Improve Type II Diabetes with Walking Meditation

July 20, 2016October 23, 2021 psyjdc Leave a comment

By John M. de Castro, Ph.D.

“While meditating as we walk, we can experience how our bodies feel much more intensely than we can either while doing a sitting meditation or simply walking with our normally scattered mental energy. Instead of thinking of the past or of the future — which our minds are into essentially all the time before we learn to meditate — we can feel all the pleasant sensations as well as the pain that parts of our body is telling us as we move along. This experience can be intense, and that intensity can in turn give us intense pleasure and even joy.” – David Mendosa

Type 2 diabetes is a common and increasingly prevalent illness that is largely preventable. Although this has been called adult-onset diabetes it is increasingly being diagnosed in children. It is estimated that 30 million people in the United States have diabetes and the numbers are growing. One of the reasons for the increasing incidence of Type 2 Diabetes is its association with overweight and obesity which is becoming epidemic in the industrialized world. Diabetes is the 7th leading cause of death in the United States. In addition, diabetes is heavily associated with other diseases such as cardiovascular disease, heart attacks, stroke, blindness, kidney disease, and circulatory problems leading to amputations. As a result, diabetes doubles the risk of death of any cause compared to individuals of the same age without diabetes. Type 2 Diabetes results from a resistance of tissues, especially fat tissues, to the ability of insulin to promote the uptake of glucose from the blood. As a result, blood sugar levels rise producing hyperglycemia.

A mindfulness practice that combines mindfulness with exercise is yoga and it has been shown to be helpful in the treatment of Type II Diabetes. Mindfulness can also be combined with other exercises. Walking has been frequently combined with meditation. This suggests that a walking meditation practice might be helpful in the treatment of Type 2 Diabetes.

In today’s Research News article “Effects of Buddhist walking meditation on glycemic control and vascular function in patients with type 2 diabetes.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1275528305804426/?type=3&theater

or below, Gainey and colleagues recruited adults with Type 2 Diabetes and had them walk for 40 minutes on a treadmill at a moderate intensity (50% to 70% of maximum heart rate). They randomly assigned them to either a continue the walking exercise or to practice mindfulness (focusing attention on each foot striking the floor) while performing the walking exercise for a 12-week period. Measurements were taken before and after the 12-week walking exercise of Body mass index (BMI), maximal oxygen consumption (VO₂max), muscle strength, artery dilatation and stiffness, blood pressure, fasting blood glucose, insulin, HbA1c, lipid profile and plasma cortisol concentrations.

They found that both groups showed improvements in maximal oxygen consumption, arterial dilatation, fasting blood glucose, suggesting that walking exercise regardless of the inclusion of meditation improves blood glucose levels and cardiovascular fitness in patients with type 2 diabetes. Only walking meditation, however, reduced HbA1c, systolic and diastolic blood pressure, arterial stiffness and plasma cortisol concentration suggesting that the inclusion of meditation practice with the walking was effective in improving glycemic control, vascular function, and cardiopulmonary fitness, as well as reducing stress levels in patients with type 2 diabetes. The reduced HbA1c levels are particularly significant as HbA1c levels are a measure of long-term glycemic control the “gold standard” marker of diabetes control.

These results are quite remarkable. The exact same exercise has significantly greater benefit for patients with type 2 diabetes when it employs mindfulness while engaging in the exercise. This effect might have occurred in part because mindfulness training produces a reduction in sympathetic nervous system activity and increases parasympathetic activity, thereby reducing activation during exercise. This improved physiological relaxation may increase the impact of the exercise. Mindfulness training has been shown to reduce the physiological and psychological responses to stress. This may make the exercise less stressful and more enjoyable, maximizing its impact.

Regardless of the explanation the results clearly suggest that you can improve type II diabetes with walking meditation. They further suggest that combining mindfulness with virtually any exercise may make it more beneficial for patients with type 2 diabetes and possibly for any disease which can be helped with exercise. This should be a rich area for future research.

CMCS – Center for Mindfulness and Contemplative Studies

“Meditation is a way of relaxing the mind through techniques such as focusing and controlled breathing. People meditate to reduce stress and relieve a variety of physical ailments. Recent research showed meditation can also help people with diabetes control their blood sugar levels.” – ADW Diabetes

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Study Summary

Gainey A, Himathongkam T, Tanaka H, Suksom D. Effects of Buddhist walking meditation on glycemic control and vascular function in patients with type 2 diabetes. Complement Ther Med. 2016 Jun;26:92-7. doi: 10.1016/j.ctim.2016.03.009. Epub 2016 Mar 10.

