Lifestyle modification in Prevention and control of type 2 Diabetes.

1. ROLE OF LIFESTYLE MODIFICATION IN THE
PREVENTION AND CONTROLOF TYPE 2
DIBETESMELLITUS
PRESENTED BY,
Vd.Suhas Sakhare
Vd.Santosh Thombre
Vd.Sneha Pawar
DEPT. OF SWASTHVRITTA AND YOGA,
GAC NANDED.

2. WHO 2016 THEME

3. INTRODUCTION
• Diabetes is a group of metabolic disorders
characterized by abnormal metabolism, which results
most notably in hyperglycemia , due to defects in
insulin secretion, insulin action, or both.
• Diabetes is a serious chronic disease without a cure,
and it is associated with significant morbidity and
mortality.

4. Diabetes mellitus
• "Diabetes" comes from the Greek word for "siphon",
and implies that a lot of urine is made.
• The second term,"mellitus" comes from the Latin
word, "mel" which means "honey", and was used
because the urine was sweet.

5. Prevalence of Diabetes in india
• According to the Indian Council of Medical Research-
Indian Diabetes study (ICMR-INDIAB), a national
diabetes study, India currently has 63 million people
with diabetes.
• India represents the world’s second largest diabetes
population after China.
• This is set to increase to over 100 million by 2030.
• The majority of people with diabetes (>90%) have
Type 2 diabetes (T2DM).

6. Proportion of people in Maharashtra
By Indian Journal endocrineandmetabolism

7. Income and Age wise Proportion of T2DM
ByWHO

9. TYPES OF DIABETES

10. BASIC UNDERSTANDING OF
GLUCOSE METABOLISM AND
INSULIN ACTION

11. RISK FACTORS

13. Obesity And T2DM Association

14. Stepwise Management of
Type 2 Diabetes
Insulin ± oral agents
Yoga and Meditation
Diet& exercise

15. A. Diet
 Diet is a basic part of management in every case.
Treatment cannot be effective unless adequate
attention is given to ensuring appropriate nutrition.
◦ Diabetes diet for Indians should have the ratio of
60:20:20 for carbs, fats and proteins. "Per day
calorie intake should be between 1,500-1,800
calories with a proportion of 60:20:20 between
carbohydrates, fats and proteins, respectively.
◦ Diabetologist,Dr. SanjivBhambani
◦ TIMES OF INDIA

16. it contains glucoside, which
prevents the conversion of
starch into sugars.
Indian Blackberry(Jamun) for Diabetes
It also contains zinc and
sulphur, which are
components of insulin.
Garlic for Diabetes

17. This is the richest source of Omega 3
fatty acids. It helps control diabetes
because it maintains the sensitivity of the
cell membrane, facilitates insulin,
and thereby the uptake of glucose by the
cells.
Flaxseed for Diabetes
Water extracts of cinnamon
have been found to promote
glucose metabolism and
reduce cholesterol
Cinnamon Solution for Diabetes

18. Omega-3 fatty acids -- particularly fatty fish
such as salmon, mackerel, herring, lake
trout. Omega-3s also decrease triglyceride
levels, slow the growth rate of
atherosclerotic plaque, lower blood
pressure, and curb inflammation.
Fish for Diabetes
Spinach for Diabetes
spinach contains an antioxidant known as
alpha-lipoic acid, which has been shown to
lower glucose levels,
increase insulin sensitivity and prevent
oxidative stress-induced changes in
patients with diabetes.

19. One Day Menu Plan for traditional
Maharashtrianclient with Type II Diabetes
By Keya Deshpande Karwankar, MS
Senior Manager
of Operations and Quality at Apollo
Health and
Lifestyle Limited in Hydrabad India.
Calories : 2048
Carbohydrate : 326 grams (64%)
Protein : 102 grams (19%)
Fat : 40 grams (17%)

20. Breakfast:
8.30 AM
1 cup chaha made out of skimmed
milk and sweetener
1 apple.
Lunch: Lunch:
12.30 PM
½ cup brown rice
2 phulkas without oil or ghee
1 cup varan (toor dal without jaggery).
½ cup string beans bhaji or 1 cup methi
chi bhaji (fenugreek curry).
¼ cup cucumber koshimbir without
peanut powder or phodni.
Snack:
4.00 PM 4.00 PM
1 cup chaha made out of skimmed
milk and sweetener.
2 whole wheat crackers.
½ cup watermelon.
Dinner: Dinner:
8.00 PM
½ cup brown rice.
2 phulkas without oil or ghee.
1 cup mooga chi usal (mung dal)
without coconut.
1 serving barbecued fish (with very little
oil).

