Yoga Exercises
How to Start
You can get audio or video tapes that give breathing instruction and teach relaxation techniques at health food stores, bookstores, and by mail order. It's probably fine to learn breath and relaxation from a tape or booklet, but don't try the yoga exercises without a skilled teacher. He or she can make corrections, caution you when necessary, and help you to adapt poses, if you need to.
It will be worth it to you to spend a little time finding an instructor who is right for you. Your diabetes nurse educator or other health care professional may be able to recommend a yoga instructor. Get referrals for a yoga instructor as you would for any professional you might wish to consult.
Yoga instructors aren't required to be certified, but many are, through many different programs. Ask prospective teachers if they are certified. A certified teacher isn't necessarily better than someone who isn't certified, but it's something to consider.
Yoga is fun, healthy, and calming. It's a wise way handed down over several thousands of years. There is little danger in yoga, and even a little progress brings with it freedom and peace of mind.
Although most people with diabetes can exercise safely, exercise involves some risks. To shift the benefit-to-risk ratio in your favor, take these precautions:
Have a medical exam before you begin your exercise program, including an exercise test with EKG monitoring, especially if you have cardiovascular disease, you are over 35, you have high blood pressure or elevated cholesterol levels, you smoke, or you have a family history of heart disease.
Discuss with your doctor any unusual symptoms that you experience during or after exercise such as discomfort in your chest, neck, jaw, or arms; nausea, dizziness, fainting, or excessive shortness of breath; or short-term changes in vision.
If you have diabetes-related complications, check with your healthcare team about special precautions. Consider exercising in a medically supervised program, at least initially, if you have peripheral vascular disease, retinopathy, autonomic neuropathy, or kidney problems.
Learn how to prevent and treat low blood glucose levels (hypoglycemia). If you take oral agents or insulin, monitor your blood glucose levels before, during, and after exercise.
If you have type I, and your blood glucose is above 250 milligrams per deciliter, check your urine for ketones. Don't exercise if ketones are present, because exercise will increase your risk of ketoacidosis and coma.
Always warm up and cool down.
Don't exercise outdoors when the weather is too hot and humid, or too cold.
Posturing: Introduction
It increases muscular strength. It reduces tension and stress. It has a low potential for injury, and it doesn't even look like exercise.
Why, then, don't more people practice yoga.
People think of yoga as being passive and mystical - an otherworldly activity that doesn't relate to their lives. People are experiencing a vacuum because of all the outward directed activity, and they are going to have to go back to the experience of self.
Although the Indian discipline of yoga has been practiced for more than 5,000 years, in this country there are few followers. Almost half the American adult population swims and close to a quarter runs or jogs, yet only 2 percent practices yoga.
The word yoga derives from the Sanskrit root yuj, meaning to yoke or connect. Through yoga's various techniques, one is said to arrive at mental and physical equilibrium, better health and inner peace. It has been described as providing, in effect, a ''work-in'' rather than a workout.
There are at least eight main branches of yoga and several offshoots of each, but essentially there are only two concerned with exercise: hatha yoga and kundalini yoga.
Hatha is the most popular type of yoga in the Western world. It is a slow-paced discipline that emphasizes controlled breathing and assuming various physical poses. It is said to aid the nervous system, the glands and the vital organs.
Kundalini, which was introduced to this country in 1969 by Yogi Bhajan, is more active, combining various modes of breathing, movement and meditation. It is based on the idea that body energy that is coiled below the base of the spine can be tapped so that it travels upward through different energy centers or chakras until it reaches the head. At this point one arrives at one's highest potential.
Classically, there are 84 basic yoga positions, or asanas, which are coordinated with special breathing techniques. The asanas range from simple bends and twists to pretzel-like contortions reserved for the most advanced practitioners. The various poses elongate the muscles and build flexibility. Along with the proper breathing, they help rid the body of tension. Static holds isolate and strengthen particular muscles.
Asanas have been evolved over the centuries so as to exercise every muscle, nerve and gland in the body. They secure a fine physique, which is strong and elastic without being muscle-bound, and they keep the body free from disease. They reduce fatigue and soothe the nerves. But their real importance lies in the way they train and discipline the mind.
Exercises
Yoga exercises strengthen your body and make it more flexible. Yoga also calms your mind and gives you energy. In active sports or strenuous exercises, you use up energy. In yoga classes, students report that they feel tranquil after a class, yet have more energy. Slow and steady motion is the key to going into or coming out of the postures. You hold a yoga pose for several seconds or even minutes and give attention to full, quiet breath. Your yoga instructor will always encourage you to relax as the exercises are being done.
You gently place your body into yoga postures. Done correctly, there's very little chance of injury or muscle stress. A particular asana is not repeated dozens of times, nor are you ever encouraged to push yourself too much.
A yoga session is designed for balance. You stretch to the right and then to the left. You bend back and then forward. You learn to recognize when one side is stronger or more flexible than the other. Thus harmony and balance are achieved with yoga practice.
People of all ages can practice yoga exercises. They are easily modified to meet your needs and physical condition. Don't be put off by the difficult looking postures you may see in a yoga book. A skilled teacher can adapt most asanas by using chairs, cushions, even a wall or other props. A yoga practice can be tailor-made just for you. If something is really impossible for you to do, just forget it. Never compete with yourself or others. Yoga is a stress-free but powerful way to exercise.
Yoga is good for increasing your flexibility and relieving stress, but it doesn't take the place of aerobic exercise. You should still do regular, aerobic exercise, which increases your cardiovascular fitness, helps you lose weight, and, for people with non-insulin-dependent (type II) diabetes at least, improves blood glucose control.
