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How to Control Diabetes with the help of Yoga
• AYM Yoga School is prominent Yoga School in Rishikesh, India. Here you will find the best techniques to control diabetes with the help of yoga. .
DIABETES
What is Diabetes?
Diabetes is a serious condition in which the body can’t maintain proper amount of glucose and Insulin is the key which opens doors of body’s cells to allow glucose entry in the body.
Glucose can’t enter the cells without enough presence of insulin, and remains in the blood stream in huge amounts (hyperglycemia).
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Action of Insulin on the CellMetabolism
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Action of Insulin on Carbohydrate, Protein and Fat Metabolism
• Carbohydrate• Enables the passage of glucose into muscles
and adipose cells.• Assists the conversion of glucose to glycogen
so it can be stored in liver and in muscles.• Reduces the cessation and discharge of
glucose from glycogen by the liver.
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Action of Insulin on Carbohydrate, Protein and Fat Metabolism
• Protein• Insulin helps promote protein synthesis.• Prevents protein breakdown by reducing
gluconeogenesis.
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Action of Insulin on Carbohydrate, Protein and Fat Metabolism
• Fat• Encourages lipogenesis- transporting
triglycerides to adipose tissues. • Restricts lipolysis – prevents over production
of ketones or ketoacidosis.
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Introduction • Diabetes is a serious health problem in which glucose levels in
blood are above normal. People with diabetes face difficulty in converting food to energy. Food is broken down into a sugar called glucose, after having food which is then carried by blood to the cells throughout the body. Cells use insulin, a hormone made in the pancreas, which helps them in converting blood glucose into energy.
• People develop diabetes due to failure of pancreas in making enough amount of insulin or due to failure of cells in muscles, liver in using insulin properly, or both. This results in increase in the amount of glucose in blood while cells fall short of energy.
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Prevalence of diabetes in Americans
• About 18.2 million Americans, or 6.2 % of the population suffers from diabetes. 13 million people have been diagnosed with diabetes, while an estimated 5.2 million people remain undiagnosed. More than 8 million people above 60 yrs. or more, have diabetes. This is 18.3 % of that age group.
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Prevalence of diabetes in Japan• The number of diabetic patients is increasing in Japan, and it
is estimated that more than 12 million Japanese people are hyperglycemic. Such huge number of people is most probably due to a complex interplay between genetic and environmental factors that are Japan. Daily diet & lifestyle of Japanese people has changed considerably after World War- II. In general, the Japanese have become more inactive and are consuming more fat than they used to in the past.
• The above mentioned information has been provided by the Department of Medicine, Metabolism and Endocrinology, Juntendo University School of Medicine, Hongo, Tokyo, Japan.
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Care on daily basis
• People suffering from diabetes must take care of themselves on daily basis. This should include maintaining the required blood glucose levels and prevent them from getting too high or too low. Controlling blood pressure and cholesterol is also important as about 2/3 of people having diabetes, die of heart disease and heart attack. This should include taking prescribed medication from a qualified doctor.
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Prevent occurrence of Hypoglycemia
• Hypoglycemia is a condition in which blood glucose levels drop too low, and a person starts becoming nervous, shaky, and confused. Judgment might get impaired. A person can even faint if blood glucose levels fall too low.
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Occurrence of Hyperglycemia
• A person will also fall ill if blood glucose levels rise too high. This condition is known as Hyperglycemia. Diabetic patients may fall into a coma if their blood sugar levels rise too high.
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What to do to control diabetes?
• In order to deal with diabetes- glucose, blood pressure and cholesterol need to be controlled properly as it is the best defense against diabetes. People who take effective steps to deal with diabetes will make and be able to see the positive difference in their health. Follow a diet plan, monitor your blood sugar, exercise regularly, take prescribed medication, and make healthy lifestyle choices if you want to get rid of diabetes.
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If you are suffering from diabetes for a long time, then you might suffer with other health problems such as:
Consequences of Untreated Diabetes?
