Can Yoga-Based Diabetes Management Studies Facilitate Integrative Medicine in India Current Status and Future Directions

Abstract

Background: India is fast becoming the diabetic capital in the world according to a recent report. Patients with diabetes are at increased risk of mortality due to diabetic complications, which has enormous implications for the health budget. Objectives: The main objective of this review is to provide an overview of the work carried out in the world, including modern and traditional approaches for the prevention and management of diabetes and reducing the chances of onset of further complications via cost-effective lifestyle interventions and integrative medicine. Material and Methods: We performed a literature search from various databases like PubMed, Scopus, Google scholar, etc., using the keywords diabetes, prediabetes, MCI and prediabetes, diabetes and yoga, diabetes. Results: Upon reviewing the published articles, it was noticed that one of the most neglected complications of diabetes, namely cognitive dysfunction, which is characterized by a pattern of vascular dementia and Alzheimer disease (AD), has been largely ignored, and there has been no large study investigating the role of yoga intervention in diabetes and/or associated cognitive impairment. Conclusion: The review article opens new paradigms for researchers to evaluate the connection between diabetes and AD through a yoga-based national campaign on diabetes. This paves the way towards the goal of integrative medicine.

Guinness world record attempt as a method to pivot the role of Yoga in Diabetes management

“…Yoga has been shown to be helpful in dealing with many lifestyle disorders [6,7] including Diabetes [3]. Therefore, attempts to break world record on International Day of Yoga by organising the Diabetes awareness lesson is a unique method of academic social responsibility.…”

“…In 2014, new Guinness world record for largest hand hygiene campaign was made in which a total 277 participants performed hand hygiene before two officials and a few witnesses [1]. Diabetes is one of the most common lifestyle disorder rapidly growing in India [2] and recent studies on Yoga intervention have shown that Diabetes could be modified by practising Yoga [3]. However, general awareness needs to be spread among local population [4] before any cost-effective intervention or policy, for its nationwide implementation, is considered.…”

Effectiveness of Yoga as the Public Health Intervention Module in the Management of Diabetes and Diabetes Associated Dementia in South East Asia: A Narrative Review

“…In another study, Khattar et al [23] found cognitive decline in DM patients proving the link between DM and dementia. Imbalance of insulin and carbohydrate metabolism has been implicated in the progression of AD as the study showed neuroprotective role of glycemic control in T2DM [24]. In a large prospective study, Logroscino et al [25] reported that women with T2DM showed very poor cognition compared to non-diabetic individuals.…”

Prevalence of prediabetes, and diabetes in Chandigarh and Panchkula region based on glycated haemoglobin and Indian diabetes risk score

“…At cut‐off value of 6.5% HbA1c demonstrated the sensitivity of 44% and specificity of 99% in adult population (69.4 ± 11.1 years) 3 . For prediabetes and healthy individuals, the recommended HbA1c value is 5.7%‐6.4% and <5.7%, respectively 4 . A 6‐year diabetes prediction study showed that at 5.7% HbA1c cut‐point, the sensitivity was 66% whilst the specificity was 88% 5 .…”