Breathing and Relaxing
You don't need to fall into the stress mode of life. You can use breath to relax, rather than stress, your mind and body. Yoga helps you to relearn that natural state that your body and mind want to be in: relaxation.
Deep breathing is both calming and energizing. The energy you feel from a few minutes of careful breathe is not nervous or hyper, but that calm, steady energy we all need. Slow, steady, and quiet breathing gives a message to your nervous system: Be calm.
Whole books have been written on yoga breathing. Here is one 5-minute Breath Break. (Read through the instructions several times before you try the practice.)
1. Sit with your spine as straight as possible. Use a chair if necessary but don't slump into it. Feet flat on the floor with knees directly over the center of your feet. Use a book or cushion under your feet if they do not rest comfortably on the floor. Hands are on the tops of your legs.
2. Close your eyes gently and let them rest behind closed lids.
3. Think about your ribs, at the front, back, and at the sides of your body. Your lungs are behind those ribs.
4. Feel your lungs filling up, your ribs expanding out and up. Feel your lungs emptying, your ribs coming back down and in. Don't push the breath.
5. The first few times you do this, do it for 2 to 3 minutes, then do it for up to 5 to 10 minutes. At first, set aside a time at least once a day to do this. When you learn how good it makes you feel, you'll want to do it at other times as well.
Just as one stressful situation goes into your next challenge, relaxing for a few minutes every day gradually carries over into the rest of your daily life and activities.
Basic Yoga Postures and their Variations
1. THE COBRA Do this in easy stages. Lie down, face prone, legs tightly together and stretched back, forehead on the floor. Put your hands, palm down, just under your shoulders. Inhale and raise your head, pressing your neck back, now use your hands to push your trunk up until you are bending in a beautiful arc from your lower spine to the back of your neck. You need go no further than this. However, if you are supple enough, you can now straighten your arms completely, bend the legs at the knees and drop your head back to touch your feet. Even if your head goes nowhere near your feet, drop it back as far as possible and hold the posture with deep breathing. Come out of the posture very slowly, returning to the face prone posture. Relax with your head to one side. Repeat.
2. THE BOW This is also an extreme version of the simple bow. It is surprising how many children can do it immediately. Take it, once again, in easy stages. Lie face prone on your mat. If you are very slim have a nice thick, padded mat for this one. Inhale and bend your knees up. Stretch back with your arms and catch hold of your ankles, keeping fingers and thumbs all together on the outside. Inhale and at the same time raise your head and chest, pulling at your ankles and lifting knees and thighs off the floor. Breathe normally, trying to kick up your legs higher and lifting your head up. You are now bent like a bow, balancing the weight of your body on your abdomen. You can stop right here but if you can still stretch further, then slide your hands down your legs, lift them higher, keep the knees together and pull back as much as you can. Hold for a few normal deep breaths, then relax back to the face-prone position, head to one side.
3. THE SHOOTING BOW In Sanskrit this is known as Akarna Dhanurasana and one leg is drawn up like a shooting bow. Sit with both legs stretched out in front and back straight. Reach forward with both hands and clasp your feet, catching the right foot with the left hand and the left foot with the right hand. Inhale, bend the left knee and pull the foot across the body, close to your chest, pointing the elbow up and twisting the body slightly to the right. The left hand stays firm and tight, holding the right foot. Hold posture with normal breathing, release slowly, and relax. Repeat on other side. In the beginning it is enough to hold the bent left leg with the right hand. When this is easy, stretch down and hold the left foot with the right hand. Continue to pull on the left foot, lifting it higher on each exhalation.
Basic Sitting Postures with Benefits
JANU SIRSASANA: Correct foot placement
Sit up straight with legs evenly extended in front. Bend the right leg at the knee and place the foot so that the heel is in the right groin and the front of the foot touches the left thigh. Turn the foot so that the bottom of the foot is facing upward and press the knee back to form an obtuse angle with the body. This position will be difficult at first; don't force it. Put a folded blanket under the knee and also under the hips. Gradually the knee will move farther back. Just keep the foot correctly positioned.
JANU SIRSASANA: Correct, perfect posture
Having positioned the foot and knee correctly, stretch the left leg out, keeping the leg firmly on the mat. Settle the heel firmly and stretch the toes up. (The heel should pull gently away from the ankle.) Now inhale and bend forward over the straight leg, catching the foot with both hands if possible. Beginners should bend only as far as they can without rounding the back. When this posture is done correctly and completely, the body will roll forward over the extended leg, absolutely flat from the tail bone to the head. Stay there breathing normally for as long as you can. Inhale, release the handhold, come up smoothly, straighten the bent leg and relax. Repeat on other side.
JANU SIRSASANA: Wrong posture
The heel is not positioned against its own thigh. The knee has not been pushed back as far as possible to form an obtuse angle. The back is humped and curved because the pelvis is jammed and unable to lift properly. Instead of a smooth, complete stretching of the spine, the lumbar is over-stretched and the rest of the spine constricted. The left leg is not flat on the floor.
TRIANG MUKHAIPADA PASCHIMOTTANASANA: Sitting, forward-bending pose over one leg
This posture generally follows the previous one. Sit with your legs stretched in front. Bend the right leg so that the right foot is near the right hip. The toes should point back. The right calf presses against the right thigh. The body will tilt in this position so put a small folded towel under the left buttock to keep the hips level and the forward stretch even and extended. Hold the left foot with both hands, inhale and bend forward, keeping both knees together as you stretch forward over the straight leg. Many students will find it difficult in this position to even take hold of the foot of the outstretched leg. Do not despair. Just hold the knee, shin or ankle, and sit, breathing deeply, in whichever position represents your best extension. If the back is tight and the spine inflexible, this will take time. Release the hold and straighten the bent leg. Repeat on the other side.
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