22. Some of small tips of Exercise
1. use Upstairs
2. walk when u Talk
3. use Cycle
4. Don’t sit continue more than
30min in sedentary job .

23. AyurvedoktA part
mÉëqÉåWû
urÉÉkÉÏ

24. EimɨÉÏ- ÌlÉÂÌ£ü-
mÉëqÉåWû = mÉëMüwÉïåhÉ + qÉåWûrÉÌiÉ
“mÉëMüwÉïåhÉ mÉëcÉÑUÇ uÉÉUÇ uÉÉUÇ uÉÉ qÉѧÉirÉÉa
MüUÉåÌiÉ rÉÎxqÉlÉ UÉåaÉå xÉ
mÉëqÉåWû:"
WûÌuÉmÉëÉzÉÉlqÉåyMÑü¸rÉÉåï
eÉlqÉÈ |

25. SÉåwÉ ÌuÉzÉåwÉÈ
• SÉåwÉ -
• ̧ÉSÉåwÉeÉ MüTümÉëkÉÉlÉ
• oÉWÒûSìuÉ zsÉåwqÉÉ SÉåwÉ ÌuÉzÉåwÉÈ |

26. mÉëqÉåWûÉcÉå 10 SÒwrÉ
oÉÀûoÉ®Ç qÉåSÉå qÉÉÇxÉÇ zÉUÏUeÉYsÉååSÈ zÉÑ¢Çü zÉÉåÍhÉiÉÇ uÉxÉÉ qÉ‹É sÉÍxÉMüÉ
UxɶÉÉåeÉÈ xÉÇZrÉÉiÉ CÌiÉ SÒwrÉ ÌuÉzÉåwÉÉÈ | cÉ. ÌlÉ.1
oÉWÒû-AbÉlÉiuÉqÉ qÉå
qÉåSÉå qÉÉÇxÉÇ
AoÉ®Ç-AxÉÇyiÉqÉ

27. xÉÇmÉëÉÎmiÉ -
• ÌlÉSÉlÉSÉåwÉSÕwrÉÌuÉzÉåwÉåprÉÉå ÌuÉMüÉUÌuÉbÉÉiÉpÉÉuÉÉpÉÉuÉmÉëÌiÉÌuÉzÉåwÉÉ pÉuÉÎliÉ | cÉ. ÌlÉ.
• ÌuÉMüÉUeÉlÉlÉqÉ ÍcÉUåhÉeÉlÉlÉqÉ AhÉÑÌuÉMüÉUeÉlÉlÉqÉ AxÉuÉïÍsÉÇaÉeÉlÉ
mÉëqÉåWûurÉÉkÉÏ - AhÉÑwÉÇÌaÉhÉÉÇ ( mÉÑlÉpÉÉïuÉÏ ) -cÉ. xÉÑ.25
ÌuÉMüÉUÌuÉbÉÉiÉMüUpÉÉuÉ -AÉWûÉUxÉÇmÉiÉ, oÉsÉ