Abstract

OBJECTIVE: To investigate and compare the effects of Buddhist walking meditation and traditional walking on glycemic control and vascular function in patients with type 2 diabetes mellitus.

METHODS: Twenty three patients with type 2 diabetes (50-75 years) were randomly allocated into traditional walking exercise (WE; n=11) or Buddhism-based walking meditation exercise (WM; n=12). Both groups performed a 12-week exercise program that consisted of walking on the treadmill at exercise intensity of 50-70% maximum heart rate for 30min/session, 3 times/week. In the WM training program, the participants performed walking on the treadmill while concentrated on foot stepping by voiced “Budd” and “Dha” with each foot step that contacted the floor to practice mindfulness while walking.

RESULTS: After 12 weeks, maximal oxygen consumption increased and fasting blood glucose level decreased significantly in both groups (p<0.05). Significant decrease in HbA1c and both systolic and diastolic blood pressure were observed only in the WM group. Flow-mediated dilatation increased significantly (p<0.05) in both exercise groups but arterial stiffness was improved only in the WM group. Blood cortisol level was reduced (p<0.05) only in the WM group.

CONCLUSION: Buddhist walking meditation exercise produced a multitude of favorable effects, often superior to traditional walking program, in patients with type 2 diabetes.

Control Type 2 Diabetes with Yoga

February 16, 2016 psyjdc 8 Comments

“Yoga-asanas in combination with conventional medical treatment provides a better metabolic control giving a feeling of general well being, alertness and attentiveness without any side effects.” – Savita Singh

Diabetes is the 7th leading cause of death in the United States. In addition, diabetes is heavily associated with other diseases such as cardiovascular disease, heart attacks, stroke, blindness, kidney disease, and circulatory problems leading to amputations. As a result, diabetes doubles the risk of death of any cause compared to individuals of the same age without diabetes. Type 2 Diabetes results from a resistance of tissues, especially fat tissues, to the ability of insulin to promote the uptake of glucose from the blood. As a result, blood sugar levels rise producing hyperglycemia.

A leading cause of this tissue resistance to insulin is overweight and obesity and a sedentary life style. Hence, treatment and prevention of Type 2 Diabetes focuses on diet, exercise, and weight control. Yoga would appear to be an excellent potential treatment for Type 2 Diabetes as it is both an exercise and a help in weight control (see http://contemplative-studies.org/wp/index.php/2015/07/17/heart-healthy-yoga/). Indeed, mindfulness practices in general have been shown to be helpful in managing diabetes (see http://contemplative-studies.org/wp/index.php/category/research-news/diabetes/) and yoga has been shown to help control body weight in diabetes (see http://contemplative-studies.org/wp/index.php/2015/08/24/control-weight-in-diabetes-with-yoga/) which has been shown to be critical for the treatment of Type 2 diabetes.

In today’s Research News article “Yoga for Adults with Type 2 Diabetes: A Systematic Review of Controlled Trials”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1166724740018117/?type=3&theater

Innes and Selfe review the published literature on the application of yoga practice to the treatment of Type 2 Diabetes. They report that yoga practice decreases body weight and body fat levels, and lowers insulin resistance and high blood sugar levels (hyperglycemia). Further they report that yoga improves blood fat profiles including reductions in levels of cholesterol, low-density lipoprotein cholesterol, and triglycerides, and increases good cholesterol (high-density lipoprotein cholesterol). Yoga also resulted in improved cardiovascular function including decreased blood pressure and lung function. Yoga also improved quality of life, psychological well-being, symptoms of distress, and insomnia. All of this resulted in reduced use of diabetes drugs.

These results are remarkable. They indicate that yoga practice has a wide variety of physiological and psychological benefits for the treatment of Type 2 Diabetes. Yoga is also safe with few detrimental side effects and has a wide variety of other physical and psychological benefits (see http://contemplative-studies.org/wp/index.php/category/contemplative-practice/yoga-contemplative-practice/). There are a number of possible mechanism of how yoga could produce these positive effects including the fact that yoga practice involves physical exercise and exercise has been repeatedly found to be beneficial for Type 2 Diabetes patients. For the most part the effects of yoga are not significantly different from those seen with other exercise programs. Yoga may also act by reducing body weight and body fat, improving the management of stress, reducing physiological activation by the nervous system, or through encouraging a generally healthier lifestyle. It will be up to future research to begin to discern how exactly yoga practice acts to improve Type 2 Diabetes.

