Evidence-Based Practice in Diabetes Treatment

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Evidence-Based Practice in Diabetes Treatment

One of the demands for caregivers in the healthcare sector is a need to ensure that they apply an evidence-based approach in their undertakings. The evidence-based method guarantees that the treatment is based on an informed approach, so that the caregivers can refer to the most updated knowledge and adhere to patients’ information and symptoms (Kim & Mallory, 2014). Moreover, through the use of evidence-based approach in medicine, it becomes possible to deliver the most effective treatment for patients. Therefore, the use of the evidence-based approach makes it easier for the caregivers to provide patient-centered help. The goal of this research paper is to analyze how effective yoga is helpful for the treatment of oxidative stress in the elderly patients who have type 2 diabetes.

Study on Oxidative Stress in Type 2 Diabetes Subjects


In the line of capturing an accurately assessing the effects of yoga in reducing stress level among the elderly type 2 diabetes patients, the research has first evaluated the oxidative stress levels among the young and elderly. It was necessary for identifying the impact of the three-month yoga exercises on the oxidative stress. The study applied a sample of (age>60=42) and (age<60, n=45) that was subjected to the yoga while still continuing their medication (Shreelaxmi et al., 2016). Moreover, the study ensured that the participants were non-alcoholic and non-smokers and the fact that all were in good health for the previous 30 days. There was also a condition for the participants to be willing to attend yoga classes. These conditions were necessary to ensure that the changes that were exhibited by the participants after the research experiment were mainly due to the effects of the yoga exercises.

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During three months of participation in yoga classes, the patients were subjected to length measurements, weight measurement, blood pressure, and BMI. There was also the analysis of plasma, aimed at capturing the levels of glucose and vitamin C. Packed cell and red blood cells hemolysates were analyzed in order to capture the element of malondialdehyde (MDA) and the trend exhibited by glutathione levels.


Yoga attendance rates amounted to 90-95%  with 82 participants, who completed the study. Age and MDA had a positive relationship (+0.274) while the relationship between age and antioxidant levels of GSH (r-0.077) showed negative results, and there was a similar case with vitamin C (r-0.083). Another variable that was of interest showed the correlation between Malondialdehyde and antioxidants, and it has also displayed a negative relationship of GSH (r-0.186) and vitamin C (r-0.012) (Shreelaxmi et al., 2016). Moreover, the two groups demonstrated a decline in the mean BMI: group 1 (younger participants= p<0.001) and in group 2 (elder participants=p<0.001). There was also a positive change in oxidative stress that was indicated by MDA, because there was a reduction of 18% and 22% in group 1 and 2 respectively. Glutathione levels among the two groups have also improved with group 1 capturing a 15% growth, while in group 2 there was a relatively small increase of 10% (Shreelaxmi et al., 2016). Generally, it was clear that yoga played a helpful role when it came to the reduction of the blood pressure.

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Analysis of the Results

The results clearly indicated that exposing elderly to yoga for three-month plays a crucial role in reducing the oxidative stress of patients who have diabetes type 2. Moreover, the study made it evident that oxidative stress increases with age among those who have diabetes type 2. It means that older adults with this disease are more vulnerable to oxidative stress. The study also shows that oxidative stress makes diabetes type 2 more complicated, and this aspect exposes the older adults to more risks (Vora & Evans, 2012). Moreover, it is clear that the yoga’s impact on reducing oxidative stress was higher comparing to the younger group. Moreover, thorough yoga exercises also helped in reducing the BMI that was demanded by caregivers of people suffering from any form of diabetes. It was also the case when it came to reducing the blood pressure.

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Relevance of the Findings to Diabetes Management and Nurse Practice

In the management of diabetes nurses and other physicians need to ensure that patients can keep their blood pressure under control. Moreover, there is a need to encourage patients to physical activity, necessary for keeping the BMI on the check (Felig, 2016). Another key demand is to protect patients from any form of stress, since it may lead to the body producing hormones that may interfere with the effectiveness of insulin. All these demands are supported by the results of the study, which indicates that yoga can provide a platform upon which management of the diabetes type 2 among the elderly people can be done in a more proactive manner. The application of yoga brings benefits, as it makes the management of diabetes type 2 among the elderly more engaging and exciting. Moreover, through the reduction of the oxidative stress that just like any other type of stress leads to complication among the diabetes patients (Shreelaxmi et al., 2016), yoga exercises can be used not only to reduce stress levels among the elderly but also to help them to be active. It influences the management of cases of diabetes type 2 among the elderly, as it becomes less complicated and does not depend exclusively on medication when dealing with cases such as blood pressure.

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It is evident that yoga exercises provide means for reducing the oxidative stress among the elderly. Moreover, any form of stress makes the treatment of diabetes more difficult, since it reduces the effectiveness of insulin in the body, as it leads to the production of hormones. In this context, the study clearly demonstrates that yoga can also help in reducing blood pressure that is necessary when it comes to managing cases of diabetes. It is clear that caregivers can recommend that their elderly patients with diabetes type 2 attend yoga cases in order to reduce their oxidative stress levels and manage their blood pressure levels while at the same time be active.