The Effect of Yoga and Gastro-Hepatic Pack on Type 2 Diabetes Mellitus: A Four-Arm Randomized Controlled Study.

BACKGROUND

Diabetes mellitus is a leading cause of global mortality with significant health complications. Yoga and naturopathy have demonstrated beneficial effects on blood glucose control and psychological well-being.

METHODS

A four-arm randomized study was conducted with 120 type 2 diabetic patients aged 40-60 years. Participants were randomly assigned to YG (yoga, 60 minutes), GH (gastro-hepatic pack, 20 minutes), CYG (combined yoga and gastro-hepatic pack, 80 minutes), or the control group. HbA1c, fasting and postprandial blood sugar, Perceived Stress Scale, and Diabetes Distress Scale were measured before and after intervention.

RESULT: A significant reduction in glycemic parameters was observed in all groups post-intervention, with HbA1c decreasing from 8.17 ± 1.11 to 6.95 ± 0.85 in YG, 8.04 ± 0.98 to 6.93 ± 0.67 in GH, and 8.23 ± 1.23 to 6.29 ± 0.59 in CYG (p < 0.001). Fasting blood sugar (FBS) and post-prandial blood sugar (PPBS) also significantly declined (p < 0.001). Psychological measures improved, with PSS scores dropping from 17.7 ± 3.2 to 9.80 ± 1.67 in YG and 16.0 ± 2.3 to 9.53 ± 1.48 in CYG; smaller reductions occurred in GH and Control. DDS scores significantly decreased (p < 0.001). CYG showed the greatest overall improvement. No adverse events were reported.

CONCLUSION

The combined yoga and gastro‑hepatic pack (CYG) intervention outperformed either alone in reducing stress and improving glycemic control in type 2 diabetes. This safe, holistic approach enhances overall quality of life, though long-term studies are needed to confirm the sustainability of these benefits and their impact on diabetes-related complications.