Regardless, it is very clear that yoga practice is a safe and effective program for the treatment of Type 2 Diabetes.

“The good news is that diabetes patients have an alternative: They can practice yoga. Despite the fact researchers have been studying the health benefits of yoga in diabetes patients for decades, only now is yoga being proposed as an important part of a diabetes exercise program.” – Jennifer Van Pelt
CMCS – Center for Mindfulness and Contemplative Studies

Improve Diabetes with Yoga

February 1, 2016 psyjdc Leave a comment

“Many people with diabetes have found relief by incorporating yoga into their routine, and it can help at any stage.” – Jasmine Lieb

It is estimated that 30 million people in the United States have diabetes and the numbers are growing. Diabetes is the 7^th leading cause of death in the United States. It is estimated that worldwide around 3.5 million deaths per year are attributable to diabetes. In addition, diabetes is heavily associated with other diseases such as cardiovascular disease, heart attacks, stroke, blindness, kidney disease, and circulatory problems leading to amputations. As a result, diabetes doubles the risk of death of any cause compared to individuals of the same age without diabetes. Obviously, diabetes is a major health problem.

Type 2 diabetes is also known as adult onset diabetes, although it has recently surged in children. It involves not a lack of insulin but insulin resistance in tissues which become deficient in absorbing glucose from the blood. This results in high blood glucose levels. Most type 2 diabetes is preventable as it is associated with poor diet, overweight, and lack of exercise. Obviously, improved diet, exercise, and weight loss are helpful in treating type 2 diabetes.

Mindfulness practices have been shown to be effective for diabetes treatment (see http://contemplative-studies.org/wp/index.php/category/research-news/diabetes/) and yoga practice has been shown to help with weight control in diabetic patients (see http://contemplative-studies.org/wp/index.php/2015/08/24/control-weight-in-diabetes-with-yoga/). Since yoga is both a contemplative practice and an exercise, it would seem to be an excellent alternative practice for the treatment of type 2 diabetes. It would seem especially appropriate for elderly diabetes patients as it has other benefits for the health of the elderly (see links below).

In today’s Research News article “Yogic practice and diabetes mellitus in geriatric patients”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1158078897549368/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3573543/

Beena and colleagues examined the effectiveness of yoga practice for the treatment of type 2 diabetes in 60 to 70 year olds. Yoga was practiced 90 minutes per day for 6 days a week for 3 months. The yoga group was compared to a treatment as usual control group. They found that the yoga group had a significant increase in blood glucose control as measured by plasma HbA_1cand fasting glucose. Yoga also produced a significant improvement in blood fat levels including decreases in total cholesterol, LDL-cholesterol, triglyceride and T.chol/HDL ratio and a significant increase in HDL cholesterol. There was also a significant decline in markers of stress in the yoga group including a decrease in the stress hormone, cortisol, and MDA, a marker of oxidative stress. There was also a significant increase in catalase, an antioxidant enzyme that protects against damage caused by free radicals in the yoga group. Finally, the yoga practice produced a decrease in Ferritin levels, a marker of inflammation. So, yoga practice was found to significantly improve plasma indicators of glucose control, blood fat levels, stress, and inflammation in elderly type 2 diabetes patients.

These results are impressive and strongly suggest that yoga practice is an excellent treatment for type 2 diabetes in the elderly. It produces major improvements in many different aspects of physical health in patients with diabetes. Yoga improves diabetes both by its exercise properties and also by its ability to reduce the physiological and psychological responses to stress. Since it is known to be safe, with few if any negative side effects, and also have other physical and psychological benefits, it would seem to be an ideal treatment.

So, improve diabetes with yoga.

“The yogic treatment restores the normal functioning of the pancreas and other glands of the endocrinal system. When these glands begin to function properly, the individual is fully cured of the diabetic disorders and his health is restored to normal level.” – Dr. Phulgenda Sinha
CMCS – Center for Mindfulness and Contemplative Studies

Yoga for the Elderly Links

Age Healthily – Yoga for Arthritis

http://contemplative-studies.org/wp/index.php/2015/08/14/age-healthily-yoga-for-arthritis/

Aging Healthily – Yoga and Cellular Aging

http://contemplative-studies.org/wp/index.php/2015/07/17/aging-healthily-yoga-and-cellular-aging/

Age Healthily – Protect the Brain with Yoga

http://contemplative-studies.org/wp/index.php/2015/07/17/age-healthily-protect-the-brain-with-yoga/

