Y O G A F O R D I A B E T E S  M E L L I T U S Dr. Shamanthakamani Narendran M.D. (Pead), Ph.D. (Yoga Science)
PRAYER AKHANDA MANDALÁKÁRAM VYÁPTAM YÄNA CARÁCARAM TATPADAM DARÙITAM YÄNA TASMAI SRÈ GURAVÄ NAMAH
<ul><li>Name of the disease & terminologies </li></ul><ul><li>Etiology </li></ul><ul><li>Physical examination, signs and s...
<ul><li>Diabetes mellitus  is a condition in which  glucose level  in the blood are much  higher  than normal and hence th...
PANCREAS - BEHIND STOMACH <ul><li>TAIL - “ISLET OF LANGER HANS” </li></ul>
<ul><li>Insulin is like a key which opens the  </li></ul><ul><li>body cell doors to allow glucose to enter. </li></ul><ul>...
ALPHA CELLS  - GLUCAGON BETA CELLS   -  INSULIN
<ul><li>Glucose enters the blood stream to reach different body cells. </li></ul><ul><li>Insulin, a hormone produced by th...
Who are prone ...?
HEREDITY
CAUSES HEREDITY FOR INSULIN IDENTIFIED (CHROMOSOME 6)  GENE
GENERAL POPULATION 10%  NIDDM -  FAMILY HISTORY 40%     S.INDIA 80% IDENTICAL TWINS - IDDM 50%  NIDDM 100% CAUSES HEREDITY
<ul><li>3. URBANISATION  </li></ul><ul><li>Migrant Indians in UK & USA very high  incidence </li></ul><ul><li>4. DIET - Ri...
CAUSES TRIGGERS:  contd... STRESS ACUTE DURING STROKE HEART  ATTACK ACCIDENTS PREGNANCY INFECTION
CAUSES TRIGGERS:  contd... CHRONIC STRESSES EXECUTIVE TENSION UNFINISHED TARGETS DEMANDING LIFE EVENTS EMOTIONAL REACTIVIT...
COMPLICATIONS IN DIABETES Eyes Heart Kidney Neuropathy
 
<ul><li>Type 1 diabetes </li></ul><ul><li>Type 2 diabetes </li></ul><ul><li>Gestational diabetes </li></ul>Classification ...
<ul><li>Age below 30 years </li></ul><ul><li>Excessive urination </li></ul><ul><li>Excessive hunger </li></ul><ul><li>Exce...
IDDM   <ul><li>MAY PRESENT  WITH </li></ul><ul><li>INFECTION </li></ul><ul><li>COMA </li></ul><ul><li>COMPLICATIONS </li><...
IDDM   EATS  A LOT BUT DOES NOT GROW LOSS OF WEIGHT YOUNG  5 -35 Yrs
<ul><li>Frequent urination </li></ul><ul><li>Always hungry </li></ul><ul><li>Cave for extra liquids </li></ul><ul><li>Sexu...
<ul><li>Causes: Too much food, too little insulin or illness or stress. </li></ul><ul><li>Onset: Gradual, may progress to ...
<ul><li>Causes: Too little food, too much insulin or diabetes medicine or extra exercise. </li></ul><ul><li>Onset: Sudden,...
FASTING BLOOD GLUCOSE  Normal    80-100 mg/dL DM  > 120 mg/dL 2 HOURS POST LUNCH  Normal    130-160 mg/dL DM  > 180 mg/dL ...
<ul><li>Values are internationally accepted for plasma glucose </li></ul><ul><li>Corresponding whole blood glucose values ...
 
What are the consequences of untreated diabetes? 2 times higher risk  of brain stroke 3-4 times higher risk  of heart dise...
<ul><li>Increase with duration of diabetes </li></ul><ul><li>50% retinopathy in 20 years of Type 1 diabetes </li></ul><ul>...
<ul><li>Make sure to monitor blood sugar and undertake periodic test advised by doctor. </li></ul><ul><li>Take interest in...
<ul><li>Diabetes can be kept under check by proper care and treatment </li></ul><ul><li>Once diabetes is established it ca...
