STRESS
AND
DIABETES
DR.
SHRINIWAS
KASHALIKAR

STRESS, DIABETES AND SWADHARMA
The STRESS is normal. It is present right from
conception to death, every moment, during all states of
consciousness and in every living being. The STRESS
gets complicated and multiplied as the outwardly
progress proceeds. However; the Total Stress
Management also evolves almost simultaneously.
If the STRESS is mismanaged; it causes and aggravates
many (literally hundreds) ailments.
One of these ailments; is diabetes mellitus, which can be
caused as well as aggravated by STRESS.
Thus in routine investigations our blood sugar could be
normal and we may be happy that we are normal!
But meanwhile we get bombarded by melodramatized
news of crooked, cruel and mean riots, killings and
carnages; with superficial and erroneous interpretations.
We are disturbed by these problems (STRESSORS), we
work hard for solutions and ultimately when we think we
have got the solutions and we are desperate to provide
them; we can; as no one is bothered! We get suffocated,

helpless and miserable i.e. STRESSED! Our blood sugar
shoots up and we “become diabetic”!
It is ironical that the conscientious amongst us; get
disturbed by the suffering (STRESS) of others and in
turn; get STRESS; and several ill effects of STRESS!
But reverting to callousness; because of such suffering; is
not possible! The only way is to conquer the STRESS
that inflicted even the greats like Swami Vivekananda
and Lokamanya Bal Gangadhar Tilak!
Conquering such STRESS through Total Stress
Management (the core of which is NAMSMARAN); for
the benefit of mankind (rather suffering for committing
crimes or suffering in petty pursuits) is a joyous and
victorious process of SWADHARMA; through which,
suffocation, helplessness and misery get drained (like the
pus from abscess) and to our pleasant surprise; our
blood sugar comes back to normal!
It would be beneficial to patients, doctors and all
concerned; if we include these subtle aspects of Total
Stress Management; (extracted from treatises such Gita,
Vishnusahasranam and NAMASMARAN); in all the
mainstream curriculums; including the medical ones!

STRESS, DIABETES AND VERTIGO
Diabetes is caused and/or aggravated by STRESS.
Diabetes; in turn cause devastating symptoms and
produces STRESS.
One of such symptoms is vertigo or giddiness. This is
because of irritation of the sensitive receptor cells in the
vestibular apparatus called hair cells. This causes
giddiness; especially when we look into depth and
develop morbid fear of depth; which we would not feel if
our nerves were strong and healthy!
In diabetes; there is inability to efficiently use the fuels
for the nutrition; especially of our central, autonomic
and peripheral nervous system, which begin to
degenerate, weaken and become irritable earlier and
faster! Hence we suffer from tingling, numbness, needles,
pins, burning etc.
Giddiness and/or vertigo can be also due to gastritis. This
is usually due to late night parties; because of burning of
the inner lining of the stomach. In such cases; we should
drink lot of water and induce vomiting by rubbing the

palate; which allays the symptoms of giddiness in most
instances. It is worthwhile to verify this.
But the nerve weakness and degeneration has to be treated
with vitamin B complex, vitamin C, Chyavanaprash, and
other Ayurvedic herbs. In addition pranayama can also be
useful, which needs verification. This requires certain
degree of buoyancy, patience and mental discipline, which
we can get through NAMASMARAN (the core of Total
Stress Management).
STRESS, DIABETES AND INFECTIONS
Diabetes is known to invite infections. It is said that
pranayama can be useful to prevent or reduce the
severity of infections.
We can combine NAMASMARAN with KAPALBHATI
pranayama and walking.
KAPALBHATI stimulates and massages the neural
receptors in the gastrointestinal and respiratory tracts,
blood vessels in the abdominal and chest cavity, the
internal organs in the abdominal and chest cavity and

reticular activating system with its diffuse net like supply
to the whole brain.
Walking reduces the hypokinetic STRESS and burns
calories; thus helping control of diabetes.
Walking combined with KAPALBHATI is GAMAN
KAPALBHATI; and has to be practiced with due
precautions during; abdominal wound, gastrointestinal
diseases, hernia, burns, surgery, pregnancy, and
fractures etc.
In addition ANULOM VILOM, which is inhaling and
exhaling alternately with left and right nostrils and
BHRAMARI, which is humming like a bee with index
fingers on the forehead near the eyebrows, middle and
ring fingers on the closed eyes, little fingers on the cheek
below the lower eyelids and the thumbs on the tragus
closing openings of the ears, during prolonged and
peaceful expiration; can be practiced.
The mechanism by which ANULOM VILOM works is
possibly by alternately activating the right and left
cerebral cortexes.

