# Introduction ost adolescent patients with type 1 diabetes (T1D) do not meet treatment goals, which increases their risk for diabetes-related complications; therefore, finding ways to improve adherence to therapy is crucial (Patel et al., 2018). Type 1 diabetes (T1D) develops in genetically predisposed people as a result of the destruction of the pancreatic beta cells caused by an autoimmune insulitis (Briscoe et al., 2007;Sharma, 2017). Increased thirst, frequent urination, bed-wetting in children and adolescents who previously didn't wet the bed during the night, extreme hunger, unintended weight loss, irritability and other mood changes, fatigue, and weakness, blurred vision are some major symptoms (Fowler, 2008;Kalra et al., 2013). Adolescents experience significant physiological and psychosocial changes during this developmental stage, including increased insulin resistance related to pubertal hormones, significant weight gain, higher insulin needs, and independence from parents. Unfortunately, this newfound autonomy often results in problems with T1D. It may further exacerbate poor glycemic control. Besides, adolescents with chronic hyperglycemic conditions may be more likely to engage in high-risk behaviors, such as drug and alcohol use, cigarette smoking, etc. (Comeaux, 2010;Patel et al., 2018;Weitzman et al., 2015). Yoga is a mind-body intervention and comprises physical practice (äsana), breathing technique (präëäyäma), and meditation, and relaxation techniques. Yoga is a popular complementary and alternative medicine modality worldwide (Falkenberg et al., 2018). Many studies have reported several health benefits of yoga for a clinical condition such as asthma, diabetes, pulmonary tuberculosis, epilepsy, fibromyalgia, and arthritis (Cramer, 2015;Gowtham, 2018;Hongasandra, 2017 (Falkenberg et al., 2018), improvements in physical fitness, immune activity (Kosuri & Sridhar, 2009), improved beta-cell function (Raj, 2016), and reduced stress as physiological mechanisms for beneficial effects of yoga on the immune system in adolescents (Sahay, 2007;Mohan et al., 2005;Szablewski, 2014). # II. # Quality of Life and Type 1 Diabetes Children with type 1 diabetes mellitus (T1DM) have to deal with a complex and demanding daily treatment regime, which can harm the quality of life (QoL) of these patients (Rasoul et al., 2013). Although children and adolescents with T1DM have to live with a demanding treatment regime, overall results revealed that their generic QoL is not impaired compared to healthy peers (Duru et al., 2015). Young adults with Type 1 diabetes mellitus are a high-risk group with suboptimal glycemic outcomes when compared with older adults with Type 1 diabetes (Ambler et al., 2006). Management is challenging because of psychosocial issues; for example, body image perceptions (Neumark et al., 2002), the increased incidence of psychiatric illness (Bernstein et al., 2013), eating disordered (Quick et al., 2012), and impaired quality of life (Kibbey et al., 2013;Ingerski et al., 2010). Some studies suggest that low glycemic variability may be associated with lower quality of life, negative moods, blood glucose fluctuations (Penckofer et al., 2012). A meta-analysis of 27 studies demonstrated that depression is majorly associated with hyperglycemia for type 1 diabetes (Lustman et al., 2000). Moods such as anxiety and anger often accompany depression with type 1 diabetes (Peyrot & Rubin, 1997); anxiety is associated with poor glycemic control (Anderson et al., 2002). Anger is also linked to depression (Pasquini et al., 2004). It is associated with glucose fluctuation and poorer self-management of hyperglycemia for persons with type 1 diabetes. For persons with type 1 diabetes, high glucose values suggest to impact mood negatively, positive mood rating decreased, whereas negative mood ratings increased, tension and anger is reported to be higher in type 1 diabetes individuals in the hyperglycemic range compared with those in the hypoglycemic range with continuous