<ul><li>Contrary to popular belief – diabetes is a serious condition – it is more than just high blood sugar!!! </li></ul>...
<ul><li>Depends on the type of diabetes, condition of the person, age, weight and associated conditions. </li></ul><ul><li...
DM - management <ul><li>DIET </li></ul><ul><li>EXERCISE </li></ul><ul><li>YOGA </li></ul><ul><li>MEDICATION </li></ul><ul>...
<ul><li>Proper diet is very important – Helps control blood sugar, blood cholesterol, and weight </li></ul><ul><li>Cut dow...
<ul><li>Regular exercise is good for diabetes. </li></ul><ul><li>Exercise improves sugar and weight control, and increases...
<ul><li>Change daily into clean, soft socks or stockings which must neither be too big nor too small. </li></ul><ul><li>Ke...
<ul><li>Wash feet daily with lukewarm water and soap, just as wash hands. </li></ul><ul><li>Dry feet well, also between th...
<ul><li>If not diabetic, but at high risk, require to take care of health. </li></ul><ul><li>Should watch weight in partic...
<ul><li>All types of diabetes are serious and require full attention. </li></ul><ul><li>Insulin is given from outside when...
P roblem : Choose a habit to change, write it down. Eg: Eat too much fried foods. O verall Goal : Say why the change would...
DIABETIC DIET
<ul><li>SUGAR </li></ul><ul><li>SWEETS </li></ul><ul><li>NON-VEGETARIAN </li></ul>N O W H Y ? DIET
<ul><li>INSULIN CANNOT BE RELEASED RAPIDLY TO COPE WITH QUICK RAISE OF BLOOD SUGAR </li></ul>SWEETS FATS CUT DOWN TO 50%  ...
<ul><li>DELAY ABSORPTION OF GLUCOSE </li></ul><ul><li>GUAR GUM ,VEGETABLES </li></ul><ul><li>BITTERS - REDUCE APPETITE </l...
 
3 Kinds of Food <ul><li>Energy giving </li></ul><ul><li>Building and repairing </li></ul><ul><li>Protecting against infect...
<ul><li>TAMAS -  GROSSEST, LETHARGIC </li></ul><ul><li>RAJAS   -  DYNAMIC, RUSHY </li></ul><ul><li>SATTVA  -  MATURE, COMP...
SATVIC FOOD   <ul><li>AYU SATVA BALAROGYA </li></ul><ul><li>SUKHA PREETHIR VIVARDHANAHA </li></ul><ul><li>RASYA SNIGDHAH S...
<ul><li>FRESH FOODS </li></ul><ul><li>VEGETABLES & FRUITS </li></ul><ul><li>GERMINATED GRAINS & PULSES </li></ul><ul><li>F...
RAJASIC FOOD   <ul><li>KATVAMLA  LAVANA TYUSNA </li></ul><ul><li>TIKSNA RUKSA VIDAHINAH </li></ul><ul><li>AHARA RAJASASYES...
BITTER  SOUR SALINE STEAMING HOT PUNGENT DRY RAJASIK  FOOD
FOOD OF TAMASIC <ul><li>YATAYAMAM GATARASAM </li></ul><ul><li>POOTI PARYUSITAM CA YAT </li></ul><ul><li>UCCISTAMAPI CAMEDH...
1. OLD FOOD:  CANNED or STORED 2. DEVOID OF TASTE 3. NONVEGETARIAN FOOD 4. FERMENTED DRINKS 5. STALE FOOD 6. LEFT OVER FOO...
 
<ul><li>EXERCISE BURNS CALORIES  </li></ul><ul><li>REDUCES WEIGHT  </li></ul><ul><li>INCREASES INSULIN SENSITIVITY </li></...
YOGA  IN  DIABETES  - HOW? MASTERY OVER MIND BETTER  ADHERENCE TO DIET BETTER MASTERY OVER APPETITE & SATISFACTION MASTERY...