Age Healthily – Yoga

http://contemplative-studies.org/wp/index.php/2015/07/17/age-healthily-yoga/

Improve Diabetes Psychological Well-Being with Mindfulness

November 7, 2015 psyjdc Leave a comment

“I am a type-2 diabetic, and they took me off medication simply because I ate right and exercised. Diabetes is not like a cancer, where you go in for chemo and radiation. You can change a lot through a basic changing of habits.” – Sherri Shepherd

It is estimated that 30 million people in the United States have diabetes and the numbers are growing. Diabetes is the 7th leading cause of death in the United States. In addition, diabetes is heavily associated with other diseases such as cardiovascular disease, heart attacks, stroke, blindness, kidney disease, and circulatory problems leading to amputations. As a result, diabetes doubles the risk of death of any cause compared to individuals of the same age without diabetes.

Depression affects people with diabetes more often than people without it — up to 15 percent compared with 6.7 percent in the general population. When depression occurs along with a chronic illness like diabetes, the symptoms tend to be more severe. Compounding the problem further, the symptoms can become worse as depression can lead to missing medication doses, overeating, or skipping exercise. This may mean poorer blood glucose control, which, in turn, means more long-term health complications.

So, in treating diabetes it is important to treat not only the physical problem but also the psychological problems such as depression. Mindfulness training, especially Mindfulness-Based Cognitive Therapy Mindfulness-Based Cognitive Therapy (MBCT) has been demonstrated to be effective in treating depression (see http://contemplative-studies.org/wp/index.php/2015/08/15/spiraling-up-with-mindfulness/ and http://contemplative-studies.org/wp/index.php/2015/07/17/dealing-with-major-depression-when-drugs-fail/).

In today’s Research News article “Individual Mindfulness-Based Cognitive Therapy for People with Diabetes: a Pilot Randomized Controlled Trial”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1113222965368295/?type=3&theater

Schroevers and colleagues examined whether an individualized version of MBCT might be effective for depression in people with diabetes. In comparison to diabetic patients on a waiting list, MBCT resulted in clinically significant reductions in depressive symptoms and diabetes related psychological distress and increases in the levels of acting with awareness and attention regulation. These improvements were still present three months after completing the program.

These are impressive results and suggest that MBCT is an effective treatment for the psychological issues that frequently accompany diabetes. MBCT may be effective due to its emphasis on the present moment in mindfulness. Depression is often rooted in the past and the individual ruminates about the misery of the past. By shifting focus to the present moment, mindfulness can move the individual from being preoccupied with a troubling past to being focused on addressing the manageable problems in the present. Indeed, Schroevers and colleagues demonstrated that MBCT produces an increase in acting with awareness. The individual then is more aware of what they’re doing. For the depressed diabetic individual this can help in the recognition of how he/she is acting in response to the depression or the diabetes. This allows them to reprogram their responses to be more appropriate to the circumstances of the present rather than responding to the depression itself.

Mindfulness also stresses non-judgmental awareness of the present. There is a decreased tendency to be constantly judging what is happening and instead just accept it as what is. This reduces worrying. Indeed, mindfulness practice has been shown to reduce worry (see http://contemplative-studies.org/wp/index.php/2015/07/17/stop-worrying/). Since worry involves concerns about future occurrences to some extent based upon past experiences, the more one can focus on the present the less opportunity there is for worries to arise. Mindfulness training also trains the individual to accept the worry, experience it, and then move on. This reduces the impact of the worry and prevents the development of worrying about worrying.

Another possibility is mindfulness’ ability to increase emotion regulation. That is mindfulness assists the individual in recognizing emotions as they arise and not over respond to them. It doesn’t prevent emotions. It simply allows the individual to better deal with them when they do arise. So when depression occurs the individual can recognize it, accept it, and then let it go and not respond to it. This liberates the individual to find new ways of responding to the environment and other people.

So, be mindful and improve psychological well-being with diabetes.

“Life is not over because you have diabetes. Make the most of what you have, be grateful.” – Dale Evans

CMCS – Center for Mindfulness and Contemplative Studies

ACT for Depression in Childhood Diabetes

November 3, 2015 psyjdc 2 Comments

“Self-acceptance means you refuse to buy into your judgments your mind makes about you, whether they’re good judgments or bad ones. Instead of judging yourself, you recognize your strengths and your weaknesses, and you do what you can to be the person you want to be.” – Russ Harris

There is an image, a societal meme, of childhood being a time of great happiness, fancifulness, freedom, creativity, and play. But, the reality is frequently starkly different. It has been estimated that 2% to 4% of children are depressed. This is particularly true with children under intense stress from childhood illness, particularly chronic illness. Indeed, 2.4% of children suffer from childhood diabetes. The day to day struggle with diabetes and the feelings that they are burdens on the family frequently produces depression in these children.

