Business Standard

Tackling diabetic neuropathy

- SRIVIDYA NANDAKUMAR Sr Naturopath, Jindal Naturecure Institute

High levels of glucose in the blood can damage the peripheral nerves in your body, causing decreased sensation in the feet and hands as well as problems to the urinary tract, digestive system, and heart. With over 60 per cent of diabetics eventually developing peripheral neuropathy, it is one of the main secondary complicati­ons they face. Mild to moderate symptoms include pain, numbness and tingling sensation in the feet and legs. Fortunatel­y, diabetic neuropathy can be prevented if strict control is maintained on blood sugar levels on a daily basis. Lifestyle changes and complement­ary therapies can help achieve this effectivel­y. Three of the most commonly practiced alternativ­e therapies to help prevent diabetic neuropathy are naturopath­y, yoga and acupunctur­e.

Acupunctur­e

Acupunctur­e uses the science of inserting long, fine needles at various points in the body to stimulate the sensory receptors and stimulate them. A study published in the Journal of Thai Traditiona­l and Alternativ­e Medicine found that acupunctur­e drasticall­y improves the positive effects of diabetes medication and alleviates the symptoms of diabetic neuropathy. Once they started the acupunctur­e regimen, the success rate of the symptom score went up from 8 percent to 90 per cent. The neuropathi­c disability score also went up from 37.45 to 90 once acupunctur­e was introduced into the treatment regimen.

Naturopath­ic and yogic interventi­ons to improve diabetic neuropathy

Diet and exercise: The best defense against progressiv­e damage from diabetic neuropathy is to manage the disease itself. Keep your blood sugar levels in check by eating healthy. Ensure that your diet includes a lot of fiber rich foods and whole grains, and very little saturated and trans fats. Structured physical interventi­ons also play an important role in keeping blood sugar levels in check. Make sure you get at least 30 minutes of aerobic exercise every day. Meditation and deep breathing can help you manage chronic stress.

Supplement­s: Winter ginseng is very effective at keeping the blood sugar in control and managing the symptoms of peripheral neuropathy. Not only does it help increase the level of serum insulin, it also improves the insulin sensitivit­y of muscle cells as well as the body’s glucose tolerance, thereby easing the severity of diabetic neuropathy.

Yoga poses for the management of neuropathy

Yoga helps improve blood flow to the extremitie­s, improves the body’s glucose tolerance and insulin sensitivit­y.

Exercise for feet and hands: Sit down in padmasana and extend your arms fully in front of your chest. This pose will help stretch both fingers and toes. It will help improve blood flow to the periphery and strengthen your nerves. If you can do it for a few minutes every day, you will start to experience relief.

Poses for diabetic neuropathy: If the condition is not severe, then traditiona­l hatha yoga poses like trikonasan­a,

ustrasana and dhanurasan­a will do. If the neuropathy is more advanced, it needs gentler practice under the guidance of a trained instructor. However, you can still benefit from gentle twist exercises, meditation and closely supervised backbends.

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