CYCLE Program: Managing Diabetes through Yoga by Padma Shri Guruji Dr. HR Nagendra 

A brief Report by Yogasadhaka Nilachal

Dr. HR Nagendra ji fondly known as Guruji, is a globally recognized yoga master, scholar, and pioneer in the integration of traditional yoga with modern science. Born on January 1, 1943, his illustrious career has spanned nearly seven decades, making remarkable contributions to the field of yoga therapy and research. As the Chancellor of S-VYASA Yoga University, he has been instrumental in advancing yoga’s therapeutic applications, particularly in addressing modern health challenges such as diabetes, hypertension, and stress-related disorders.

Dr. Nagendra’s journey is often described as one that bridges the worlds of NASA to S-VYASA, symbolizing his transition from aerospace engineering, where he initially worked, to becoming a leading figure in the global yoga community. He has been a guiding force in several national and international initiatives, including his key role in the formation of the Ministry of AYUSH and the establishment of the International Day of Yoga.

His numerous accolades include prestigious awards like the Padma Shri, and he is celebrated for his tireless efforts to merge modern science with the ancient wisdom of yoga. As one of the founding members of the Indian Yoga Association, Dr. Nagendra’s vision has been to promote yoga not just as a practice, but as a comprehensive science that enhances physical, mental, emotional, and spiritual well-being. His groundbreaking work in yoga therapy continues to inspire practitioners and researchers worldwide.

In an informative session under the Continuous Yoga Chikitsa Learning and Education (CYCLE) program, Yoga Chikitsaka Ratna, Guruji Dr. HR Nagendra ji, a pioneering figure in the integration of modern science with traditional yoga, addressed the rising concern of managing diabetes through yoga.

Introduction
In the fast-changing modern society, technological advancements such as air travel, television, and computers have revolutionized communication and daily life, shrinking the globe into a small village. While fields like health, education, and economics have seen significant growth, these advancements have also altered societal structures, including family life, leading to mental restlessness and emotional upheaval. The increasing material progress has created economic superpowers, but inner peace, emotional harmony, and mental stability have been left behind. Modern society faces a growing disconnect between external achievements and internal well-being, highlighting the need for a more holistic approach to life.

The challenges of the modern age are largely rooted in stress, which has become pervasive and is the underlying cause of many non-communicable diseases (NCDs) such as diabetes, hypertension, and heart problems. The breakdown of family structures, rising divorce rates, and single-parent households have further exacerbated emotional instability. Psychosomatic disorders like anxiety and depression are on the rise, particularly among younger generations. Despite advancements in modern science, the current focus on physical treatments has failed to fully address the mental and emotional dimensions of these problems, leaving society without comprehensive solutions to these multi-dimensional challenges.

West and East

The West’s contributions to modern science and technology have been remarkable, particularly in fields like air travel, computers, and medical advancements. Western science, over the last 400 years, has systematically developed an understanding of the physical world, from the structure of matter to the laws of physics. This has led to significant achievements, such as advances in pharmacology, surgical procedures, and diagnostic tools. The scientific methodology developed by pioneers like Newton has allowed for the rigorous investigation of the world through experimentation and objective analysis, providing humanity with powerful tools to improve life. However, despite these successes, modern science has primarily focused on the physical realm and has struggled to address multi-dimensional challenges, especially those related to mental and emotional health, such as stress, psychosomatic disorders, and non-communicable diseases (NCDs).

In contrast, the East offers a solution through its vast knowledge base rooted in ancient wisdom, particularly through yoga and spirituality. Thousands of years ago, Indian rishis (sages) uncovered the mysteries of existence, and this knowledge has been passed down through texts like the Vedas and Upanishads. Yoga, as a consciousness-based science, addresses not just the physical body but also the mind, emotions, and spirit. The holistic understanding of human existence provides tools for managing stress, achieving mental peace, and addressing the root causes of diseases through practices like pranayama (breathing exercises), meditation, and asana (postures). This comprehensive approach is what modern science lacks and is increasingly being recognized as a solution for the multi-dimensional health challenges of the modern world.