= MASTERY OVER MIND YOGA HELPS  TO MAINTAIN REGULARITY OF EXERCISE BY BREAKING THE LIMITATION OF LAZINESS YOGA  IN  DIABET...
<ul><li>IMPROVES BLOOD FLOW  TO PANCREAS BY INCREASING NEGATIVE  SUCTION PRESSURE IN ABDOMINAL CAVITY </li></ul>YOGA  IN  ...
DEEP REST  IMPROVES BETA CELL EFFICIENCY ARDHA   MATSYÄNDRA MAYÜRÁSANA STIMULATION  & DEEP REST DHANURÁSANA YOGA  IN  DIAB...
THYMUS B T YOGA  IN  DIABETES  - HOW? REDUCE AUTO IMMUNITY INSULIN ANTIBODY
YOGA  IN  DIABETES  - HOW? INCREASES  SENSITIVITY OF CELL WALL  INSULIN RECEPTORS GLUCOSE INSULIN ALL CELLS CLEANSING PRÁN...
INTEGRATED YOGA MODULE FOR DIABETES MELLITUS <ul><li>Breathing practices </li></ul><ul><li>Hands in and out breathing </li...
<ul><li>Yogasanas </li></ul><ul><li>Standing   </li></ul><ul><li>Ardhakati cakrasana </li></ul><ul><li>Padahastasana </li>...
<ul><li>Pranayama   </li></ul><ul><li>Kapalabhati  </li></ul><ul><li>Vibhagiya pranayama (sectional breathing) </li></ul><...
<ul><li>Vamanadhouti + DRT – Once a week </li></ul><ul><li>Sankhapraksalana + DRT – Once a month </li></ul><ul><li>Laghu S...
SPECIFIC PRACTICES <ul><li>Yoga can be an effective supplement to diabetes treatment.  </li></ul><ul><li>It helps in contr...
<ul><li>General considerations : People with diabetes should be treated and regularly checked by a medical doctor. The sev...
<ul><li>Recommendations : People with diabetes often benefit from asanas and relaxation. The blood sugar levels should be ...
<ul><li>Recommended Asanas :  </li></ul><ul><li>Suryanamaskara (Sun salutation) - activates almost all glands; due to reve...
<ul><li>Vakrasana (Obtuse Pose)- affects the waist and abdominal area.  </li></ul><ul><li>Matsyendrasana - has great effec...
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  • Diabetes Mellitus.ppt

    1. 1. Y O G A F O R D I A B E T E S M E L L I T U S Dr. Shamanthakamani Narendran M.D. (Pead), Ph.D. (Yoga Science)
    2. 2. PRAYER AKHANDA MANDALÁKÁRAM VYÁPTAM YÄNA CARÁCARAM TATPADAM DARÙITAM YÄNA TASMAI SRÈ GURAVÄ NAMAH
    3. 3. <ul><li>Name of the disease & terminologies </li></ul><ul><li>Etiology </li></ul><ul><li>Physical examination, signs and symptoms </li></ul><ul><li>Investigations </li></ul><ul><li>Modern medical treatment </li></ul><ul><li>Alternative therapies – Yoga management </li></ul><ul><li>Diet </li></ul><ul><li>Books and journals for reference </li></ul>
    4. 4. <ul><li>Diabetes mellitus is a condition in which glucose level in the blood are much higher than normal and hence this condition is also commonly referred to as sugar disease . </li></ul><ul><li>The defect in this condition is that either the pancreas does not produce enough insulin or it produces sufficient insulin, but the cells of the body are unable to use the insulin properly. </li></ul>INTRODUCTION
    5. 5. PANCREAS - BEHIND STOMACH <ul><li>TAIL - “ISLET OF LANGER HANS” </li></ul>
    6. 6. <ul><li>Insulin is like a key which opens the </li></ul><ul><li>body cell doors to allow glucose to enter. </li></ul><ul><li>In the absence of enough insulin, glucose cannot enter the cells and remains in the blood stream in high amounts (hyperglycemia) </li></ul><ul><li>High blood sugar due to defective or deficient insulin action and the resulting associated problem is called diabetes. </li></ul><ul><li>Cells in the body needs glucose (sugar) for making energy required for daily life. </li></ul><ul><li>The food we eat turns into glucose after digestion. </li></ul>What is Diabetes?