2 times higher risk of brain stroke.
3-4 times higher risk of heart diseases.
Increase risk of high BP
Cause of leg amputations.
Cause of loss of sensations in limbs & other nerve damage.17 times higher risk
of kidney failure – common cause in India.
Affects the eye and vision,3rd most common causeof blindness in India.
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Harms of high blood sugar levels
• High levels of blood sugar forces Kidney to filter too much blood, resulting in increased stress on basal membranes.
• More dilation of neural arteriole than diffusive glomerular arteriole.
• Increases intraglomerular pressure, further leading to filtration pressure and damage to glomerular.
• Capillary blockage.
Causes
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Causes • Diabetes is a serious, life-long ailment. It
cannot be cured completely, but effective control on blood sugar can prevent & postpone the complications of this ailment. A lot of research is being done to find out what exactly causes diabetes and how can it be prevented from happening.
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Causes• Diabetes is an ailment which prevents the body from
properly converting food into energy which is much needed for us to work. In order to understand how diabetes begins, you must know what happens when food is digested by the body.
• When we eat, most of the food present in our body is changed into glucose, which is a form of sugar. This glucose travels through the blood stream to energize or feed our cells. It is the main source of energy in our body.
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• Insulin’s presence is necessary for glucose to get enter the cells. Insulin is a hormone made by the pancreas, a large organ present behind the stomach.
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• If your body does not make enough insulin or if the insulin doesn't properly, glucose will fail from entering your cells. It continues to remain in your blood, while the cells in your body get deprived of much needed energy. The level of blood glucose in your body gets high, and causes diabetes.
• Presence of high levels of glucose in your blood over he years will harm your nerves and blood vessels. This will lead to complications such as heart disease and stroke, damage to nerves, kidney diseases, blindness, infection in gums, and amputation to lower limb.
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Causes according to yogaThe general causes of diabetes according to Yoga are:• Toxins get accumulated in tissues and cause obesity. • Improper functioning of vyana and samana prana due to
anxiety. A disturbed Vyana prana will result in lack of proper use of insulin by cells, and a disturbed Samana prana will result in dysfunctioning of pancreas.
• Poor digestion system due to consumption of oily food and sweets or due to bad food habits that include junk food.
• Disproportionate functioning of the nervous system. • Increased physical and mental stress. • Decline in natural resistance and immunity. • Laxity in doing physical work.
Types of Diabetes
Classification of Diabetes Type 1 Diabetes
Type 2 Diabetes
Gestational Diabetes
Other types of Diabetes Genetic Malnutrition related Drug induced
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TYPE 1 DIABETES
• In type 1 diabetes, the immune system starts attacking the insulin-producing cells in the pancreas and starts destroying them. The pancreas then produces little or no insulin.
• Right now the scientists don’t exactly know what causes the body's immune system to attack the cells, but they think that both- genetic and environmental factors, such as viruses, are responsible for it. Studies have been initiated to try & identify these factors & prevent people from getting inflicted by type 1 diabetes.
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Type I Diabetes Cell
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Type 2 diabetes• Type 2 diabetes is the most
common form & is linked to high blood pressure, obesity, and high levels of bad cholesterol known as Triglycerides; and low levels of good cholesterol called High Density Lipoprotein or HDL. About 80% people with type 2 diabetes are obese. Your body might fail to use insulin properly if you are obese.
• In type 2 diabetes, the pancreas usually produces some insulin, though not as much as needed, when it is diagnosed. After passage of several years, production of insulin keeps decreasing in people suffering from type 2 diabetes.
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Type II Diabetes
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Risk factors of type 2 • If you are above 45 years of
age and bulky or obese then there is risk of developing type 2 diabetes. Other risk factors include:
• Presence of a family member or a first-degree relative cousins having diabetes.