glucose monitoring (CGM) (Hermanns et al., 2007). However, glycated hemoglobin (HbA1c) has been the standard for assessing glycemic control, glycemic variability (Hirsch, 2005). # III. # Yoga and Immune System Yoga is an ancient mind-body practice that is increasingly recognized to have health benefits in a variety of clinical and non-clinical conditions (Falkenberg et al., 2018). Among various types of yoga, emphasizing both physical and mental training, and typically consists of yoga poses, breathing, and meditation (Nagendra, 2003). It is stated that yoga not only increased physical endurance but also reduced pro-inflammatory markers such as interferon ? (INF-?), interleukin-6 (IL-6), interleukin-2 (IL-2), and stress level (Pullen et al., 2008). Based on these results, yoga practice is required to achieve consistent effects, especially on circulating inflammatory markers (Falkenberg et al., 2018), improvements in physical fitness, immune activity (Kosuri & Sridhar, 2009), improved beta-cell function (Raj, 2016), and reduced stress as a physiological mechanism for beneficial effects of yoga on the immune system (Sahay, 2007;Mohan et al., 2005;Szablewski, 2014). The practice of yoga reduced inflammation and smaller autonomic, endocrine, and inflammatory response to the stressors and novices. The yoga practice demonstrated more rapid declines (recovery) in stress hormone and proinflammatory cytokines production and better glycemic control in T1D (Sreedevi, 2017). Yoga is a cost-effective option in the treatment and prevention of autoimmune disorder, with data from several studies suggesting that yoga and other mindbody therapies can reduce stress-related hyperglycemia and have a positive effect on glycemic control, balancing harmonizing the body, mind, and emotions. Increasing evidence suggests that yoga practice tackles the pro-inflammatory mechanisms of T1D and helps in controlling autoimmune disorders (Amita et # a) Materials and methods The content validity of JYM for adolescents with T1D is assessed by a panel of 20 experienced yoga experts. The JYM for children and adolescents with T1D is developed in the form of tailor-made yoga practices that are supported by classical texts and research evidence. All the 41 practices in the JYM, is discussed and rated as i. Not essential, ii. Useful but not essential, iii. Essential. Lawshe's formula is adopted to arrive at the content validity ratio (CVR) after obtaining the ratings. # Figure The steps followed to execute the above-mentioned methods are as follows: Step 1: Compilation of literature on Type 1 diabetes Step 1: Compilation of literature on yoga and diabetes a. In this phase, we reviewed traditional and contemporary yoga texts. b. Research paper on the use of yoga in diabetes, immune and metabolic disorders, including modern scientific reviews of T1D, were identified using different search engines such as Pub Med and Google Scholar. Indexing terms such as yoga immune disorder, metabolic disorder, and yoga, and diabetes. All experimental studies that used yoga as the therapy for diabetes are included. Step 2: Shorting the literature on yoga and diabetes A summary of the literature is tabulated for a quick overview. Then, studies done on different practices and published in journals as a scientific background is extracted. # Step 3: Preparing yoga module based on previous literature on yoga and diabetes Based on classical texts and research evidence a detailed protocol with tailor-made practices is developed. # Step 4: Validation of JYM by expert Yoga experts with clinical experience are provided with this complete module (who had either a doctorate or Doctor of medicine degree in yoga, with a minimum of 5 years experience or a Master's degree in yoga/ yoga therapist, with a minimum of 7 years experience). These experts were requested to participate in evaluating the content validity for the proposed instrument on a 3-point scale rated as follows: (i) not essential (has no role in improving any symptoms or