28. ÌuÉxiÉÚiÉ xÉÇqmÉëÉÎmiÉ MüTüMüÉUMü WåûiÉÑxÉåuÉlÉ
MüTümÉëMüÉåmÉ
zÉËUU ÌuÉxÉëÚÎmiÉ
qÉåSxÉÈ ÍqÉ´ÉÐpÉÉuÉÉiÉ - xÉqÉÉlÉaÉÑhÉpÉÑÌrɹÉiÉ
ÌuÉ¢ÚüiÉ qÉåS uÉÚή
xjÉÉæsrÉ xÉÇmÉëÉÎmiÉ
zÉËUU YsÉåS qÉÉÇxÉÉprÉÉÇ xÉÇxÉaÉï 1. AurÉÉrÉÉqÉÉS
qÉåS EmÉcÉrÉÉiqÉMü 2. ÌSuÉÉxuÉÉmÉÉiÉ
qÉåSÉåuÉÚiÉ uÉÉrÉÑ YsÉåSqÉÉÇxÉrÉÉåÌiÉïmÉëqÉÉhÉÍpÉuÉÚ®iuÉÉiÉ
3. qÉå±É³ÉÉ cÉ AÌiÉpɤÉh
zÉUÏU YsÉåS qÉѧÉiuÉålÉ mÉËUhÉqÉrÉÌiÉ 4.uÉÉÂhrɶÉÉÌiÉxÉåuÉlÉÉiÉ
.

29. AÉxrÉ
xÉÑZÉqÉ
SÍkÉlÉÏ
aÉëÉqrÉÉæS
MüÉlÉÑmÉ
UxÉÉ
lÉuÉɳÉ
mÉÉlÉÇ
aÉÑQ
ûuÉæMÚüiÉ
xuÉmlÉ
xÉÑZÉqÉ
mÉrÉÉÇÍxÉ

30. •
• AÉxrÉxÉÑZÉqÉ = xÉÑZÉeÉÌlÉMüÉ
• LMüxjÉÉlÉÉxÉlÉUÌiÉ (uÉÉ.)
• UÌiÉ=ÌmÉëiÉÏ
• HETU OF LIFE STYLE
• MENTIONED AT THE FIRST
• BY CHARAKAACH
•
• So many Researches shows
• - Sedentary work a risk factor
• for Diabetes

31. •
• PHYSICAL INACTIVITY –
Leading cause of CVS ,
Obesity
Muscle atrophy
Decreased Metabolism

32. xuÉmlÉxÉÑZÉqÉ = AMüÉsÉå- Not for
fixed time
zÉrÉlÉ ÌuÉÍkÉuÉÎeÉïiÉqÉ (uÉÉ.) – ArÉjÉÉ E£Çü
AÌiÉmÉëxÉÇaÉɶÉ- For More time
MÚüzÉ ÍcÉÌMüixÉÉ

33. • Research says that oversleeping is risk factor
of - Diabetes ,
Obesity ,
Depression.

34. AÉWûÉUeÉ WåûiÉÑ -
• SÍkÉ
• aÉëÉqrÉÉæSMüÉlÉÑmÉUxÉÉ
• mÉrÉÉÇÍxÉ xÉÇiÉmÉïhÉÉåijÉ WåûiÉÑ – MüTüMÚüŠ
• lÉuÉÉ³É mÉÉlÉÇ
• aÉÑQûuÉæMÚüiÉ

35. LIST OF AAHARAJHETU FROM CH.
NI. 4
WûÉrÉlÉMü rÉuÉMü
cÉÏlÉMü E¬ÉsÉMü lÉuÉÉlÉÉqÉ +AÌiÉuÉåsÉÉlÉÉqÉ+AÌiÉmÉëqÉÉhÉålÉ
lÉæwÉkÉ qÉWûÉuÉëÏWûÏ
mÉëqÉÉåSMü xÉÑaÉÇkÉMüÉlÉÉ

37. xÉÌmÉï + lÉuÉqÉÉwÉ / lÉuÉWûUåhÉÑ xÉÑmÉ qÉlSèMü SÍkÉ
aÉëÉqrÉÉæSMüÉlÉÔmÉ UxÉÉ SìuÉ AÉWûÉU
zÉÉMü qÉkÉÑU AÉWûÉU
ÌiÉsÉ iÉÂhÉ AÉWûÉU
MÚüzÉUÉ ÌuÉsÉåmÉÏ
ÌuÉsÉåmÉÏ C¤ÉÒÌuÉMüÉU
¤ÉÐU ÌuÉMüÉU

