Surya namaskar sun salutation |
Stimulates insulin production through brain signalling [8] |
A series of dynamic yoga postures in a specific sequence |
Significantly decreases hip circumference, exerting beneficial effects on glycaemic outcomes [10] |
Yoga asana (yoga postures) |
Rejuvenates of pancreatic cells through the alternating abdominal contractions and |
relaxations involved in yoga practice |
Improves blood supply to muscles |
Enhances insulin receptor expression in the muscles, causing increased glucose |
uptake by muscles [2] |
Has positive effects on glucose utilization and fat redistribution in type 2 diabetes [11] |
Forward bend |
Massages and pressurizes the pancreas, stimulating insulin secretion |
Backward bend |
Exerts stimulating and energizing effects |
Twisted poses |
Squeeze the intestines to prevent stagnation of colonic contents |
Inversions |
Improve blood circulation |
Shuddhi kriya cleansing processes |
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Kapalbhati (frontal brain purification): breathing technique with forceful exhalations and automatic inhalations |
Abdominal pressure created during exhalation improves the efficiency of β-cells of the pancreas |
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Helps in the production of insulin and controlling glucose levels in the blood |
Agnisar kriya (stimulating the digestive fire): pulling the abdomen in (uddiyan bandha) and snapping it backwards and forwards while holding one's breath |
The ‘vacuum’ effect of this action massages the internal organs and increase blood flow to the area |
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Boosts metabolism and facilitates proper functioning of the abdominal organs [11] |
Vaman dhauti (stomach cleansing with induced vomiting) |
Increases glucose uptake, minimizes insulin resistance, and promotes the function of insulin by reducing levels of circulating free fatty acids in the body |
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Marked reduction in fasting and post-prandial blood sugar levels |
Shankhaprakshalana (intestine cleansing) |
Significantly reduces blood glucose levels |
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Increases insulin production [8] |
Pranayama (regulated breathing) |
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Slow pranayama, anulom vilom, chandrabhedan, sitkari, and bhramari
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Augment cerebral blood flow and oxygenation, improving neuronal activities in the brain centres, including those present in the limbic areas, hypothalamus, and medulla, and improve sympathovagal outflow [15] |
Anulom vilom (alternate nostril breathing) |
Improves components of health-related fitness, i.e., cardiorespiratory endurance, flexibility, and body fat percentage [16] |
Bhramari (humming bee breath) |
Soothing and calming effect on the mind, improves mental and physical health [17] |
Sheetali/Sitkari (cooling breath) |
Lowers blood pressure, cooling effect |
Chandra bhedan (left nostril breathing) |
Parasympathetic stimulation |
Surya bhedan (right nostril breathing) |
Sympathetic stimulating effect; may be recommended in people with diabetes [18] |
Bhastrika (bellows breath) |
Regulation of pineal, pituitary, and adrenaline glands, important role in the regulation of metabolism [19] |
Bandha (lock) |
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Constricts a certain part of the body |
Re-directs the flow of blood and lymph to other body parts |
Uddiyan bandha (abdominal lock): creation of negative pressure in abdomen and contraction of abdomen |
Negative pressure created in the abdominal cavity may improve pancreatic function |
Hasta mudras (hand gestures) |
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Apan mudra, gyan mudra
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Promote deep relaxation and eliminate stress |
Linga mudra, surya mudra, prana mudra
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Boost metabolic rates, promote weight loss, and reduce sugar levels |
Dhyan (meditation) |
Beneficial psychological effects, such as faster reactions to stimuli and being less prone to various forms of stress [24], anxiety reduction, and blood pressure control [25] |
Meditation on the manipur chakra (solar plexus), visualization of pancreas during meditation |
Positive effects on sugar levels |
Mindfulness |
Better sleep, greater relaxation, more accepting approaches to illness and the illness experience in people with diabetes and coronary heart disease [26] |
“Aum” chanting |
Stabilizes the brain, removes negative thoughts, increases energy, improves mind and body relaxation within minutes of practice [20] |
Chanting in the supine posture produces an integrated relaxation response [21] |
Yoga nidra (yogic relaxation) |
Improved symptom score, reduction of fasting blood glucose and postprandial blood glucose levels [27] |