the quality of life of patients with T1D), (ii) useful but not essential (useful in improving general wellbeing, but the benefits are not specific to T1D symptoms), and (iii) essential (very effective for T1D). An expert panel, including 20 experts with the above qualifications, involved for determining the content validity. Experts in yoga therapy with clinical experience ( ?5 years) were also considered yoga experts. Among the 20 experts, more than ten has previously applied yoga therapy in patients with diabetes and were already using most of the practice included in this module. The CVR for the total scale was computed based on expert validation. According to Lawshe's formula, if more than half of the panelists indicate that an item is essential, then that item has the minimum content validity. The CVR for our scale was ?0.49, which was considered satisfactory for a panel of 20 experts. # b) Statistical Analysis The cut-off value of 0.49 is calculated by applying Lowshe's formula for CVR (Lawshe, 1975). The mean CVR across the item indicated the overall test content validity. Where, Ne = total number of panelists indicating "essential" for each practice. N = total number of panelist IV. # Result The data analysis showed that out of 41 JYM practices, 27 indicated significant content validity in (Table 1). 14 practice (Table 2) had a CVR score of below 0.49, indicating low content validity. # Pärçva Ürdhva Hastäsanä # Täòäsanä Pratyägama Mountain pose twist 5 each side 1 c. # Bhünaman Pratyägama Greeting the earth pose with twist 5 each side 1 d. # Naukäsaï cälana Rowing the boat flow 5 1 4. Specific breathing practice for Type 1 Diabetes mellitus a. # Vyäghra Çväsana # M aëòükäsana Frog pose 1 1 c. # Garbhäsana Embryo pose 1 1 d. # Üñöräsana Camel pose 1 1 e. # Bäläsana Child pose 1 1 f. # Pavanamuktäsana Wind relieving pose 1 1 10. 30 second relaxation after each Äsana (as per the condition) 11. Specific Supine Äsana for Type 1 Diabetes mellitus a. # Setubandhäsana Bridge pose 1 1 b. # M atsyäsana # Bhujaì gäsana Cobra pose 1 1 b. # Tiryaka Bhujaì gäsana Swaying cobra pose 1 1 1. Specific relaxation after Äsana for Type 1 Diabetes a. # Çaväsana Dep relaxation technique 1 5 2. Specific Pranayama for Type 1 Diabetes mellitus a. # Anuloma-Viloma # Discussion In the present study, we developed a JYM for adolescents with T1D by choosing specific yoga practices from the traditional literature and scientific studies on yoga to target certain symptoms of adolescents with T1D. Validated JYM by the yoga experts taking their suggestions is finalized. Similarly, an effort was made to retain only those practices which were rated by all experts as useful. The yoga practices are included, as suggested by the experts. All the experts opined that these practices should be easy for children and adolescents with T1D. Relaxation practice is also included between the session as per the advice of the experts. So, The matching of yoga practices with symptoms of adolescents finalized after reviewing traditional literature (Saraswati, 2004;Mukibodha, 2000). The present study was closely associated with previous studies on the validation of JYM (Ahilan, Vaishali et al., 2012;Campaigne, 1985). In the present, there is no previous study that focused on the validation of a yoga module for T1D. This study is done in two phases: a) We are designing the yoga module for T1D, b) expert validation of the module for T1D. In the first phase, the JYM was designed based on literature reviews of traditional text reference and recent research publications. We did not find any direct source for yogic practice capable of improving T1D symptoms. However, the latest Hatha Yogic text has increasingly emphasized on improving health through different yogic practices. Besides, recent findings on T1D reported by several schools of yoga have helped in the formulation of a yoga module for T1D. The CVR calculation for all 41 practices is completed in our yoga module. Of these, 27 practices (CVR?0.42) were included