38. qÉÚeÉÉuÉeÉïlÉqÉ
 ÌuÉWûÉUeÉ WåûiÉÑ
 ÌSlÉcÉrÉÉåï£ü WåûiÉÑ – ESuÉiÉïlÉ – cÉ¢ü.
 qÉÚeÉÉ = zÉÑ®Ï -oÉɽ + AÉprÉÇiÉU
 oÉɽ -xlÉÉlÉ, AprÉÇaÉ ,ESuÉiÉïlÉ
 AÉprÉÇiÉU -mÉÇcÉMüqÉï

39. A GOOD LIFE STYLE TO BE HEALTHY
ÌlÉirÉÇ ÌWûiÉÉWûÉUÌuÉWûÉUxÉåuÉÏ xÉqÉϤrÉMüÉUÏ ÌuÉwÉrÉåwuÉxÉ£ü |
SÉiÉÉ xÉqÉ: xÉirÉmÉU: ¤ÉqÉÉuÉÉlÉÉmiÉÉåxÉåuÉÏ cÉ pÉuÉirÉUÉåaÉ: || uÉÉ. xÉÑ 437
The Key Of Good Health
Physical Health Mental Health
1. ÌlÉirÉÇ ÌWûiÉMüU AÉWûÉU 1. xÉqÉϤrÉMüÉUÏ
2. ÌlÉirÉÇ ÌWûiÉMüU ÌuÉWûÉU 2. SÉiÉÉ
3. xÉqÉ:
4. xÉirÉmÉU:
5. ¤ÉqÉÉuÉÉlÉ

40. APREVENTIVELIFE STYLE FOR PRAMEH-
urÉÉrÉÉqÉ ÌlÉirÉÉå eÉÏhÉÉïzÉÏ rÉuÉaÉÉåkÉÑqÉpÉÉåeÉlÉ: |
rÉuÉaÉÉåkÉÑqÉpÉÉåeÉlÉ: xÉÇiÉmÉïhÉMÚüiÉSÉåwÉæ : xjÉÉæsrÉÇ qÉÑYiuÉÉ ÌuÉqÉÑcrÉiÉå || cÉ, xÉÑ 23
CHIKITSA OF LIFE STYLE CHANGE
¤ÉqÉѲiÉïlÉÇ aÉÉRûÇ urÉÉrÉÉqÉÉå ÌlÉÍzÉeÉÉaÉU È |
rɶÉÉlrÉzsÉåwqÉqÉåSÉåblÉÇ oÉÌWûUliÉ¶É iÉήiÉqÉ || uÉÉ. ÍcÉ.12/33

41. AÉWûÉU
MüÉ brÉÉuÉÉ ?
§ÉrÉÉåmÉxiÉÇpÉÉiÉÏsÉ mÉëjÉqÉ xiÉÇpÉ
SÉåwÉxÉÉqrÉ ÎxjÉiÉÏ
 qÉWûÉpÉåwÉeÉ - MüÉzrÉmÉ
 oÉsÉuÉÚήMüU pÉÉuÉ

42. xuÉÂmÉ
zsÉåwqÉqÉåSÉåblÉ
kÉÉiÉÑ zÉæÍjÉsrÉWûU AmÉiÉmÉïhÉ eÉlrÉ lÉxÉÉuÉÉ -EmÉSìuÉ ÌlÉÍqÉïiÉÏ-
aÉÑsqÉ,oÉÎxiÉzÉÑsÉ, qÉѧÉaÉëWû C.
YsÉåSWûU
UxÉÉrÉlÉ
 AÎalÉuÉkÉïMü
Long term use of
Neem juice or Karela
juice is how much
USEFUL ????