    7. 7. ALPHA CELLS - GLUCAGON BETA CELLS - INSULIN
    8. 8. <ul><li>Glucose enters the blood stream to reach different body cells. </li></ul><ul><li>Insulin, a hormone produced by the pancreas is required for glucose to enter the blood cells. </li></ul>
    9. 9. Who are prone ...?
    10. 10. HEREDITY
    11. 11. CAUSES HEREDITY FOR INSULIN IDENTIFIED (CHROMOSOME 6) GENE
    12. 12. GENERAL POPULATION 10% NIDDM - FAMILY HISTORY 40% S.INDIA 80% IDENTICAL TWINS - IDDM 50% NIDDM 100% CAUSES HEREDITY
    13. 13. <ul><li>3. URBANISATION </li></ul><ul><li>Migrant Indians in UK & USA very high incidence </li></ul><ul><li>4. DIET - Rich, Refined foods </li></ul><ul><li>5. SEDENTARY LIFE STYLE </li></ul>CAUSES TRIGGERS: contd...
    14. 14. CAUSES TRIGGERS: contd... STRESS ACUTE DURING STROKE HEART ATTACK ACCIDENTS PREGNANCY INFECTION
    15. 15. CAUSES TRIGGERS: contd... CHRONIC STRESSES EXECUTIVE TENSION UNFINISHED TARGETS DEMANDING LIFE EVENTS EMOTIONAL REACTIVITY AGGRESSIONS FRUSTRATIONS
    16. 16. COMPLICATIONS IN DIABETES Eyes Heart Kidney Neuropathy
    17. 18. <ul><li>Type 1 diabetes </li></ul><ul><li>Type 2 diabetes </li></ul><ul><li>Gestational diabetes </li></ul>Classification of Diabetes <ul><li>Other types of Diabetes </li></ul><ul><li>Genetic </li></ul><ul><li>Malnutrition related </li></ul><ul><li>Drug induced </li></ul>
    18. 19. <ul><li>Age below 30 years </li></ul><ul><li>Excessive urination </li></ul><ul><li>Excessive hunger </li></ul><ul><li>Excessive thirst </li></ul>Symptoms of Type 1 Diabetes <ul><li>Bed wetting in children </li></ul><ul><li>Unexplained weight loss </li></ul><ul><li>Dehydration </li></ul><ul><li>Coma </li></ul>
    19. 20. IDDM <ul><li>MAY PRESENT WITH </li></ul><ul><li>INFECTION </li></ul><ul><li>COMA </li></ul><ul><li>COMPLICATIONS </li></ul>EXCESS HUNGER EXCESS THIRST EXCESS URINE
    20. 21. IDDM EATS A LOT BUT DOES NOT GROW LOSS OF WEIGHT YOUNG 5 -35 Yrs
    21. 22. <ul><li>Frequent urination </li></ul><ul><li>Always hungry </li></ul><ul><li>Cave for extra liquids </li></ul><ul><li>Sexual dysfunction </li></ul><ul><li>Unexplained weight loss </li></ul><ul><li>Family history </li></ul>Symptoms of Type 2 Diabetes
    22. 23. <ul><li>Causes: Too much food, too little insulin or illness or stress. </li></ul><ul><li>Onset: Gradual, may progress to diabetic coma. </li></ul><ul><li>Symptoms: Extreme thirst, frequent urination, dry skin, hunger, blurred vision, drowsiness, nausea </li></ul><ul><li>WHAT TO DO?: Test blood glucose test ketones. If over 250mg/dL for several tests CALL DOCTOR </li></ul>High Blood Glucose / Hyperglycemia