in the validated yoga module (Table 1). The remaining fourteen poses (Table 2) (CVR <0.49), namely Butterfly, Tadasana, (0.1), Dorsal stretch (0.2), Rabit breathing, Janusirasana, Ardhapadapaschimittanasana, Kurmasana, Bharadwajasana, Salabhasana (0.3), Veerasana, Vyaghrasana, Makarasana, Halasana, Kapalbhati (0.4) were used as a complementary for important posture to stimulate the pancreases and synchronization along with body and mind. These practices were slightly challenging for T1D therapy. Apart from these fourteen practices, the 27 poses included for T1D treatment; thus, the final CVR satisfied the minimum value, as per Lowshe's CVR. Similar to any other exercise protocol, an ideal yoga module consists of frequencies, intensities, duration, and progression. Determining the appropriate mode depends upon the patient's preference and safety issues associated with the T1D or other conditions. Keeping in view the safety and patient's ability the duration and frequency of the pose customized for practice (Table 3). Çithilikaraëa Vyäyäma (Loosening Practice) include in this module helped in loosening the joint and strengthen the muscles, which consequently helped in improving the function of abdominal organs (Dhirendra, 1973). Süryanamaskära (Sun Salutation), A series of dynamic yoga posture in a specific sequence, stimulate insulin production through brain signaling, exerting beneficial effects on the glycemic outcome (Raj, 2016). Yogäsana (Yoga Posture) rejuvenates of pancreatic cells through the alternating abdominal contraction and relaxations involved in yoga practice. Improves blood supply to muscles, enhances insulin receptors expression in the muscles, with forwards bending pose, © 2020 Global Journals manage and pressurizing the pancreas, stimulating insulin secretion (Ahilan, 2015;Eda, 2014). Çuddhikriyä (Cleansing Processes), Agnisära Kriyä (stimulating the digestive fire) involves pulling the abdomen in and snapping it backward and forward while holding one's breath. Helps in the producing of insulin and controlling glucose levels in the blood; the effect of this action massage the internal organs and increases blood flow to the area (Kudigra, 2018;Raveendran et al., 2018). Präëäyäma (regulated breath), Anulomvilom (alternate nostril breathing), improves components of healthrelated fitness, cardio respiratory endurance, flexibility, and body fat percentages. Bhrämaré (humming bee breath), a soothing and calming effect on the mind, improves mental and physical health (Author, 2019;Sreedevi, 2017). Dhyäna (Meditation): This leads to beneficial psychological effects, such as a faster reaction to stimuli and less prone to various forms of stress, anxiety reduction, and blood pressure control. Meditation on the Manipur Chakra (solar plexus), visualization of the pancreas during meditation, gives positive effects on sugar levels (Balaji et al., 2012;Eda, 2014;Raj, 2016). # VI. # Conclusion A comprehensive and traditional texts based yoga module was developed and validated by 20 experts who agree to most of the practices. Whoever, future studies must determine the feasibility and efficacy of T1D. # Sources of funding None Conflict of interest None 2![Shorting the literature on Type 1 diabetes Step 3: Preparing yoga module based on previous literature on Step 4: Validation of JYM by expert Development and Validation of a Yoga Module for Adolescents with Type 1 Diabetes](image-2.png "Step 2 :") 1D D D D )(SL. no.Practice NameCVRSL. no.Practice NameCVR1Vyäghra Çväsana0.915Pavanamuktäsana12Pärçva Ürdhva Hastäsanä0.516Bhujaìgäsana0.93TäåäsanaPratyägama117Tiryaka Bhujaìgäsana0.64bhunamanPratyägama0.718Dhanuräsana15Naukäsaïcälana0.919Setubandhäsana0.66Süryanamaskära120Matsyäsana0.57Trikoëäsana0.721Naukäsana0.78Tiryaka Trikoëäsana0.822Uttänapädäsana0.69Pärçvakoëäsan0.523Çaväsana110Vakräsana124Anuloma-Viloma111Maëòükäsana0.925Bhrämaré0.812Garbhäsana0.726Guided Meditation on the Visualization of Pancreas0.713Üñöräsana0.727Agnisärakriyä0.714Bäläsana0.5 2Sl. NoPracticeCVR1Sasäìgäsana