Yoga as a Revolutionary Science

Dr. Nagendra emphasized that yoga is not just an ancient Indian spiritual practice, but a revolutionary science that offers solutions to many of today’s health problems. He explained that yoga’s ability to address multi-dimensional health issues sets it apart from other forms of therapy. Modern science often focuses on treating the physical body, but yoga integrates the physical, mental, emotional, intellectual, and spiritual aspects of health, providing a more comprehensive solution.

This integration is essential because the challenges of modern life—stress, lifestyle diseases, and emotional disturbances—require a more holistic approach. Stress is a major factor in the development of non-communicable diseases, including diabetes. Yoga, with its emphasis on mental and emotional balance, addresses these underlying issues, offering a path to better health. Yoga provides a holistic approach to health, addressing physical, mental, emotional, and spiritual dimensions, and could be the key to tackling the rising number of NCDs.

The Modern Challenge: Stress and NCDs

There is a deep connection between stress and modern diseases. Stress contributes to the rise of NCDs, including diabetes. While modern science focuses heavily on treating physical symptoms, it often overlooks the multi-dimensional nature of diseases that also affect the mind and emotions. Stress affects not only the body but also the mind and emotions, leading to a range of health problems. Yoga, with its emphasis on mental and emotional balance, offers a more comprehensive solution. By focusing on calming the mind and reducing stress, yoga can help manage and even reverse conditions like diabetes. Techniques such as pranayama and cyclic meditation have been shown to reduce stress hormones, improve immune function, and increase insulin sensitivity, all of which are critical for managing diabetes.

The Story of Four Wives:

Understanding the deeper dimensions of life is important. Dr. Nagendra shared an enlightening analogy of a king with four wives to illustrate the different dimensions of human existence. Each wife symbolized an aspect of life:

1. Fourth Wife (Physical Body): Most cherished but abandoned at death.
2. Third Wife (Wealth and Status): Left behind after death.
3. Second Wife (Family and Friends): Accompanies only to the grave.
4. First Wife (Soul): The most loyal but often neglected.

This story serves as a reminder to pay attention to our soul—the innermost essence—which can be nurtured through the practice of yoga. We should not neglect the soul, which is the foundation of our existence. Yoga helps us reconnect with this deeper part of ourselves, leading to a more fulfilled and harmonious life.

How Yoga Therapy Works

All five koshas are interconnected and influence each other, and through yoga, one can work on each kosha to achieve a balanced and harmonious state of well-being. Each layer of the Panchkosha help contributing to overall well-being.

The Annamaya Kosha is the physical body, composed of the food we eat, and is the most gross of all the kosha or sheaths.
Beyond the physical body lies the Pranamaya Kosha, the life force or prana, which sustains life by controlling the breath and circulation of energy throughout the body.
The Manomaya Kosha is the mental sheath that governs the mind, emotions, and desires, affecting how we react to the world around us.
The next layer, Vijnanamaya Kosha, is the sheath of wisdom and intellect, responsible for decision-making and discerning right from wrong. It represents the deeper understanding of life and helps guide actions based on knowledge. Finally, the
Anandamaya Kosha is the innermost layer, where pure joy and bliss reside. This sheath is the source of true happiness, and it is not influenced by external circumstances.

Dr. HR Nagendra, linked the concepts of Adhi (mental disturbances) and Vyadhi (physical diseases) to the Panchkosha model, explaining how imbalances move through these five layers of human existence. The Adhi originates in the Manomaya Kosha where disturbances such as stress, wrong knowledge, and emotional turmoil create an imbalance. This imbalance at the mental level eventually influences the Pranamaya Kosha, causing disruptions in the flow of Prana These disruptions affect the physical body, the Annamaya Kosha, manifesting as Vyadhi, or physical diseases like diabetes, hypertension, and other stress-related conditions.

