Resting is hard for me. I would rather be on the go, overcoming hurdles or realizing my life vision. However, it’s difficult to achieve creative goals without rest, introspection, and relaxation. The same is true in diabetes care. If you have diabetes, like me, you’re constantly connected to your continuous glucose monitor, personal diabetes manager, or insulin pump. People with this condition are plugged into a monitor to stay alive, and blood glucose readings get mixed up with who we think we are and we lose our sense of self. Every arrow on the screen, every deviation up or down leaves a residue of subtle negative emotion in the landscape of the body and mind, making it impossible to relax, because every misstep can have potentially deadly consequences.
Any person facing modern technological advances suffers a great deal from similar mind spin; diabetes is just the microcosm of the macrocosm. The disease simply accentuates the detrimental distractions that people face without diabetes. Mental fluctuations are influenced by external and internal factors. For instance, a blood glucose reading of 400 mg/dL (very high!) can be a catalyst for thoughts that can spiral out of control because of past negative experiences—any number outside of normal range may cause you to remember the last time your glucose was too high and how awful you felt. Even more subtle than the thought is the impression left by the event. You may carry judgmental guilt, stew in the past, fret about what you should have done, worry about the long-term effects, or whatever the story may be. When the mind spins, we often react instead of respond. On a physiological level, the nervous system is in overdrive. A heightened state of arousal (being on guard) sends internal alarms into hyper-mode. Our brains tell our bodies that there’s an emergency, pumping stress hormones such as cortisol, adrenaline, and glycogen into the bloodstream. The unintentional effect is insulin resistance (resulting in increased blood sugar), making diabetes much harder to manage. The cumulative result of this vicious cycle is distress, anxiety, and depression.
There is a saying in the diabetes community that we are greater than the sum of the highs and lows. What this means is that although you may have diabetes, you are not diabetes. This may make sense on a cognitive level; however, it cannot be fully understood and integrated into your life until it is realized directly through practice. The sage Patanjali writes about mind chatter in the Yoga Sutra as chitta vritti—fluctuations of consciousness. A goal of yoga is to nullify these fluctuations so that you can rest in your own self-essence, free of all conditions. Yoga intervention practices can stop the spinning cycle, calming the mind and promoting your natural ability to regenerate, heal, and process unwanted emotion. I have type 1 diabetes, and although, as a yoga therapist, I prescribe different exercises for different types of diabetes, the yoga therapy practice on the following pages will benefit anyone who is living with a chronic illness. It promotes an exciting mix of energies—some stimulating and some pacifying—to help you self regulate and balance out the highs and lows.
People with type 1 diabetes cannot produce insulin, a hormone secreted by the pancreas that transports energy from food into the body’s cells. They need to take insulin to avoid complications from hyper-glycemia. Insulin can be administered with a pump or an injection pen.
Sequence - Mitigate Your Response to Stress
About our author
Teacher and Model Evan Soroka is a yoga therapist living with type I diabetes in Aspen, Colorado. She is the owner of Evan Soroka Yoga Therapy, founder of the Rise Above Diabetes Program, and a contributor to Yoga Journal and Yoga International. She received her extensive credentials from Gary Kraftsow and the American Viniyoga Institute. Evan continues to study under the guidance and mentorship of Yogarupa Rod Stryker. Learn more at evansoroka.com.