Çväsana(Rabit breathing)0.32Citrapataìga(Butterfly)0.13Dorsal stretch0.24Täåäsana0.15Véräsana0.46Jänusiräsana0.37Vyäghräsana0.48Ardhapädäpaçcimottänäsana0.39Kürmäsana0.310Bhardväjäsäna0.311Makaräsana0.412Çalabhäsana0.313Haläsana0.414Kapälabhäti0.4 3Year 202050F © 2020 Global Journals Special Yoga Module for Type 1 Diabetes Mellitus a. © 2020 Global Journals Development and Validation of a Yoga Module for Adolescents with Type 1 Diabetes ## Acknowledgments The authors acknowledge all the experts for offering their comments and inputs to develop this module. * Yoga for diabetes mellitus BAhilan International Journal of Physical Education, Sports and Health 1 4 2015 * Contemporary Australian outcomes in childhood and adolescent type 1 diabetes: 10 Years post the Diabetes Control and Complications Trial GRAmbler JFairchild MECraig FJCameron Journal of Paediatrics and Child Health 42 7 2006 * Communication Effect of Yoga-Nidra on Blood Glucose Level in Diabetic Patients SAmita SPrabhakar IManoj SHarminder TPavan 2009 53 * Anxiety and poor glycemic control: A meta-analytic review of the literature RJAnderson MDe Groot ABGrigsby JBMcgill KEFreedland REClouse PJLustman 10.2190/KLGD-4H8D-4RYL-TWQ8 International Journal of Psychiatry in Medicine 32 3 2002 * International Journal of Scientific Research Interventions in Patients with Prediabetes : The Role of Pranayama and Asanas in Delaying the Onset of Type 2 Diabetes Mellitus CCAuthor Jeyalalitha Rathinam * Shanmugam. A Vijayalakshmi R Subahan S P Stanley medical 3 2019 * Physiological Effects of Yogic Practices and Transcendental Meditation in Health and Disease PABalaji SRVarne SSAli 10.4103/1947-2714.101980 2012 4 * A Comparative Study of Self-Perception of Wellness Among Physical Education Students, Sports Achievers and Dancers MBaro 2016. January * Metabolic and hormonal effects of muscular exercise in juvenile type diabetics MBerger PBerchtold HJCüppers HDrost HKKley WAMüller WWiegelmann HZimmermann-Telschow FAGries HLKrüskemper HZimmermann 10.1007/BF01223279 Diabetologia 13 4 1977 * Mental health issues in adolescents and young adults with type 1 diabetes: Prevalence and impact on glycemic control CMBernstein MSStockwell MPGallagher SLRosenthal KSoren Clinical Pediatrics 52 1 2013 * 10.1177/0009922812459950 * Type 1 diabetes: Exercise and hypoglycemia VJBriscoe DBTate SNDavis 10.1139/H07-025 Nutrition and Metabolism 32 3 2007 Applied Physiology * The effect of physical training on blood lipid profiles in adolescents with insulin-dependent diabetes mellitus. The Physican and Sportsmedicine BNCampaigne 1985 13 * 6 -Can Yoga Cure Diabetes ? RChandrasekhar 2009 1 * What are the health benefits of physical activity in type 1 diabetes mellitus? MChimen AKennedy KNirantharakumar TTPang RAndrews PNarendran 2012 A literature review * 10.1007/s00125-011-2403-2 Diabetologia 55 3 * Autonomy and insulin in adolescents with type 1 diabetes SJComeaux SSJaser 10.1038/jid.2014.371 Pediatric Diabetes 11 7 498 2010 * Yoga for adults with type 2 diabetes mellitus HCramer 10.1002/14651858.CD011658 Cochrane Database of Systematic Reviews 15 4 2015 * Physical activity levels of adolescents with type 1 diabetes physical activity in T1D VADe Lima LP GMascarenhas JPDecimo WCDe Souza AL SMonteiro ILahart SNFrança NLeite 10.1123/pes.2016-0199 Pediatric Exercise Science 29 2 2017 * Yogic suksma vyayama DhirendraBrahmachari 1973 77 * Effect of Yogic Exercise on Lipid Profile of Patients of Diabetes Mellitus Type Ii and Its Correlation with Addiction and Family History NDubey SKumar RKhare SSMishra 2014. September 4 * Quality of Life and Psychological Screening in Children with Type 1 Diabetes and their Mothers NSDuru MCivilibal MElevli 10.1055/s-0035-1555938 Experimental and Clinical Endocrinology and Diabetes 124 2 2015 * Yoga has Beneficial Effects on Patients with Chronic Diseases and Improves Immune Functions NEda 10.4172/2155-9627.1000197 Clinical Research & Bioethics 5 5 2014 * Yoga and immune system functioning: a systematic