How to Control Diabetes With The Help Of Yoga - Yoga in Rishikesh

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. .
www.indianyogaassociation.com 1

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).

Action of Insulin on the Cell
Metabolism

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.

Metabolism
• Protein
• Insulin helps promote protein synthesis.
• Prevents protein breakdown by reducing
gluconeogenesis.

Metabolism
• Fat
• Encourages lipogenesis- transporting
triglycerides to adipose tissues.
• Restricts lipolysis – prevents over production
of ketones or ketoacidosis.

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.

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.

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.

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.

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.

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.

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.

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 cause
of blindness in India.

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
• 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.

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.

• 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.

• 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.

Causes according to yoga
The 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.

Classification of Diabetes
 Type 1 Diabetes
 Type 2 Diabetes
 Gestational Diabetes
Other types of Diabetes
 Genetic
 Malnutrition related
 Drug induced

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.

Type I Diabetes Cell

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.

Type II Diabetes

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.

• 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.

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.

• 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.

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.www.indianyogaassociation.com 35

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.

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.

• 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.

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.

Diagnose
Doctors 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.

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

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.

• 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.

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.

Treatment at Physical Level
Technique:
• 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.

Treatment at prana (energy)level
Technique:
• 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.

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.www.indianyogaassociation.com 50

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.

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.

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).

List of all Suxma vyayama for diabetes
UDARA-SAKTHI-VIKASAKA-1 (ABDOMEN)
MULADHARA-CAKRA-SUDDHI
UPASTHA TATHA (SVADHISTHANA-CAKRA-SUDDHI
KATI-SAKTI-VIKASAKA-1 (back-bone)

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

• Sitting asana
• Paschimottanasana
• Ardha mastendrasana
• Madukasana
• Mayurasana
• Supta Vajrasana
• Udra karshasana
• Prone lying asana
• Bhujangasana
• Dhanurasana (side rolling)
• Child pose

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

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.

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

Level -1 ( time -?)
1.Initial prayer with Mantra
2.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

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.

• 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.

Neem Plant
• Neem (Melia azadirachta, Ravipriya, or Indian
Lilac) may be taken on empty stomach daily.

Methi
• Seeds of Fenugreek (Methi) should be used as
sprout or powder.

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.

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.

Karela

Thank You !
• www.indianyogaassociation.com
• Address – Upper Tapovan Rishikesh

How to Control Diabetes With The Help Of Yoga - Yoga in Rishikesh

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