43. AÉWûÉUbÉOûMü
• zÉÑMüuÉaÉï - zÉÉÍsÉwÉ̹Mü , rÉuÉ , aÉÉåkÉÑqÉ
zÉqÉÏuÉaÉï- AÉRûMüÐ , qÉѪ , cÉhÉMü , MÑüsÉijÉ , MüÉåSìuÉ
zÉÉMüuÉaÉï - ÌiÉ£ü MüwÉÉrÉ – MüÉUsÉå , qÉåjÉÏ C.
AlÉqsÉæ
AbÉÚiÉæ :
AlÉuÉÉ pÉÑleÉÏiÉ

44. UxÉÉrÉlÉ
• AaêrÉ – kÉɧÉÏÌlÉzÉÉ qÉåWåûwÉÑ uÉÉ. E.40
AÉqÉsÉMüÐ- TüsÉuÉaÉï bÉOûMü
ÌlÉzÉÉ - AÉWûÉûU rÉÉåaÉÏ SìurÉ

45. Ayurvedic Diet Chart
• Morning – 1. qÉÑaÉÉcÉÏ ExÉVû
2. qÉÑaÉ + MÑüsÉÏjÉ + WûUpÉUÉ -100
3. mÉÑUÉhÉ qÉkÉÑ + ÍzÉiÉ eÉsÉ
• Lunch - rÉuÉÉcÉÏ + euÉÉUÏ pÉÉMüUÏ +mÉOûÉåsÉ / MüÉUuÉåssÉMü / qÉåjÉÏ
• mÉÑUÉhÉ pÉÎeÉïiÉ iÉhQÒûsÉ ÍxÉSè® AÉåSlÉ
• qÉåÍjÉMüÉ ÍxÉ® qÉѪ rÉÑwÉ
•
• Evening Snacks -sÉɽÉcÉÉ ÍcÉuÉQûÉ
• TüsÉ – SÉÌQûqÉ
• iÉÉMü – 1 asÉÉxÉ , AÉuÉVûÉ eÉÑxÉ
•
• Dinner - rÉuÉÉcÉÏ + euÉÉUÏ pÉÉMüUÏ +mÉOûÉåsÉ / MüÉUuÉåssÉMü / qÉåjÉÏ
• aÉÀûÉcÉÏ mÉÉåsÉÏ + WûVûÌScÉå sÉÉåhÉcÉå
•

46. urÉÉrÉÉqÉ
 sÉÉbÉuÉ MüqÉïxÉÉqÉjrÉïÇ xjÉærÉï SÒ:ZÉxÉÌWûwhÉÑiÉÉ |
SÉåwɤÉrÉÉåÅÎalÉuÉÚή¶É urÉÉrÉÉqÉÉSÒmÉeÉÉrÉiÉå || cÉ. xÉÑ.7
zsÉåwqɤÉrÉÉå – cÉ¢ü.
1. rÉÉåeÉlÉÉlÉÉqÉ zÉiÉÇ rÉÉrÉÉiÉ
2. xÉÍsÉsÉ AÉzÉrÉÉlÉ ZÉlÉåiÉ
3. aÉÉå xÉWû pÉëqÉåiÉ

47. ESuÉiÉïlÉ E²iÉïlÉÇ
 aÉÉRû
 MüTüWûUÇ
 qÉåSxÉ mÉëÌuÉsÉÉmÉlÉqÉ
 ÎxjÉUÏMüUhÉÉqÉ AÇaÉÉlÉÉqÉ

49. योग:-
• समत्वं योग उच्यते ॥ ------------ भगवत्गीता २/४८
• Yoga maintain the equilibrium of mind in positive
as well as negative situations.
• Disturbance in the equilibrium of mind causes
diseases.

50. Yoga in diabetes mellitus 2
• Yoga is the ideal non pharmaceutical solution for the
prevention of diabetes mellitus type 2.

51. •यम =
• देहेन्द्रियेषु वैराग्यं यम इत्युच्यते बुद्धै:॥ ----
(त्रिशिखब्राम्हणोऩननषद)
• १)अहहंसा
• २)सत्य
• ३)अस्तेय
• ४)ब्रम्हचयय
• ५)अऩररग्रह

52. Yama :-Yamas are the “don't do these” list of self-
restraints

53. •ननयम =
• अनुरन्द्तत: ऩरे तत्वे सततं ननयम: स्मॄत:॥ ----(त्रिशिखब्राम्हणोऩननषद)
• १)िौच
• २)संतोष
• ३)तऩ
• ४)स्वाध्याय
• ५)ईश्वर प्रणणधान

54. Niyamas:-niyamasrepresentthe “dothese” listof
observances.

55. How yoga help to manage diabetes
• Yoga asanas stimulate pancreas to produce more insulin
needed to control diabetes.
• Yoga helps reduce stress, which reduce production of
hormones glucagon, which are known to increase blood
sugar levels.
• Yoga helps on reducing weight, which in turn helps
manage diabetes.
• Yoga asanas help in improving blood supply. Which in
turn improve pancreas functioning.