review of randomized controlled trials RIFalkenberg CEising MLPeters 10.1007/s10865-018-9914-y Journal of Behavioral Medicine 41 4 2018 * Microvascular and Macrovascular Complications of Diabetes MJFowler Clinical Diabetes 26 2 2008 * Effects of Yoga in type 2 diabetes mellitus with hypertension: Alteration in RBC morphology as a marker for oxidative stress LGowtham Indian Journal of Physiology and Pharmacology 62 1 2018 * Effects of regular physical activity on control of glycemia in pediatric patients with type 1 diabetes mellitus AHerbst RBachran TKapellen RWHoll Archives of Pediatrics and Adolescent Medicine 160 6 2006 * Association of glucose levels and glucose variability with mood in type 1 diabetic patients NHermanns CScheff BKulzer PWeyers PPauli TKubiak THaak 10.1007/s00125-007-0643-y Diabetologia 50 5 2007 * Glycemic variability: It's not just about A1C anymore! IBHirsch 10.1089/dia.2005.7.780 Diabetes Technology and Therapeutics 7 5 2005 * Effectiveness of yoga for patients with diabetes mellitus NHongasandra 10.18520/cs/v113/i07/1337-1353 Current Science 113 7 2017 * Correlates of glycemic control and quality of life outcomes in adolescents with type 1 diabetes LMIngerski LLaffel DDrotar DRepaske KKHood 10.1007/BF01 Pediatric Diabetes 11 8 318 2010 Juvenile Diabetes with yoga by K N Udupa Books * Hypoglycemia: The neglected complication SKalra JMukherjee ARamachandran BSaboo SShaikh SVenkataraman GBantwal ADas 10.4103/2230-8210.117219 Indian Journal of Endocrinology and Metabolism 17 5 2013 * Diabetes care provision: Barriers, enablers and service needs of young adults with Type 1 diabetes from a region of social disadvantage KJKibbey JSpeight JL AWong LASmith HJTeede 10.1111/dme.12227 Diabetic Medicine 30 7 2013 * Yoga practice in diabetes improves physical and psychological outcomes MKosuri GSridhar Metabolic Syndrome and Related Disorders 7 6 2009 * Effect of yoga therapy on fasting blood sugar and to study the distribution of anthropometric measures in type-2 diabetes SKudigra ANs 2018 * 10.15406/ijcam.2018.11.00345 * The effect of clinical sequence of yogapathy on Type 2 diabetes mellitus ARKumar 2017 3 * a Quantitative Approach To Content Validity KKumar 10.1002/1465 Personnel Psychology June. LAWSHE, C. H. 28 4 2015. 1975 Scientific basis of Yoga * Effects of Yoga on Psychological Health, Quality of Life, and Physical Health of Patients with Cancer: A Meta-Analysis KLin Yin YHu Ting KChang Jen HLin Fen JTsauo Yih 10.1155/2011/659876 Evidence-Based Complementary and Alternative Medicine 2011. 2011 * Development and validation of a yoga module for Parkinson disease KMetri SVarambally NSciences HNagendra 10.1515/jcim-2015-0112 2017. February 2018 * the beneficial effect of yoga in diabetes VMohan .SSingh OTandon SSharma Nepal Medical College Journal 7 2 2005 * Yoga for Back Pain HRNagendra 2003 Swami Vivekananda Yoga Publications * Role of yoga on cardic autonomic function tests and cognition in type 2 diabetes RNagothu International Journal of Research in Ayurveda and Pharmacy 6 6 2015 * 10.4172/2155-9627.10 * Weight Control Practices and Disordered Eating Behaviors Among Adolescent Females and Males With Type 1 Diabetes DNeumark-Sztainer JPatterson AMellin DMAckard JUtter Story JSockalosky Diabetes Care 25 8 2002 * Relevance of anger and irritability in outpatients with major depressive disorder MPasquini APicardi MBiondi PGaetano PMorosini 10.1159/000079418 Psychopathology 37 4 2004 * Importance of Patient-Provider Communication to Adherence in Adolescents with Type 1 Diabetes JPatel NDatye A KJaser S S 10.3390/healthcare6020030 Healthcare 6 2 30 2018 * Effect of yoga on cardiac autonomic dysfunction and insulin resistance in non-diabetic offspring of type-2-diabetes parents: A randomized controlled study SPatil %2010.1001/archped Complementary Therapies in Clinical Practice 34 2019 * Does glycemic variability impact mood and quality of life? SPenckofer LQuinn MByrn CFerrans MMiller PStrange 10.1089/dia.2011.0191 Diabetes Technology and Therapeutics 