Pranamaya Kosha acts like a bridge between the Manomaya Kosha and the Annamaya Kosha. The imbalances in the mind directly impact the body’s energy systems, which then affect the physical health. The mental disturbance or Adhi leads to uncontrolled Prana flow, causing physical issues or Vyadhi. Through yogic practices, such as pranayama and meditation, the mind can be calmed and brought into balance, restoring the harmony between the koshas and preventing or reversing the progression of Vyadhi. Thus, yoga works on the Panchkosha system to address the root cause of Adhi and restore health across all layers of existence.

Diabetes and the Role of Yoga Therapy

India is on the verge of becoming the diabetes capital of the world, and there is an urgent need to address this growing health crisis. Diabetes, especially Type 2, is closely linked to lifestyle factors such as diet, lack of exercise, and stress. Yoga offers a comprehensive approach to managing these factors, addressing both the physical and mental causes of the disease.

Yoga therapy targets the root cause of diabetes by focusing on stress reduction. Stress affects the body’s ability to regulate insulin and glucose. Stress reduction through yoga, particularly using techniques like pranayama and cyclic meditation, plays a crucial role in restoring immune balance and reducing insulin resistance. These practices calm the mind and slow the body’s processes, ultimately aiding in better glucose metabolism.
Findings from a pan-India study which was conducted across 29 states and 65 districts provide us significant data.

This large-scale study demonstrated the significant benefits of yoga for diabetes management. Following findings validate the effectiveness of yoga not just for managing symptoms but also for hitting the root cause of diabetes.

11.2% of high-risk participants in the yoga group developed diabetes compared to 32% in the control group.
Yoga was shown to improve fasting plasma glucose, HbA1c, cholesterol levels, and overall health.

Additionally, cyclic meditation helps to calm the mind and body, providing deep relaxation that goes beyond what can be achieved through sleep. In fact,
Specific Yoga Techniques for Diabetes:
For diabetes a comprehensive protocol was developed by experts all over the globe as a part of this Diabetes study.

These contain the following yoga techniques:

Cyclic Meditation: Cyclic meditation is a unique technique which involves alternating periods of stimulation and relaxation, providing deep rest and reducing metabolic stress. Cyclic meditation helps to calm the mind and body, providing deep relaxation. studies have shown that 35 minutes of cyclic meditation can provide the body with three times more rest than six hours of sleep, making it a powerful tool for stress reduction.
Pranayama: Pranayama practices help regulate the autonomic nervous system, reduce stress, and balance blood sugar levels by improving metabolic function.
Asanas: Certain asanas stimulate the pancreas, improve insulin production, and enhance glucose uptake by the cells. This enhances the functioning of internal organs, which is vital for maintaining health.

Future Research: Hypertension and Cancer
Following the success of yoga therapy for diabetes, Dr. Nagendra also announced plans to extend the research to other lifestyle-related diseases, including hypertension and cancer. A study on hypertension is set to be launched soon, reflecting the growing recognition of yoga’s potential to address major health challenges. He explained that the integrative approach of combining yoga with modern medical treatments could provide a more effective solution for managing these complex diseases.

Conclusion

In conclusion, Dr. HR Nagendra Ji stressed that yoga is not just about physical health—it is a science of holistic living that helps us achieve mental, emotional, and spiritual well-being. He noted that yoga therapy offers a path to prevent and manage lifestyle diseases, particularly those caused by stress, like diabetes. With continued research and integration with modern medicine, yoga has the potential to transform the future of healthcare.

Dr. HR Nagendra Ji congratulated the IYA Team for the success of the CYCLE program for their efforts and initiative. As more research is conducted, yoga is likely to become an integral part of healthcare systems worldwide, offering a holistic solution to some of the most pressing health challenges of our time. His final message was very clear, “Yoga offers a pathway to better health by addressing the root causes of disease, and its benefits extend far beyond the physical body to encompass the mind, emotions, and spirit.” In his words, he said, “Yoga is a science of holistic living, he motivated to rise from the animal level to a super-divine human being.”