• If you are an Afro-American, American Indian or Alaskan Native, Asian American or Pacific Islander, or Hispanic American/Latino
Risk factors include:• Suffering from gestational
diabetes, or giving birth to at least one baby weighing more than 9 pounds.
• Blood pressure of 140/90 or higher, or being told by Doctor that you have high blood pressure.
• Unstable yet high cholesterol levels- an HDL cholesterol level of 35 or lower, or a Triglyceride level of 250 or higher.
• Inactive or lack of daily exercise, less than 3 times a week.
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• People suffering from type 2 diabetes, usually have pre-diabetes- a condition in which blood glucose levels are higher than normal, yet not high enough for diagnosis of diabetes.
• People having pre-diabetic situation are more likely to develop diabetes in the next 10 years, and are also more likely to get a heart attack or stroke. Pre-diabetes is common in USA, according to new estimates- about 41 million people, or 40% of U.S. adults aged 40 to 74, have pre-diabetes.
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Gestational Diabetes
• During the late stages of pregnancy, some women develop gestational diabetes. Although this type of diabetes usually disappears after the infant is born, a woman who had it in the past, is more likely to develop type 2 diabetes in the later part of life. Gestational diabetes is caused due to pregnancy hormones or due to shortage of insulin.
Prevention
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• Diabetes also keeps occurring in families over generations, but other factors might also be responsible for getting diabetes. For eg:- being obese and in-active triggers diabetes among people & puts them at risk.
• The two most common types of diabetes are type 1 and type 2. The body stops making insulin in people suffering from type 1 diabetes. At present, there is no way of delaying or preventing this type of diabetes. Yoga might just be a major preventive technique at the moment.
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PRE-DIABETES • People having Type 1
diabetes can be prevented from developing type 2 diabetes, or those having pre-diabetic condition. Pre-diabetic is a condition in which blood glucose levels are higher than average, but not high enough for diagnostics. People with pre-diabetic situation are more likely to develop diabetes in the next 10 years, & are more likely to suffer from heart attack or stroke.
• National Institute of Diabetes and Digestive and Kidney Diseases carried out a research called ‘The Diabetes Prevention Program’ which showed that people with pre-diabetes can sharply reduce chances of developing diabetes through modest weight loss with controlled diet and yoga.
• The same study showed that changes in diet and exercise were very effective in restricting the development of diabetes in elderly people.
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Prevention- type 2• Making modest lifestyle changes
can help in preventing or delaying type 2 diabetes for people at risk. Here are some points that might help.
• Reach and maintain a reasonable body weight. Your weight affects your health in many ways. Being obese will prevent your body from making and using insulin properly. It may also cause high blood pressure. Recent studies have shown that even losing a few pounds can help in reducing the risk of developing type 2 diabetes.
• In the Diabetes Prevention Program, people who lost 5%- 7% weight, reduced the risk of type 2 diabetes significantly. So if you weigh 200 pounds, and loose even 10 pounds, it will make a difference.
• Make good food choices to remain strong. The quality and quantity of food makes a big impact on one’s health. You can control body weight, blood pressure, and cholesterol by making sensible food choices.
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Prevention- type 2• Remain active physically every
day. Daily exercise counters numerous risk factors at one go. It helps you lose weight, control cholesterol and blood pressure; and improves the use of insulin by your body. People in the Diabetes Prevention Program study, who were physically active for 30 minutes/day & 5 days a week reduced their weight & minimized the risk of type 2 diabetes. Many chose walking for exercise.
• You must take prescribed medications as some people need medication to keep their blood pressure or cholesterol levels under control. If you do, then take as directed. Ask your doctor to give your any medicines that will help you preventing type 2 diabetes.
Symptoms
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• Diabetes is often called a ‘silent’ disease because it doesn’t shows any symptoms on people before they are diagnosed. Symptoms might be so mild that they may go unnoticed by you. More than 5 million people in the United States have type 2 diabetes and don’t know about it.