14 4 2012 * Levels and risks of depression and anxiety symptomatology among diabetic adults MPeyrot RRRubin 10.2337/diacare.20.4.585 Diabetes Care 20 4 1997 * Depression and poor glycemic control: a meta-analytic review of the literature LPj ARj FKe GRm CRe C Diabetes Care 23 7 9 2000 * Yoga : An endocrine therapy SRPrabhu SMahadevan SJagadeesh SSuresh 10.4103/2230-8210.152800 2015 19 * Effects of Yoga on Inflammation and Exercise Capacity in Patients with Chronic Heart Failure GProgram OTherapy PRPullen SHNagamia PKMehta WRThompson DA NBenardot RHammoud JMParrott SSola 2008 14 Yoga for Your Life * 10.1016/j.cardfail.2007.12.007 * Case-control study of disturbed eating behaviors and related psychographic characteristics in young adults with and without diet-related chronic health conditions VMQuick RMcwilliams CByrd-Bredbenner 10.1016/j.eatbeh.2012.02.003 Eating Behaviors 13 3 2012 * Emphasis of Yoga in the Management of Diabetes SRaj 10.4172/2155-6156.1000613 2016. January 2015 * Quality of life of children and adolescents with type 1 diabetes in Kuwait MRasoul FAlotaibi AAbdulla ZRahme FAlshawaf Medical Principles and Practice 22 4 2013 * 10.15406/ijcam.2018 * Review Article Therapeutic Role of Yoga in Type 2 Diabetes AVRaveendran ADeshpandae SRJoshi 2018 * Effect of Aerobic and Resistance Exercise on Glycemic Control in Adults With Type 1 Diabetes RReddy AWittenberg JRCastle JEl Youssef KWinters-Stone MGillingham PGJacobs 10.1111/j.1744-6570.1975.tb0 In Canadian Journal of Diabetes 2018 Elsevier Inc * DRodrigues 10.4172/2329-6925.1000286 Journal of Vascular Medicine & Surgery 4 5 2016 * The Health Benefits of Yoga and Exercise: A Review of Comparison Studies ARoss SThomas 10.1155/201 The Journal of Alternative and Complementary Medicine 16 1 2010 * Role of yoga in diabetes BKSahay JAPI 55 2007 * Effects of a yoga intervention on lipid profiles of diabetes patients with dyslipidemia SSSaraswati Yoga Kriya NShantakumari SSequeira REl Deeb Indian Heart Journal 65 2 2004. 2013 * 10.1016/j.ihj.2013.02.010 * Juvenile Diabetes: Better to Prevent Than Cure DB DSharma 10.20959/wjpr20174-8169 World Journal of Pharmaceutical Research 6 4 2017 * Effect of Yogic Practices on Immunity and Study Habit in School Children KKSharma H TPUdayakumara K 2013. 19 19 * A Study on the Effect of Yoga Therapy on Liver Functions KKSharma MSc KUdayakumara MSc K PKSc M 2014 10 * Effects of Yoga on Blood Glucose, Insulin and C-Peptide Levels in Patients of Diabetes Mellitus NShrivastava SVerma BPTikariha * A Randomized controlled trial of the effect of yoga and peer support on glycaemic outcomes in women with type 2 diabetes mellitus: A feasibility study ASreedevi 10.1186/s12906-017-1574-x BMC Complementary and Alternative Medicine 17 1 2017 * Hatha Yoga Pradipika (First) Sw Mukibodha 2000 Yoga Publication Trust * Role of immune system in type 1 diabetes mellitus pathogenesis LSzablewski 10.1016/j.intimp.2014.06.033 International Immunopharmacology 2014 * Acceptance of a Newly Developed Yoga Module amongst the Elderly with Type 2 Diabetes Mellitus AThulasi AJagannathan VKumar PAngadi RNagarathna * Hemoglobin Level Serum Lipid Profile in Community Dwelling Elderly Subjects with Controlled Trial KVaishali KVKumar PAdhikari BUnnikrishnan 10.3109/02703181.2012.656835 2012. October 2011 30 * Influence of Time of Yoga Practice and Gender Differences on Blood Glucose Levels in Type 2 Diabetes Mellitus and Normal Healthy Adults VVijayakumar 10.1016/j.explore.2017.11.003 Explore 14 4 2018 * Effect of Integrated Approach of Yoga Therapy on Autonomic Functions in Patients with Type2 Diabetes HTVinutha BRRaghavendra NKManjunath Indian Journal of Endocrinology and Metabolism 5 19 2015 * Alcohol and marijuana use and treatment nonadherence among medically vulnerable youth ERWeitzman REZiemnik QHuang SLevy 10.1542/peds.2015-0722 Pediatrics 136 3 2015 * Yoga for diabetes mellitus * The effect of yoga exercise on secretion of cortisol in women ZZivdar BZivdar International Journal of Sport Studies 4 10 2014