Yoga may also reduce activation of the sympathoadrenal system and hypothalamic-pituitary-adrenal axis, and may enhance parasympathetic activity, thereby alleviating stress. Clinical trials with both healthy and ill participants have shown the benefit of yoga on stress reduction. By supporting stress resilience, yoga may prevent stress-induced rises in cortisol, thus controlling the rise in blood glucose levels.  Pilot studies conducted mainly in India have shown decreased stress levels among diabetics after a yoga intervention.  Evidence also suggests that stress leads to poor food choices, including increased consumption of foods high in fat, sugar, and salt. By reducing stress and improving mindfulness, yoga practice may lead to improved self-care behaviors including improved diet and physical activity. Randomized trials with adults at risk for cardiovascular disease and binge eaters have shown improved dietary outcomes after a yoga intervention.  Thus, yoga may positively impact stress, diet, and other self-care tasks that contribute to improved glycaemic control. 

Aim:

To compare the efficacy of yoga-based intervention vs.  American Diabetes association exercise regime in addition with standard of care for autonomic neuropathy in type two diabetes mellitus 

Hypothesis

Yogic exercises are equally effective as compared to the American Diabetes association exercise regime for improving autonomic functions in patients suffering from diabetic autonomic neuropathy