1. Integrated approach of yoga therapy (IAYT) for Diabetic Participant Submitted by Sonu Maurya

2. Diabetes Diabetes mellitus is a metabolic disorder characterizes by sustained hyperglycaemic state resulting from faulty insulin secretion, action or both. (Elliott Proctor, 2006) Diagnosis (WHO) S. No ClassificationFasting Blood Glucose Post Prandial Blood Glucose HbA1C (%) 1Normal80-120 mg/dl140 mg/dl Less then 5.7 2Pre-Diabetes100-124 mg/dl140-199 mg/dl 5.7 - 6.4 3Diabetes125 mg/dl200 mg/dl More then 6.5

3. Prevalence Worldwide 422 million in 2014. 4.9 million deaths by diabetes. Increase from 4.7% in 1980 to 8.5% in 2014. (Ogurtsova, & Linnenkamp, 2016) India 65.1 million in 2013. 1.5 million deaths. Estimated 109 million by 2035. (Yesudian at al,.2014)

4. Types of diabetes  Type 1 (insulin-dependent)  Type 2 (non-insulin-dependent)  Gestational Diabetes

5. Sign & Symptoms Excessive secretion of urine (polyuria), Thirst (polydipsia), Increased hunger (especially after eating) Dry mouth Unexplained weight loss Weak, tired feeling Blurred vision Numbness or tingling in the hands or feet Slow-healing sores or cuts Dry and itchy skin (usually in the vaginal or groin area) Frequent yeast infections Weight loss and tiredness.

6. Causes Family history Being overweight and inactivity Physical stress Medications, including steroids and blood pressure medications Injury to the pancreas (such as infection, tumour, surgery, or accident) Autoimmune disease High blood pressure Abnormal blood cholesterol or triglyceride levels Age (risk increases with age) Alcohol (risk increases with years of heavy alcohol use) Smoking History of gestational diabetes or delivery of a baby weighing more than 9 pounds (4.1 Kg). Pregnancy

7. Symptoms of low blood sugar Feeling weak Feeling dizzy Feeling hungry Trembling and feeling shaky Sweating Pounding heart Headache Feeling cranky Poor coordination Bad dreams or nightmares Being unable keep your mind on one subject Numbness in your mouth and tongue Passing out

8. The role of glucose Glucose — a sugar — is a source of energy for the cells that make up muscles and other tissues. Glucose comes from two major sources: food and your liver. Sugar is absorbed into the bloodstream, where it enters cells with the help of insulin. Your liver stores and makes glucose. When your glucose levels are low, such as when you haven't eaten in a while, the liver breaks down stored glycogen into glucose to keep your glucose level within a normal range.

9. Risk factors for type 1 diabetes Family history Environmental factors The presence of damaging immune system cells (autoantibodies)

10. Risk factors for type 2 diabetes Weight Inactivity Family history Age Polycystic ovary syndrome High blood pressure Abnormal cholesterol and triglyceride levels Risk factors for gestational diabetes Age Family or personal history Weight

11. Complications Cardiovascular disease Nerve damage (neuropathy) Kidney damage (nephropathy) Eye damage (retinopathy) Foot damage Skin conditions Hearing impairment Alzheimer's disease Depression

12. Treatment  Modern Medicine o Medication o Insulin therapy  Yoga Therapy  Naturopathy  Ayurveda  Homeopathy

13. Introduction of IAYT  Our personality is not just a physical body that we see; it is a made of 5 aspects- the Annamaya kosha, Pranamaya kosha, Manomaya kosha, Vijnanamaya kosha ans anandamaya kosha.  Annamaya kosha: Diet, kriyas, exercise and asana are the techniques at the physical level.  Pranamaya kosha: Breathing exercise, pranayama techniques.  Manomaya kosha: Various kind of meditation such as MSRT, MEMT, Cyclic meditation, Om meditation etc.  Vijnanamaya and Anandamaya kosha: Self analysis, happy assembly, Yogic counselling and karma yoga.

14. IAYT SL.No.PracticesDurationRound 1Breathing practices5 mins5 2Loosening exercise5 mins10 3Instant Relaxation Technique (IRT)1 min- 4Suryanamaskar5 mins3 5Quick Relaxation Technique (QRT)3mins- 6Asanas10 mins1 7Deep Relaxation Technique6 mins- 8Pranayama5 mins5 9Nadanusandhana5 mins5 10Meditation10 mins-