    23. 24. <ul><li>Causes: Too little food, too much insulin or diabetes medicine or extra exercise. </li></ul><ul><li>Onset: Sudden, may progress to insulin shock. </li></ul><ul><li>Symptoms: Shaking, fast heartbeat, sweating, anxious, dizziness, hunger, impaired vision, weakness fatigue, headache, irritable </li></ul><ul><li>WHAT TO DO?: Drink ½ glass of orange juice/skim milk or eat several candies. Test blood glucose – if symptoms don’t stop, CALL DOCTOR. Within 30 min after symptoms go away, eat a light snack. </li></ul>Low Blood Glucose / Hypoglycemia
    24. 25. FASTING BLOOD GLUCOSE Normal 80-100 mg/dL DM > 120 mg/dL 2 HOURS POST LUNCH Normal 130-160 mg/dL DM > 180 mg/dL Diagnostic range of blood sugar level
    25. 26. <ul><li>Values are internationally accepted for plasma glucose </li></ul><ul><li>Corresponding whole blood glucose values are lower </li></ul>Diagnostic range of blood sugar (plasma glucose) >200 >140, but <200 <140 2 hours after glucose load (mg/dL) 200 at least once <200 <200 Between 0-120 min (mg/dL) >126 110-126 <110 Fasting plasma glucose (mg/dL) Diabetes mellitus Impaired glucose tolerance Normal glucose tolerance
    26. 28. What are the consequences of untreated diabetes? 2 times higher risk of brain stroke 3-4 times higher risk of heart disease Increase risk of high BP Cause of leg amputations Cause of loss of sensations in limbs & other nerve damage 17 times of higher risk of kidney failure – common cause in India Affects the eye and vision 3 rd most common cause of blindness in India
    27. 29. <ul><li>Increase with duration of diabetes </li></ul><ul><li>50% retinopathy in 20 years of Type 1 diabetes </li></ul><ul><li>20% of retinopathy in 15 yrs of Type 2 </li></ul><ul><li>In Type 2, retinopathy </li></ul><ul><li>may be present at diagnosis </li></ul><ul><li>Leading cause of blindness </li></ul>Diabetes & eye disease
    28. 30. <ul><li>Make sure to monitor blood sugar and undertake periodic test advised by doctor. </li></ul><ul><li>Take interest in own treatment and have to live with it for the rest of the life. </li></ul><ul><li>Checking of eye and vision </li></ul><ul><li>Regular examination of feet </li></ul><ul><li>Weight </li></ul><ul><li>BP </li></ul>What Can Be Done to Avoid Consequences of Diabetes
    29. 31. <ul><li>Diabetes can be kept under check by proper care and treatment </li></ul><ul><li>Once diabetes is established it cannot be cured, so stop running after magical cures!!. </li></ul>Can Diabetes be Cured ???
    30. 32. <ul><li>Contrary to popular belief – diabetes is a serious condition – it is more than just high blood sugar!!! </li></ul><ul><li>High blood sugar due to untreated, diabetes damages many organs in the body. </li></ul><ul><li>When diabetes is well controlled such damage is avoided or minimized. </li></ul>Why should diabetes be treated ?
    31. 33. <ul><li>Depends on the type of diabetes, condition of the person, age, weight and associated conditions. </li></ul><ul><li>Treatment includes – proper diet, exercise, regular monitoring and medications (oral and injections) </li></ul>What Treatment is given?