Acceptance and Commitment Therapy (ACT) has been shown to be effective for depression in adults (see http://contemplative-studies.org/wp/index.php/2015/09/17/act-for-depression/). ACT employs mindfulness practices to increase awareness and develop an attitude of acceptance and compassion in the presence of painful thoughts and feelings. Additionally, ACT helps people strengthen aspects of cognition such as in committing to living according to their values. It is not known, however, if ACT is effective for depression in diabetic children

In today’s Research News article “Effectiveness of Acceptance and Commitment Therapy for Depression, Psychological Well-Being and Feeling of Guilt in 7 – 15 Years Old Diabetic Children”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1111453218878603/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4575800/

Moghanloo and colleagues provided ACT modified for children and adolescents in ten weekly sessions to a randomly assigned group of 7-15 year old diabetic children. The change from before to after was compared to a no intervention control group of children. They found that the children treated with ACT reported lower depression and feelings of guilt and had improved psychological well-being. The effects sizes were large and clinically meaningful. Hence, ACT appeared to be effective in children as it’s been shown to be in adults.

It should be noted that there was no follow-up to determine if the effects persisted after the end of active therapy. Also, since the control group did not receive psychological treatment of any kind, it is impossible to determine if ACT is particularly effective or any form of therapy would have worked as well.

Like most mindfulness techniques ACT is targeted to improving awareness and acceptance of experiences in the present moment. These include emotions. This may be particularly important in children. By making the children more aware of how they’re feeling and why, they may become better able to deal with and accept these sometimes overpowering emotions. In addition, ACT supplies tools to look at their own thoughts about their disease and psychological state and recognize, accept, and form a different relationship with them. This allows the individual to be more psychologically flexible and mindful. In this way ACT can assist the children in coping with not only their emotions but also their disease and thoughts about it in a more accepting and productive fashion.

So, ACT for depression in childhood diabetes.

“We have not passed that subtle line between childhood and adulthood until… we have stopped saying “It got lost,” and say “I lost it.” – Sydney J Harris

CMCS – Center for Mindfulness and Contemplative Studies

Control Weight in Diabetes with Yoga

August 24, 2015 psyjdc 2 Comments

“The medical literature tells us that the most effective ways to reduce the risk of heart disease, cancer, stroke, diabetes, Alzheimer’s, and many more problems are through healthy diet and exercise. Our bodies have evolved to move, yet we now use the energy in oil instead of muscles to do our work.” – David Suzuki

Type 2 diabetes is a common and increasingly prevalent illness that is largely preventable. Although this has been known as adult-onset diabetes it is increasingly being diagnosed in children. It is estimated that 30 million people in the United States have diabetes and the numbers are growing. One of the reasons for the increasing incidence of Type 2 Diabetes is its association with overweight and obesity which is becoming epidemic in the industrialized world.

A leading cause of Type II Diabetes is overweight and obesity and a sedentary life style. Hence, treatment and prevention of Type II Diabetes focuses on diet, exercise, and weight control. Yoga would appear to be an excellent potential treatment for Type II Diabetes as it is both an exercise and a help in weight control (see http://contemplative-studies.org/wp/index.php/2015/07/17/heart-healthy-yoga/).

In today’s Research News article “Yoga: Managing overweight in mid-life T2DM”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1075845609106031/?type=1&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4481745/

Tikhe and colleagues tested the effects of a 7-day integrated approach of yoga therapy (IAYT) on patients with Type II Diabetes. They found that the program resulted in a significant loss in weight and body mass index (BMI), resting metabolism, and body fat.

Yoga appears to be a potential safe and effective treatment for Type II Diebetes. In addition yoga is known to strengthen the immune system (see http://contemplative-studies.org/wp/index.php/2015/07/17/healthy-balance-through-yoga/) making the individual less susceptible to infection, helping to ward of potential secondary consequences of diabetes. These are exciting results that need to be confirmed in a large controlled trial. Many treatments for disease are not well tolerated by the patient and compliance becomes a huge issue. But, yoga is generally enjoyed and compliance rates, when administered properly, can be very high. So, yoga would appear to have advantages over other treatments.

So, practice yoga and control weight.

“Diabetes is a great example whereby, giving the patient the tools, you can manage yourself very well.” – Clayton Christensen

CMCS – Center for Mindfulness and Contemplative Studies