ROLE OF LIFESTYLE MODIFICATION IN THE

PREVENTION AND CONTROL OF TYPE 2

DIBETES MELLITUS

PRESENTED BY,

Vd.Suhas Sakhare

Vd.Santosh Thombre

Vd.Sneha Pawar

DEPT. OF SWASTHVRITTA AND YOGA,

GAC NANDED.

WHO 2016 THEME

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.

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.

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 worlds 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).

Proportion of people in Maharashtra

By Indian Journal endocrine and metabolism

Income and Age wise Proportion of T2DM By WHO

TYPES OF DIABETES

BASIC UNDERSTANDING OF

GLUCOSE METABOLISM AND

INSULIN ACTION

RISK FACTORS

Obesity And T2DM Association

Stepwise Management of

Type 2 Diabetes

Insulin oral agents

Yoga and Meditation

Diet & exercise

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. Sanjiv Bhambani

TIMES OF INDIA

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

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

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.

http://www.medicalnewstoday.com/articles/301506.phphttp://www.medicalnewstoday.com/info/diabetes/whatisinsulin.phphttp://www.medicalnewstoday.com/info/diabetes/

One Day Menu Plan for traditional

Maharashtrian client 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%)

Breakfast:

8.30 AM

1 cup chaha made out of skimmed

milk and sweetener

1 apple.

Lunch: Lunch:

12.30 PM

cup brown rice

2 phulkas without oil or ghee

1 cup varan (toor dal without jaggery).

cup string beans bhaji or 1 cup methi

chi bhaji (fenugreek curry). 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.

cup watermelon.

Dinner: Dinner:

8.00 PM

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).

Some of small tips of Exercise

1. use Upstairs

2. walk when u Talk

3. use Cycle

4. Dont sit continue more than

30min in sedentary job .

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HETU OF LIFE STYLE

MENTIONED AT THE FIRST

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So many Researches shows

- Sedentary work a risk factor

for Diabetes

PHYSICAL INACTIVITY

Leading cause of CVS ,

Obesity

Muscle atrophy

Decreased Metabolism

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The Key Of Good Health

Physical Health Mental Health

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A PREVENTIVE LIFE STYLE FOR PRAMEH-

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:- ------------ /

Yoga maintain the equilibrium of mind in positive

as well as negative situations.

Disturbance in the equilibrium of mind causes diseases.

Yoga in diabetes mellitus 2

Yoga is the ideal non pharmaceutical solution for the

prevention of diabetes mellitus type 2.

= : ----()

) ) ) ) )

Yama :-Yamas are the don't do these list of self-restraints

= : : : ----()

) ) ) ) )

Niyamas :- niyamas represent the do these list of observances.

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.

Yogasanas

-------- (. . . /) 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)

Bhujangasana & shalabhasana

Shalabhasana

(Blood & O2 supply increases)

Bhujangasana (Muscle twist, stretched)

: -------(. . /)

) ) ) ) ) )

Pranayama

: : - ----- (. . . /)

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)

Pranayama

(Calming effect)

(Reduce stress)

Alternate breathing

Control Diabetes

Bhastrika pranayama

(Pressure on internal organ)

(O2 CO2 )

(Insulin)

Blood glucose

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

Daily schedule of yoga in diabetes mellitus type2

Sr. No. Name of asana Duration

1 Shithilikaran 3-5 minutes

2 Trikonasana (triangle pose) minute to one minute

3 Paschimottanasana minute to one minute

4 Sarvangasana Few seconds

5 Ardha-matsendrasana 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)

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.

THANK YOU