BHRAMARI probably works by the vibrations produced
from within. This is a unique way of internal stimulation
(not possible by external vibratory equipments), that
produces vibratory stimulation of internal organs such as
sinuses and oro-pharyngeal and laryngeal areas.
But extensive double blind clinical trials have to be done
to confirm their utility. But in any case, KAPALBHATI,
ANULOM VILOM and BHRAMARI are rejuvenating
and refreshing; especially if combined with
NAMASMARAN!
STRESS, DIABETES AND CONFUSION
Diabetes and other such chronic diseases usually cause
confusion, doubts, panic, alarm, fear and dread; because
of conflicting claims and information; bombarded day in
and day out; and this often leads to erroneous decisions
of patients as well as treating doctors; and inconsistent;
and sometimes disastrous results! This causes further
precipitation of STRESS! As a first step to manage this
STRESS; we ask the following questions and seek
answers for them!

1. What are the possible composite effects of factors like
autonomic nervous function and secretions of thyroxin,
glucagon, cortisol, epinephrine, nor epinephrine; besides
insulin; in causation and progress of diabetes? Even as
the effects of these hormones are studied individually;
are there in vivo studies about the interactions of these
hormones and their relationship/s to diabetes mellitus?
2. Is the functional status of liver considered while
deciding the drug treatment (and doses) of diabetes
mellitus; in view of glucose releasing function of liver?
3. Do we consider the variation in gastrointestinal
absorption, secretion and gastrointestinal movements
while treating diabetes mellitus?
4. How does stress and stress management (and the
various techniques involved in them) affect the treatment
of diabetes mellitus?
5. How does the vomiting or diarrhea affect the
treatment of diabetes mellitus?
6. How does sleep affect the treatment of diabetes?

7. How do the common conditions such as common cold
affect diabetes treatment?
8. What is the significance of the measurement of
intracellular glucose concentration in diabetes mellitus?
9. Are there any studies on the effect of cold bath on
diabetes mellitus?
10. Are there any studies on the effects of liver tonics
such as AROGYA VARDHINI on diabetes mellitus?
11. It is reported that beta cells of pancreas are unable to
secrete insulin and the insulin receptors are damaged due
to acidity. The blame is put on fast foods and white
sugar, tea, coffee, aerated drinks and so on.
The questions, which arise, are:
“Is the reported higher acidity measured in diabetes
mellitus?”
“Are there any ill effects or symptoms of systemic acidity
which is called acidosis in modern medicine; in case of
diabetics?”

“Do certain foods, which are alleged; cause high acidity
in the vicinity of cells without causing measurable change
in the blood pH; as is seen in case of gastric acidity,
which is not associated with acidosis?”
“Is the higher acidity in the vicinity of beta cells and/or
other cells measured with documentation of
corresponding damage?”
12. Why intracellular glucose concentration is not
determined instead of plasma glucose concentration?
13. If it is measured in experiments how does it correlate
with the plasma glucose levels or what are the
corresponding values?
14. Is not there intracellular starvation of glucose, if
blood glucose is increased because of defective
utilization? Wouldn’t the cells be further starved; if we
reduce the intake of sugar?
15. If there reduction in the carbohydrate and fat intake,
would not it mean that there is proportionate increase in
proteins? Would not it be detrimental to kidney?

16. What is the assurance that plasma glucose is not
affected by variable absorption and variable excretion in
faeces?
17. Would not the variable energy output affect the blood
glucose (Without deterioration of glucose metabolism)?
18. If the glucose intake is reduced, would not it deprive
the normal stimulation of insulin secretion? Would it not
be alright therefore to include normal (not excessive)
sweet items in diet?
19. Why is the scientific stress management (pivotal in
prevention and management of hundreds of disease
conditions including diabetes) not taught in all the
education courses and on electronic media?
20. How many studies have correlated the stress and
diabetes mellitus quantitatively?
21. How many studies have correlated diabetic
complications with the blood glucose levels?

22. Why don't majority of the practitioners of allopathy;
study and use Ayurvedic remedies and pranayama in
diabetes; and vice versa?
23. Can NAMASMARAN as such be curative in
diabetes?
STRESS, DIABETES AND TOTAL STRESS
MANAGEMENT
We may or may not get the answers to above questions;
but the most important thing is not feeling helpless.
But this is very difficult, because of our attachment to
our family, friends, and our mission. All these appear to
go away from us and desert us; and we begin to suffer
the loss and be miserable! Being proved as losers, we
begin to sink further into agony of shame and
humiliation.
However the consistent and tenacious practice of
NAMASMARAN (the core of Total Stress Management);
can give us unconditional peace, buoyancy, poise; for
accurate decision making and compliance with all the
prevalent and innovative modalities of treatment! This

helps us take diabetes and the uprooting and devastating
disturbances due to bizarre symptoms such as giddiness;
in our stride! This is important; so as to help our treating
physician; in healing us more completely!