Empowering clinicians with lifestyle changes for management of diabetes
Keywords:Neurobics, Sanskar remodelling, Diabetes
Background: Diabetes self-management education (DSME), the process of teaching people to manage their diabetes, has been considered an important part of the clinical management of diabetes since the 1930s. The goals of DSME are to optimize metabolic control and quality of life and to prevent acute and chronic complications, while keeping costs acceptable. The objective was to assess the effect of neurobics and Sanskar remodelling in diabetic management.
Methods: This was a interventional, nonrandomised , pre and post study, conducted in the Department of Physiology, Jawaharlal Nehru Medical College, Wardha, Maharashtra, India. The period of study was 1 year and study participants were diabetic patients, aged between 15-90 years including both sexes. 210 patients were recruited and only 63 were eligible for the study group. The control group of 57 was selected from population. Blood sugar and WHO-QOL was studied in both the groups.
Results: There was a statistically significant fall in BMI, FBS, PPBS in between the pre & post-test findings of study group. WHO-QOL-Bref was used to analyze the 4 domains. This study showed that intervention used for the study group caused improvement in all the 4 domains.
Conclusions: The study concludes that life style modification programme used in this study like neurobics and sanskar remodelling can be used in the management of diabetes along with routine medications.
World Health Organization. Report on preventing chronic diseases - a vital investment. WHO. Geneva, 2005.
Sicree R, Shaw J, Zimmet P. Diabetes and impaired glucose tolerance. In: Diabetes Atlas. International Diabetes Federation. 3rd edition, Gan D, (Ed.) Belgium: International Diabetes Federation. 2006:15-103.
Pan XR, Li GW, Hu YH, Wang JX, Yang WY, An ZW, et al. Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance. The Da Qing IGT and Diabetes Study. Diabetes Care. 1997;20:537-44.
Tuomilehto J, Lindström J, Eriksson JG, Valle TT, Hämäläinen H, et al. Finnish diabetes prevention study group. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J. 2001;344: 1343-50.
Roumen C, Corpeleijn E, Feskens EJ, Mensink M, Saris WH, Blaak EE. Impact of 3-year lifestyle intervention on postprandial glucose metabolism: the SLIM study. Diabet Med. 2008;25:597-605.
Kosaka K, Noda M, Kuzuya T. Prevention of type 2 diabetes by lifestyle intervention: a Japanese trial in IGT males. Diabetes Res Clin Pract. 2005;67:152- 62.
Eriksson KF, Lindgärde F. Prevention of type 2 (non-insulin-dependent) diabetes mellitus by diet and physical exercise. The 6-year Malmö feasibility study. Diabetologia. 1991;34:891-8.
Tuomilehto J, Lindstrom J, Eriksson JG, Valle TT, Hama LH, Ilanne PP, et al. Prevention of type2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med. 2001;344:1343-50.
Task force to revise the national standards The American Diabetes Association. National standards for diabetes self-management education programs. Diabetes Educ. 1995;21:189-93.
Bartlett EE. Historical glimpses of patient education in the United States. Patient Educ Couns. 1986;8:135-49.
Schwarz PE, Greaves CJ, Lindstrom J, Yates T, Davies MJ. No pharmacological interventions for the prevention of type 2 diabetes mellitus. Nat Rev Endocrinol. 2012;8(6):363-73.
Marrero DG, Jamy ARD, Delamater AM, Virginia PD, Elizabeth J. Mayer D. Twenty-first century behavioral medicine: a context for empowering clinicians and patients with diabetes. Diabetes Care. 2013;36(2):463-70.
Linda A, Frederick G, Cox DJ, Lee M. Diabetes and behavioral medicine. J Consult Clin Psychol. 2002;70(3):611-25.
Diana W, Guthrie, Gamble M. Energy Therapies and Diabetes Mellitus. Diabetes Spectrum. 2001;14(3):149-53.
Eriksson KF, Lindgärde F. Prevention of Type 2 (non-insulin-dependent) diabetes mellitus by diet and physical exercise the 6-year Malmö feasibility study. Diabetologia. 1991;34(12):891-8.
Ramachandran A, Snehalatha C, Mary S, Mukesh B, Bhaskar AD, Vijay V. Indian Diabetes Prevention Programme (IDPP). The indian diabetes prevention programme shows that lifestyle modification and metformin prevent type 2 diabetes in asian indian subjects with impaired glucose tolerance (IDPP-1). EPUB. 2006;49(2):289-97.
Lindström J, Ilanne-Parikka P, Peltonen M, Aunola S, Eriksson JG, Hemiö K, et al. Sustained reduction in the incidence of type 2 diabetes by lifestyle intervention: follow-up of the Finnish Diabetes Prevention Study. The Lancet. 2006;368(9548):1673-9.
Mensink M, Blaak EE, Corpeleijn E, Saris WH, de Bruin TW, Feskens EJ. Lifestyle Intervention According to General Recommendations Improves Glucose Tolerance. Obesity Research. 2003;11(12):1588-96.
Yamaoka K, Tango T. Efficacy of lifestyle education to prevent type 2 diabetes. Diabetes Care. 2005;28:2780-6.
Yoon U, Kwok LL, Magkidis A. Efficacy of lifestyle interventions in reducing diabetes incidence in patients with impaired glucose tolerance: a systematic review of randomized controlled trials. From Metabolism, diet and disease Washington, DC, USA. BMC proceedings. 2012;29-31.
Rubin RR, Peyrot M. Quality of life and diabetes. Diabetes Spectrum. 1999;15(3):205-18.
Hervás A, Zabaleta A, De Miguel G, Beldarráin O, Díez J. Health related quality of life in patients with diabetes mellitus type 2. An Sist Sanit Navar. 2007;30(1):45-52.
Kalda R, Rätsep A, Lember M. Predictors of quality of life of patients with type 2 diabetes. Patient Prefer Adherence. 2008;2:21-6.
Giaser K, McGuire JK, Te LR, Glaser R. Emotions, morbidity and mortality: new perspectives from psychoneuroimmunology. Annu Rev Clin Psychol. 2003;53:83-107.
Stefano GB, Fricchione GL, Slingsby BT, Benson H. The placebo effect and relaxation response: neural processes and their coupling to constitutive nitric oxide. Brain Res Brain Res Rev. 2001;35:1-19.