The signs of diabetes are:• Feeling thirsty often. • Going to toilet more often.• Feeling much hungrier &
tired sooner. • Weight loss without even
trying. • Slow healing of blisters &
wounds. • Having dry, itchy skin • Loss of feeling in your feet
or having itchy feet • Eyesight getting blurred.
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Symptoms of type 1 and Gestational diabetes
• Symptoms of type 1 diabetes mostly occur in children and young adults & develop usually over a short time frame. The symptoms for type 2 diabetes develop more steadily after that.
• Gestational diabetes develops among women & only during pregnancy & disappears after conceiving. However, mothers are at increased risk of getting type 2 diabetes in future.
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DiagnoseDoctors use the following tests to diagnose diabetes:-• A fasting plasma glucose,
or FPG test, measures your blood glucose after you haven’t taken food for 8 hours. Doctors use this test to detect diabetes or pre-diabetic condition.
• An oral glucose tolerance test, or OGTT, used to measure blood glucose after you have been foodless for 8 hours and 2 hours after drinking a sweet beverage. Doctors use this test to diagnose diabetes or pre-diabetes. Doctors also use the oral glucose tolerance test to diagnose gestational diabetes in pregnant women.
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BLOOD GLUCOSE WHEN FASTING Normal 80-100 mg/dL
DM > 120 mg/dL
2 HOURS AFTER LUNCH Normal 130-160 mg/dL
DM > 180 mg/dL
Diagnostic Range of Blood Sugar Level
Research
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An investigation into the grave and long-term effects of selected yogic postures on fasting and post food consumption glycemia and insulinemia in healthy
youngsters.• The observation suggests that the performance of
asanas led to increased sensitivity of B-cells of pancreas to the glucose signal. The improved sensitivity is due to sustained change resulting from a progressive long-term effects of asanas. The study is significant as for the first time, it has attempted to probe the process by which yoga asanas help in diabetes mellitus.
Manjunatha S, Vempati RP, Ghosh D, Bijlani RL.Department of Physiology, All India Institute of Medical Sciences, New Delhi.
Treatment through yoga
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• It’s not possible to cure Diabetes completely, but it can be controlled. Strict control of blood glucose/blood sugar, blood pressure and cholesterol is the best defense against the severe complications of diabetes.
• People with type 1 diabetes control their blood sugar by taking insulin injections and by regular self-monitoring of blood glucose. Yoga helps a lot in controlling it.
• People with type 2 diabetes usually control their blood sugar by taking oral medicines and, in some cases, by insulin. People suffering from type 2 diabetes can control blood glucose levels through diet control, yoga and regular exercise.
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Integrated Treatment of Diabetes
1. Annamaya Kosha
2. Pranamaya kosha
3. Manomaya Kosha
4. Vijanamaya kosha
5. Anandamaya kosha
1. Asana, Kriyas, Bandha, susma-vyayama, diet.
2. Breathing exercises, Pranayama bandha.
3. Meditation, relaxation techniques, mudras.
4. Wisdom of Upanishads, Counselling, analysis of happiness in life.
5. Karma yoga and Samadhi.
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Treatment at Physical LevelTechnique:• Annamaya Kosha
• Asana, Kriyas, diet, susma-vyayama, bandha.
• Direct influence on pancreatic secretion by stimulation and rejuvenation of the pancreatic cells, through alternate abdominal contractions, and relaxation during asanas (yogic postures which produce relaxation) and breathing exercises.
• Reduction in blood sugar due to muscular exercises involved in various asanas.
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Treatment at prana (energy)levelTechnique:• Pranamaya kosha
• Breathing exercises, Pranayama bendha
• Pana vistar and nadi sudhi pranayama practice which is responsible equal distribution of vyana throughout the body
Effects:• Increases insulin
consumption by the cells.• Takes the stress out of
the body’s systems. • Practice of bandha will
balance the samana-vayu, which in turn balances the pancreases.
