Original Research Article
Year: 2018 | Month: December | Volume: 5 | Issue: 12 | Pages: 166-174
A Study to Observe Correlation of Fasting Sugar, Postprandial Blood Sugar and HbA1c with Perceived Stress and Lipid Profile in Newly Diagnosed Diabetic Subjects on Regular Walk and Progressive Muscle Relaxation Regimen in a Population of Eastern India
Dr. Arunima Chaudhuri1, Dr. Biman Ray2, Dr. Kaustav Nandi3
1Associate Professor, Department of Physiology, Rampurhat Government Medical College and Hospital (Affiliated to West Bengal University of Health Sciences), Rampurhat, West Bengal, India.
2Associate Professor, Department of Physiology, Burdwan Medical College and Hospital (Affiliated to West Bengal University of Health Sciences), Burdwan, West Bengal, India.
3Resident, Department of Physiology, Burdwan Medical College and Hospital, Burdwan, West Bengal, India.
ABSTRACT
Background: Stressful experiences might affect diabetes, in terms of both its onset and its exacerbation and perceived stress is a strong risk factor for type 2 diabetes. Aims: To study correlation of fasting sugar, postprandial blood sugar and HbA1C with perceived stress and lipid profile in newly diagnosed diabetic subjects on regular walk and Progressive muscle relaxation regimen in a population of eastern India.
Materials and methods: This pilot study was conducted in Burdwan medical college in a time span of one year after taking institutional ethical clearance and informed consent of the subjects. Two hundred newly diagnosed diabetes patient attending diabetic clinic of Burdwan Medical College were included. On first appointment, particulars of the subjects, personal history, demographic profile, dietary habit, family history, history of past illness, treatment history of the subjects were recorded. General physical examinations were done and initial laboratory values (Fasting and PP sugar, HbA1C, lipid profile) and anthropometric measurements (height, weight, BMI, Waist/Hip ratio) were recorded. Perceived stress scores were measured using Cohen’s scale. Walking regimen were given according to the recommendation of American Diabetic Association that is150 min/week (distributed over at least 3 days) of moderate to brisk walking with no gaps longer than 2 days. All subjects were given a training of Progressive muscle relaxation (PMR). Training involved tensing the specific muscle groups for 7–10 sec, followed by releasing them (relaxing) for 15–20 sec as per Jacobson’s protocol. They were asked to practice this technique at home for 20 min every day for 3 months and come for follow-up. All the parameters were reassessed 3 months after practicing the walking regimen and PMR. Paired t test was used and correlation coefficient calculated to analyze the data. Results: No significant change was seen in BMI, W/H ratio and HDL levels. There was significant improvement in all other parameters after three months. All parameters excepting HDL were positively correlated with FBS, PPBS, HbA1c before and after following the regimen.
Conclusions: Perceived stress is a strong risk factor for type 2 diabetes and stress management programmes like relaxation therapies along with exercise may be made a part and parcel of treatment for better glycaemic control and lipid metabolism.
Key words: Diabetes, perceived stress, relaxation therapy.
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