Chronic obstructive lung disease (COPD) has been reported as the third leading cause of death globally. The main risk factor for a significant portion of emphysema patients is tobacco use. Additionally, occupational exposure to wood dust enhances the risk of acquiring respiratory disorders, since the respirable wood dust settles into the bronchioles and alveoli and causes lung irritation which presents symptoms like mucus hypersecretion and breathlessness. A secondary complication, emphysema-induced pneumothorax, in the elderly requires the medical intervention of intercostal drainage (ICD) to allow the leak of air out of the thoracic cavity. In this article, we present a case of a 65-year-old male who visited the respiratory department with complaints of breathlessness, fever, and cough with expectoration for four days. He reports a history of tobacco smoking for 30 years with prior hospitalization seven years ago with similar complaints. The patient was initially diagnosed with pulmonary emphysema, which later progressed to spontaneous pneumothorax. He underwent medical management with ICD, which was successful. Following this, an integrated rehabilitation program using various breathing strategies was established in order to get the patient back to his regular daily activities with minimal signs of exhaustion or dyspnea. This protocol proved to be successful in enhancing the patient's respiratory condition.

It has been suggested that regular physical activity has become a part of rehabilitation in controlling blood glucose levels in type 2 diabetes mellitus patients. In type 2 diabetes mellitus the cells become resistant to insulin, which leads to elevated blood glucose over time and leads to prediabetes and type 2 diabetes mellitus (T2DM). The typical adult's blood contains about 5-10 grams of glucose when their blood glucose content is 100 milligrams per decilitre. About half a billion individuals are at risk for diabetes worldwide. Physical exercise has been proved to be better therapy for controlling blood glucose in persons at risk for diabetes, preventing further body complications. Three significant interests in exercising to delay the onset of T2DM. First, increased blood flow into the muscle is triggered by skeletal muscle activity, which promotes glucose absorption from the bloodstream. Second, it reduces abdominal adipose tissue, a well-known risk of metabolic disease. Third, physical exercise with moderate intensity has been proven to boost glucose uptake by 40 percent. Globally and in developing nations like India, the burden of diabetes is expanding, attributable to a rise in overweight/obesity and sedentary lifestyles. It is difficult to provide healthcare for diseases like diabetes since it requires a consistent commitment to the prescribed course of treatment. Based on the correlation between fasting plasma glucose (FPG) or hemoglobin A1c (HbA1c) and retinopathy, cutoff values for glucose and HbA1c are estimated.