    32. 34. DM - management <ul><li>DIET </li></ul><ul><li>EXERCISE </li></ul><ul><li>YOGA </li></ul><ul><li>MEDICATION </li></ul><ul><li>INSULIN </li></ul><ul><li>ORAL ANTIDIABETICS </li></ul>
    33. 35. <ul><li>Proper diet is very important – Helps control blood sugar, blood cholesterol, and weight </li></ul><ul><li>Cut down on fat, oils, sugar, alcohol and red meat. </li></ul><ul><li>Eat vegetables daily. </li></ul><ul><li>Avoid rich fried foods. </li></ul><ul><li>Take lots of foods like cereals and pulses </li></ul>Diabetic Diet Tips
    34. 36. <ul><li>Regular exercise is good for diabetes. </li></ul><ul><li>Exercise improves sugar and weight control, and increases a sense of well being </li></ul>Diabetic Exercise Tips <ul><li>Do’s </li></ul><ul><li>Can participate in active sports </li></ul><ul><li>Keep sugar or other carbohydrate source handy. </li></ul><ul><li>Don’ts </li></ul><ul><li>Avoid exercise soon after injecting insulin </li></ul><ul><li>Do not exercise on an empty stomach </li></ul>
    35. 37. <ul><li>Change daily into clean, soft socks or stockings which must neither be too big nor too small. </li></ul><ul><li>Keep the feet warm and dry. Preferably wear socks or stockings of cotton and leather shoes. </li></ul><ul><li>Never walk barefoot neither indoors nor outdoors. </li></ul><ul><li>Always wear shoes that fit. This applies also to sandals </li></ul><ul><li>Examine shoe everyday for cracks, pebbles, nails, and other irregularities which may irritate the skin. </li></ul>Special Attention for Foot
    36. 38. <ul><li>Wash feet daily with lukewarm water and soap, just as wash hands. </li></ul><ul><li>Dry feet well, also between the toes. </li></ul><ul><li>Cut nails straight across. Ingrown nails and calluses should receive expert attention. </li></ul><ul><li>Keep the skin supple with moisturizing lotion, but do not apply it between the toes. </li></ul>
    37. 39. <ul><li>If not diabetic, but at high risk, require to take care of health. </li></ul><ul><li>Should watch weight in particular waist line. </li></ul><ul><li>Exercise regularly. </li></ul><ul><li>Eat healthy – cut out fat, reduce refined rich fried food, avoid calorie dense sweets and red meat. </li></ul><ul><li>Eat cereals and pulses, vegetables and fruits, avoid or reduce alcohol intake and go for medical checkup regularly. </li></ul><ul><li>Avoid excessive psychological and physical stress. </li></ul>Can Diabetes be prevented ?
    38. 40. <ul><li>All types of diabetes are serious and require full attention. </li></ul><ul><li>Insulin is given from outside when insulin producing cells do not produce enough insulin </li></ul><ul><li>High blood sugar is toxic to the insulin producing cells. </li></ul><ul><li>Improperly controlled diabetes worsens the condition and further damages the already stressed insulin producing cells. </li></ul><ul><li>Controlling diabetes is important irrespective of whether one is treated with/without insulin </li></ul>Is Insulin requiring DM more serious ?