56. Yogasanas
• स्थथर सुखमासनम्॥-------- (पा. यो. द. २/४६)
• Important aspects of asanas is stability & comfort
experienced in the position.
• After attaining the position, one needs to relax all the
muscles & try to maintain the position for long. Due to
various twists, stretched and strains in the body, the
internal organs are stretched and subjected to strain.
• This increases the blood supply, oxygen supply to the
organs increasing the efficiency and functioning of the
organ.
(yoga & diabetes by yogacharya vishwas
mandik & dr. Sujit chandratreya(DM,DNB,MD), yogapoint.com)

58. Bhujangasana & shalabhasana
Shalabhasana
(Blood & O2 supply increases)
•Bhujangasana (Muscle twist, stretched)

59. षट्कमय
• षट्कमम ननगमतथथौल्य कफ़दोषमऱाददक:॥
-------(ह. प्र. २/३६)
• १)धौनत
• २)बन्द्स्त
• ३)नेनत
• ४)नौशऱ
• ५)िाटक
• ६)कऩाऱभानत

60. Pranayama
• तस्थमन्सनत श्वासप्रश्वासयोगमनतववच्छेद: प्रणायाम:॥
-
----- (पा. यो. द. २/४९)
• There are 8 types of pranayama mentioned in Hatha yoga.
• Bhramari & alternate nostril breathing has calming effect on
mind, brain and nervous system, which reduce stress levels,
helping in diabetes treatment.
• Bhastrika is revitalizing pranayama, which increases oxygen
levels and reduce CO2 levels in blood.
• In bhastrika pranayama, the abdominal muscles and
diaphragm are used which put pressure on the internal organs.
(yoga & diabetes by yogacharya vishwas mandik & dr. Sujit
chandratreya(DM,DNB,MD), yogapoint.com)

61. Pranayama
(Calming effect)
(Reduce stress)
• Alternate breathing
Control Diabetes

62. Bhastrika pranayama
(Pressure on internal organ)
(O2 CO2 )
(Insulin)
•Blood glucose

63. Meditation
• Practice of meditation is
especially useful in
management of stress.
• Initially meditation may be
difficult, & one can practice
Omkar chanting, concentration
on breathing.
• Concentration on pancreas
during the meditation practice
has shown positive effects on
sugar levels.
•Meditation
(yoga & diabetes by yogacharya
vishwas mandik & dr. Sujit
chandratreya(DM,DNB,MD),
yogapoint.com)
•Concentration on pancreas
•Decrease Blood Sugar

64. Dailyscheduleof yoga in diabetesmellitustype2
Sr. No. Name of asana Duration
1 Shithilikaran 3-5 minutes
2 Trikonasana (triangle pose) ¼ minute to one minute
3 Paschimottanasana ¼ minute to one minute
4 Sarvangasana Few seconds
5 Ardha-matsendrasana ¼ minute to one minute
6 Suryanamaskar 3-7 turns
7 Kapalbhati 5-10 minutes
8 Anulom-viloma 5-10 minutes
9 Bhastrika pranayama 3-5 minutes
10 Shavasana 5-10 minutes
•Emphasis of yoga in the management of diabetes by arati lal chandani
(dx.doi.org/10.4172/2155-6156.1000613)

65. Conclusion
• As per WHO India will become the capital of diabetes.
The prevalence of diabetes for all age group worldwide
was estimated to be 2.8% in 2000 and 4.4% in 2030.
these finding indicates “diabetes epidemic”.
• As diabetes is life style disorder, to prevent diabetes one
need healthy diet, regular exercise and yoga.
• The daily regimen explained by various acharyas is
helpful & also some yogasana & pranayama is very
helpful along with medication to control diabetes mellitus
type 2.

66. THANK YOU