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Treatment at mind level
• Manomaya Kosha• Relaxation
techniques, • Meditation, • Mudra• yogic life style • laughing
• Manomaya kosha techniques are a direct method to slow down the speed of thoughts and to relax the whole body and mind. This will effect:
• Auto-immune in case of type -1.
• Remove disturbances at prana level.
• Remove the root cause of diabetes by reducing anxiety.
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Treatment at Higher Mental Stage
• Vijanamaya kosha• Counseling,
Happiness analysis
At this level, you must do systematic analysis of your desire to eat. Analyze your taste, how it comes and how do you experience it.
Analyze anxiety and the reason behind it, and why you get stress.
Analyze your true nature of happiness.
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Treatment at Super Conscious Level
• Anandamaya kosha• Karma yoga
• The art of working with complete relaxation.
• Work with an attitude of offering to the divine power.
• Work without worrying about the result of your actions.
• Recognize that your basic stuff is made from happiness , so happy at all times.
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Program for Diabetes• Initial prayer with Mantra• Susma Vyayama• Suryanamaskar• Asana• Pranayama• Mudra• Bandha• Kriya• Relaxation • Meditation
• Level – 1 for beginners and diabetes patients only
• Level-2 more advance stage after practicing level -1.
• Level – 3 diabetes with other diseases in combination, such as high blood pressure (HBP).
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List of all Suxma vyayama for diabetes UDARA-SAKTHI-VIKASAKA-1 (ABDOMEN)UDARA-SAKTHI-VIKASAKA-2 (ABDOMEN) UDARA-SAKTHI-VIKASAKA-3 (ABDOMEN) UDARA-SAKTHI-VIKASAKA-4 (ABDOMEN) UDARA-SAKTHI-VIKASAKA-5 (ABDOMEN)UDARA-SAKTHI-VIKASAKA-6 (ABDOMEN)UDARA-SAKTHI-VIKASAKA-7 (ABDOMEN) UDARA-SAKTHI-VIKASAKA-8 (ABDOMEN)UDARA-SAKTHI-VIKASAKA-9 (ABDOMEN) MULADHARA-CAKRA-SUDDHI UPASTHA TATHA (SVADHISTHANA-CAKRA-SUDDHIKATI-SAKTI-VIKASAKA-1 (back-bone)KATI-SAKTI-VIKASAKA-2 (back-bone)KATI-SAKTI-VIKASAKA-4 (back-bone)KATI-SAKTI-VIKASAKA-5 (back-bone)
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List of all asana for diabetes • Asana • Standing• Adhomukhasana
(uddyana)• Uttitha Trikonasana• Parivartita trikonasana • Prasarita padottanasana• Chandrasana side bending• Padangusthansana• Ardhakati chakrasana
• Inverted asana
• Leg raise (uttanasana)• Sarvangasana or Vipreetakarni asana• Halasana• Matsyasana• Pawanamuktasana• Rolling
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• Sitting asana
• Paschimottanasana • Ardha mastendrasana• Madukasana• Mayurasana• Supta Vajrasana• Udra karshasana• Prone lying asana
• Bhujangasana• Dhanurasana (side rolling)• Child pose
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List of all Kriyas and Pranayama for Diabetes
Pranayama
• Sitali • Sitakari• sadanta• Nadi-sodhana • Surya bhedana.• Prana vistar • Dynamic kapalabhati
kriya
• Nauli kriya • Agnisara • Sankha prakshalena • Kunjala kriya
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Yogic diet
• People with diabetes should be careful while eating & should consume the right food. You can eat food that is low in fat, salt, and sugar, and high in fiber. Those are:- beans, fruits, vegetables, and grains. Eating right will help you reach and stay at a weight that's good for your body, keep your blood glucose in a desirable range, and prevent heart and blood vessel diseases.