    39. 41. P roblem : Choose a habit to change, write it down. Eg: Eat too much fried foods. O verall Goal : Say why the change would be good. Eg: Low fat intake, may lose weight. W hat : Choose a habit to change, write it down. Eg: Replace fried snacks with salads for a week. E valuate : Could you do it? Eg: I did it! Not too hard, try it for another week. R eward : Celebrate success. Eg: Go to a movie with friends The POWER within ... POWER
    40. 42. DIABETIC DIET
    41. 43. <ul><li>SUGAR </li></ul><ul><li>SWEETS </li></ul><ul><li>NON-VEGETARIAN </li></ul>N O W H Y ? DIET
    42. 44. <ul><li>INSULIN CANNOT BE RELEASED RAPIDLY TO COPE WITH QUICK RAISE OF BLOOD SUGAR </li></ul>SWEETS FATS CUT DOWN TO 50% NO BUTTER/MARGERINE/ GHEE CUT DOWN TOTAL OIL INTAKE
    43. 45. <ul><li>DELAY ABSORPTION OF GLUCOSE </li></ul><ul><li>GUAR GUM ,VEGETABLES </li></ul><ul><li>BITTERS - REDUCE APPETITE </li></ul>FIBRES: Guar gum is widely used as a thickening agent, stabilizer and texturant in many food products
    44. 47. 3 Kinds of Food <ul><li>Energy giving </li></ul><ul><li>Building and repairing </li></ul><ul><li>Protecting against infection </li></ul>
    45. 48. <ul><li>TAMAS - GROSSEST, LETHARGIC </li></ul><ul><li>RAJAS - DYNAMIC, RUSHY </li></ul><ul><li>SATTVA - MATURE, COMPOSED </li></ul>GUNAS : THE TOOL FOR CLASSIFICATION
    46. 49. SATVIC FOOD <ul><li>AYU SATVA BALAROGYA </li></ul><ul><li>SUKHA PREETHIR VIVARDHANAHA </li></ul><ul><li>RASYA SNIGDHAH STIRAH HRDYAH </li></ul><ul><li>AHARA SATVIKA PRIYA </li></ul>
    47. 50. <ul><li>FRESH FOODS </li></ul><ul><li>VEGETABLES & FRUITS </li></ul><ul><li>GERMINATED GRAINS & PULSES </li></ul><ul><li>FIBRES (VITAMINS & MINERALS) </li></ul><ul><li>DAIRY PRODUCTS </li></ul><ul><li>LESS SPICY </li></ul>SATTVIC FOOD YOGA FOOD
    48. 51. RAJASIC FOOD <ul><li>KATVAMLA LAVANA TYUSNA </li></ul><ul><li>TIKSNA RUKSA VIDAHINAH </li></ul><ul><li>AHARA RAJASASYESTA </li></ul><ul><li>DUKHA SOKA MAYA PRADAH </li></ul>
    49. 52. BITTER SOUR SALINE STEAMING HOT PUNGENT DRY RAJASIK FOOD
    50. 53. FOOD OF TAMASIC <ul><li>YATAYAMAM GATARASAM </li></ul><ul><li>POOTI PARYUSITAM CA YAT </li></ul><ul><li>UCCISTAMAPI CAMEDHYAM </li></ul><ul><li>BHOJANAM TAMASAPRIYAM </li></ul>
    51. 54. 1. OLD FOOD: CANNED or STORED 2. DEVOID OF TASTE 3. NONVEGETARIAN FOOD 4. FERMENTED DRINKS 5. STALE FOOD 6. LEFT OVER FOOD 7. IMPURE FOOD TAMASIK FOOD
    52. 56. <ul><li>EXERCISE BURNS CALORIES </li></ul><ul><li>REDUCES WEIGHT </li></ul><ul><li>INCREASES INSULIN SENSITIVITY </li></ul>EXERCISES
    53. 57. YOGA IN DIABETES - HOW? MASTERY OVER MIND BETTER ADHERENCE TO DIET BETTER MASTERY OVER APPETITE & SATISFACTION MASTERY OVER CRAVINGS FOR JUNK FOOD & SWEET APPETITE SATIETY
    54. 58. = MASTERY OVER MIND YOGA HELPS TO MAINTAIN REGULARITY OF EXERCISE BY BREAKING THE LIMITATION OF LAZINESS YOGA IN DIABETES - HOW?
    55. 59. <ul><li>IMPROVES BLOOD FLOW TO PANCREAS BY INCREASING NEGATIVE SUCTION PRESSURE IN ABDOMINAL CAVITY </li></ul>YOGA IN DIABETES - HOW? NAULI AGNISÁRA
    56. 60. DEEP REST IMPROVES BETA CELL EFFICIENCY ARDHA MATSYÄNDRA MAYÜRÁSANA STIMULATION & DEEP REST DHANURÁSANA YOGA IN DIABETES - HOW?
