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Impact of Yoga on Blood Glucose Level among Mother with Gestational Diabetes Mellitus at Government Hospital, Tambaram, Chennai, Tamilnadu
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Pregnancy induces progressive changes in maternal carbohydrate metabolism. As pregnancy advances insulin resistance and diabetogenic stress due to placental hormones necessitate compensatory increase in insulin secretion. When this compensation is inadequate,GestationalDiabetes develops.'GestationalDiabetesMellitus' [GDM] is defined as carbohydrate intolerance with onset or recognitionFirstduring pregnancy.To treat Gestational Diabetes Mellitus naturally the Antenatal Mother with GestationalDiabetesMellitus should practice Yogis positions (SUKSHMA VYAYAMAS) along with Pranayama (breathing exercises) & Meditation Toevaluate the effect of Yoga on Blood glucose level among mother with Gestational Diabetes Mellitus. This was a prospective interventionalstudy and it was conducted at Government Hospital, Tambaram. 212Antenatal mothers with Gestational Diabetes Mellitus were randomized into yoga and control groups. Sample size was detected based on Power analysis and selection of the samples based on Non-probability purposive sampling technique. Quasi Experimental -Time Series Design was adopted.. The yoga group (n = 104) received standard care plus Intensive, continuous Yoga practice daily for (30-40 minutes/day) from 24th week to 36th week for 12 Weeks from the trained yoga instructor.. The control group (n = 108) received standard care from the Hospital. Fasting and post prandial Blood Glucose level was Continuously monitored every 4th week before Yoga at 24th week after Yoga from 28thweek to 36 th week.. Among Yoga group, 24th week Fasting blood glucose mean score was 122.99 mg/dl after intensive practice of Yoga the mean score at 28th week 106.31mg/dl, 32nd 102.37mg/dl and 36th week 90.27mg/dl and the Post prandial Blood Glucose mean score at 24th week 160.45mg/dl and after yoga the mean score at 28th week 140.14mg/dl, 32nd 127.01mg/dl and in 36th week 117.13mg/dl . So this reduction was statistically significance. It was assessed using Repeated measures analysis of variance F test (Fasting=25.70,P=0.001***, Postprandial=34.97,P=0.001***) .Between weeks like 24th week and 28th week,32 week,36 week differences was calculated using bonferroni t-test. There is a Significant reduction in the Fasting and Postprandial blood glucose level in Yoga Group than control group at p< 0.001 level of significance. This study critically analyzed and it is proven that yoga reduces blood glucose level which prevents adverse outcomes of Gestational Diabetes Mellitus.
Keywords
Gestational Diabetes Mellitus, Sukshmavyayamas, Yoga, Pranayama, Meditation.
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