Prasad A, Tandon OP, et al. The status of NIDDM patients after yoga asanas: Assessment of important parameters. J Clin Diagn Res 2010;4:2652-67.  Back to cited text no. 4
    
5.
Raveendran AV, Deshpandae A, Joshi SR. Therapeutic role of yoga in type 2 diabetes. Endocrinol Metab (Seoul) 2018;33:307-17.  Back to cited text no. 5
    
6.
Malik VS, Popkin BM, Bray GA, Després JP, Hu FB. Sugar-sweetened beverages, obesity, type 2 diabetes mellitus, and cardiovascular disease risk. Circulation 2010;121:1356-64.  Back to cited text no. 6
    
7.
Suri M, Sharma R, Saini N. Neuro-physiological correlation between yoga, pain and endorphins. Inter J Adapt Phys Edu Yoga 2017;2:19.  Back to cited text no. 7
    
8.
Maarbjerg SJ, Sylow L, Richter EA. Current understanding of increased insulin sensitivity after exercise – Emerging candidates. Acta Physiol (Oxf) 2011;202:323-35.  Back to cited text no. 8
    



 
 
    Tables

  [Table 1], [Table 2], [Table 3]



 

Top
 
 
  Search
 
Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
Access Statistics
Email Alert *
Add to My List *
* Registration required (free)

 
  In this article
Abstract
Introduction
Patient Information
Clinical Findings
Timeline
Diagnostic Asses...
Therapeutic Inte...
Follow-Up and Ou...
Discussion
Conclusion
References
Article Tables

 Article Access Statistics
    Viewed164    
    Printed2    
    Emailed0    
    PDF Downloaded35    
    Comments [Add]    

Recommend this journal


[TAG2]
[TAG3]
[TAG4]