    57. 61. THYMUS B T YOGA IN DIABETES - HOW? REDUCE AUTO IMMUNITY INSULIN ANTIBODY
    58. 62. YOGA IN DIABETES - HOW? INCREASES SENSITIVITY OF CELL WALL INSULIN RECEPTORS GLUCOSE INSULIN ALL CELLS CLEANSING PRÁNÁYÁMA
    59. 63. INTEGRATED YOGA MODULE FOR DIABETES MELLITUS <ul><li>Breathing practices </li></ul><ul><li>Hands in and out breathing </li></ul><ul><li>Ankle stretch breathing </li></ul><ul><li>Tiger breathing </li></ul><ul><li>Straight leg raise breathing </li></ul><ul><li>Instant relaxation technique (IRT) </li></ul><ul><li>Loosening Exercises </li></ul><ul><li>Jogging </li></ul><ul><li>Forward and backward bending </li></ul><ul><li>Side bending </li></ul><ul><li>Twisting </li></ul><ul><li>Pavanamuktasana kriya </li></ul><ul><li>Dhanurasana swing </li></ul><ul><li>Quick relaxation technique (QRT) </li></ul>
    60. 64. <ul><li>Yogasanas </li></ul><ul><li>Standing </li></ul><ul><li>Ardhakati cakrasana </li></ul><ul><li>Padahastasana </li></ul><ul><li>Parivrutta Trikonasana </li></ul><ul><li>Sitting </li></ul><ul><li>Vakrasana/ Ardha Matsyendrasana </li></ul><ul><li>Prone </li></ul><ul><li>Bhujangasana </li></ul><ul><li>Dhanurasana </li></ul><ul><li>Supine </li></ul><ul><li>Sarvangasana </li></ul><ul><li>Matsyasana </li></ul><ul><li>Deep relaxation technique (DRT) </li></ul>
    61. 65. <ul><li>Pranayama </li></ul><ul><li>Kapalabhati </li></ul><ul><li>Vibhagiya pranayama (sectional breathing) </li></ul><ul><li>Nadisuddi pranayama </li></ul><ul><li>Sitkari pranayama </li></ul><ul><li>Bhramari pranayama </li></ul><ul><li>Meditation </li></ul><ul><li>Nadanusandhana </li></ul><ul><li>OM Meditation </li></ul>
    62. 66. <ul><li>Vamanadhouti + DRT – Once a week </li></ul><ul><li>Sankhapraksalana + DRT – Once a month </li></ul><ul><li>Laghu Sankapraksalana + DRT – Daily </li></ul>
    63. 67. SPECIFIC PRACTICES <ul><li>Yoga can be an effective supplement to diabetes treatment. </li></ul><ul><li>It helps in controlling the blood sugar level by helping the pancreas to produce more insulin. </li></ul><ul><li>If diabetes is caused by lack of exercise or stress, yoga eliminates the dependence on insulin treatment. </li></ul><ul><li>For daily practice: </li></ul><ul><li>Bhastrika Pranayama </li></ul><ul><li>Nadi Shodak Pranayama </li></ul><ul><li>Ujjayi Pranayama </li></ul>
    64. 68. <ul><li>General considerations : People with diabetes should be treated and regularly checked by a medical doctor. The severity of diabetes may vary from mild forms requiring nothing more than diet to severe insulin dependent forms requiring systematic and long term medical treatment. </li></ul><ul><li>Contraindications : Patients with well treated diabetes without complications tolerate most yoga practices and benefit from them. </li></ul>
    65. 69. <ul><li>Recommendations : People with diabetes often benefit from asanas and relaxation. The blood sugar levels should be followed up to adjust the doses of insulin or other medicines to healthier yogic life style. </li></ul>
    66. 70. <ul><li>Recommended Asanas : </li></ul><ul><li>Suryanamaskara (Sun salutation) - activates almost all glands; due to reverse circulation of blood during this asan invigorates the facial tissues , the nervous system etc. </li></ul><ul><li>Bhujangasana (Cobra Pose) - activates whole of abdominal area. </li></ul><ul><li>Paschimotanasana (Head-knee forward Bend)- activates pancreas, thus regularising its functioning to secrete insulin in a normal way . </li></ul>
    67. 71. <ul><li>Vakrasana (Obtuse Pose)- affects the waist and abdominal area. </li></ul><ul><li>Matsyendrasana - has great effect on pancreas , adrenal, thyroid and sex glands. </li></ul><ul><li>Suptavajrasana - corrects disorders of stomach, intestine, liver, kidneys, spleen etc. ; enhances sexual potentiality. </li></ul><ul><li>Dhanurasana - affects pancreas, adrenal, thyroid, parathyroids, pituitary and sex glands; develops digestive power ; corrects menstrual problems in women. </li></ul>
    68. 72. Thank You Thank You
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