RSSDI position statement: Mind–body medicine in diabetes by the Mind–Body Medicine Task Force of the RSSDI
摘要
Newer research has shed light on the depth of mind–diabetes relationship, which involves shared genetics, epigenetics, and biological mechanism best understood as allostatic load-driven dysregulation of the PNIE (psychoneuro-immune-endocrine) network. Since brain plays a cardinal role in the regulation process, brain-mind wellness has emerged as an essential ingredient of effective treatment of diabetes in conjunction with the standard treatment. Mind–body interventions (MBIs) are evidence-based traditional self-regulation methods like yoga and meditation and positive psychology, which are effective in correction of the PNIE dysregulation and improving diabetes control and wellbeing. Scalability of MBIs to serve the large number of individuals suffering from diabetes in urban and rural communities and cultural acceptance is an added advantage.
MethodsA task force set-up by the RSSDI (Research Society for the Study of Diabetes in India) reviewed high-quality evidence regarding the mind–diabetes relationship as well as the MBIs, which included systematic reviews and metanalyses of mind–diabetes epidemiology, genetic and epigenetic overlap, and randomized controlled trials (RCTs) of MBIs.
ConclusionThe evidence base underscores the significance of mind–body care in diabetes and has helped to enhance the acceptance of MBIs in the mainstream of medicine. It is imperative to empower the physicians in holistic management of diabetes through practice of mind–body medicine. The translational gap can be addressed through several steps, which broadly include adopting a person-cantered model of care, skilling physicians and allied health professionals to work as a team, and creating opportunity for advancement of research.