• Ayurvedic foods and herbs helps to cure your diabetes. These foods include:-
1. Juice of bitter melon or bitter gourd (Momordica dioica, Roxb, Karela).
2. Neem (Melia azadirachta, Ravipriya, or Indian Lilac) may be taken on empty stomach daily.
3.Juice of Jambu should be taken in an ounce quantity twice daily
4. Use turmeric in food preparation and orally too.
5. Seeds of Fenugreek (Methi) should be used as sprout or powder.
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List of other tech. for diabetes
• Mudra • Sakti chalni • Tadagi mudra • Vipreeta karni (with
uddyana)
• Bedha• Uddyana• Moola bandha
• Relaxation • Instant relaxation • Deep relaxation
technique Or Yoga Nidra.
• meditation
• Preksha meditation • Om meditation
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Level -1 ( time -?)1.Initial prayer with Mantra2.Susma Vyayama (udra)3. Asana • Adhomukhasana (uddyana)• Parivartita trikonasana • Prasarita padottanasana• Padangusthansana• Ardhakati chakrasana• Vipreetakarni asana• Halasana• Matsyasana• Pawanamuktasana• Rolling• Paschimottanasana • Ardha mastendrasana• Madukasana• Supta Vajrasana• Udra karshasana• Prone lying asana• Bhujangasana• Dhanurasana (side rolling)• Child pose
• 4. Pranayama • Sitali /Sitakari/sadanta• Nadi-sodhana • Dynamic kapalabhati • 5. Mudra • Sakti chalni • 6. Bedha• Uddyana in cat pose and in
adhomukha • Moola bandha• 7. Relaxation • Instant relaxation • Deep relaxation technique• 8. Meditation • Preksha meditation on pancreases
and vyana for insulin activity ending prayer
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Basic principles to choose techniques
1. To activate pancreases by asana, bandha or kriya.2. To increase blood-circulation to pancreases area by asana, mudra, and
bandha.3. To balance Vyana and Samana by meditation, relaxation and pranayama.4. To remove stress and after effects of stress. 5. To remove complications of diabetes.6. To increase hydration directly by kriyas.7. Increase cleaning and detoxification and increase immunity against
diseases in the body by asana, pranayama, mudra, bandha, and kriya.8. To increase cells sensitivity to insulin. 9. To balance the nervous system and endocrine.10. To correct wrong lifestyle by yogic counseling of yama and niyama.
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• DELAY ABSORPTION OF GLUCOSE
• GUAR GUM ,VEGETABLES
FIBRES:
Guar gum is a fiber that normalizes the moisture content of the stool by absorbing excess liquid in diarrhea, and softening the
stool in constipation. It might also help decrease the amount of cholesterol and
glucose that is absorbed in the stomach and intestines.
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Neem Plant
• Neem (Melia azadirachta, Ravipriya, or Indian Lilac) may be taken on empty stomach daily.
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Methi
• Seeds of Fenugreek (Methi) should be used as sprout or powder.
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Yoga as exercise • Get Regular Physical
Activity.• Regular physical activity is
important for people with diabetes. Taking part in a regular fitness program has shown improvement in blood glucose levels in older people, whose levels are high.
• Exercise is especially good for people with diabetes because exercise helps in keeping weight down while insulin works better to lower blood glucose.
• Exercise is good for your heart and lungs.
• Exercise gives you more energy.
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General advice to begin yoga for diabetic patients
• Before you begin exercising, talk with your doctor. Your doctor may check your heart and feet to be sure, you have no special problems. If you have high blood pressure or eye problems, some exercises like weightlifting may not be safe. Your yoga care team can help you find safe yoga techniques.
• Try to do yoga almost every day for a total of about 30-60 minutes. If you haven't exercised lately, begin slowly. Start with 5 to 10 minutes, and then add more time. Or exercise for 10 minutes, thrice a day.
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Karela
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Thank You !
• www.indianyogaassociation.com• Address – Upper Tapovan Rishikesh