Research Summary
Analyzed using Evidence Intelligence™

Yoga and Naturopathy Improve Glycemic Control in Type 2 Diabetes

Last updated August 16, 2026

Key finding

HbA1c decreased significantly from 8.17 ± 1.11 to 6.95 ± 0.85 in YG (p < 0.001).

This study examined the impact of yoga and naturopathy on glycemic control and psychological stress in individuals with type 2 diabetes, finding significant improvements in HbA1c and stress levels.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study examined the impact of yoga and naturopathy on glycemic control and psychological stress in individuals with type 2 diabetes, finding significant improvements in HbA1c and stress levels.

Clinical relevance

These findings highlight the potential of integrating lifestyle interventions like yoga and naturopathy into diabetes management plans. Improved glycemic control can lead to better long-term health outcomes, while reduced psychological stress may enhance quality of life for individuals living with diabetes.

Keep in mind

Sample size not specified, which may affect generalizability. Potential for unmeasured confounders influencing outcomes. Short duration of intervention may limit long-term applicability.

Published in

Journal Reference

Publication details and source links for this paper.

Alexander M, John RA, Preety L, Ganesh P, Shivaprasad S, Prashanth S. The Effect of Yoga and Naturopathy on Glycemic Control and Psychological Stress in Type 2 Diabetes: A Randomized Controlled Trial. Cureus. 2025;17(12):e100378. doi:10.7759/cureus.100378

Main Effects

HbA1c decreased significantly from 8.17 ± 1.11 to 6.95 ± 0.85 (p < 0.001).

Fasting blood sugar decreased significantly (p < 0.001).

PSS scores dropped significantly from 17.7 ± 3.2 to 9.80 ± 1.67 (p < 0.001).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Combined Yoga and Gastro-Hepatic Pack (CYG), Gastro-Hepatic Pack Group (GH), Yoga Group (YG) and Diabetes Distress Scale score, Fasting blood sugar (FBS), Glucose iAUC (OGTT), and 2 more.

Primary intervention

Combined Yoga and Gastro-Hepatic Pack (CYG)

Primary outcomes

  • Diabetes Distress Scale score
  • Fasting blood sugar (FBS)
  • Glucose iAUC (OGTT)

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

15
Evidence pairs
15
Relationships
2
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 68

2

Related topics

15

Evidence pairs

622

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 15 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Add related evidence to your Evidence Tracker

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Primary evidence

Evidence topic

Glycemic Control

matched_outcome

Related evidence

Evidence topic

HbA1c Reduction

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Diabetes Distress Scale score

Combined Yoga and Gastro-Hepatic Pack (CYG) → Diabetes Distress Scale score

Combined Yoga and Gastro-Hepatic Pack (CYG) → Diabetes Distress Scale score

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Fasting blood sugar (FBS)

Combined Yoga and Gastro-Hepatic Pack (CYG) → Fasting blood sugar (FBS)

Combined Yoga and Gastro-Hepatic Pack (CYG) → Fasting blood sugar (FBS)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Glucose iAUC (OGTT)

Combined Yoga and Gastro-Hepatic Pack (CYG) → Glucose iAUC (OGTT)

Combined Yoga and Gastro-Hepatic Pack (CYG) → Glucose iAUC (OGTT)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Combined Yoga and Gastro-Hepatic Pack (CYG) → HbA1c

Combined Yoga and Gastro-Hepatic Pack (CYG) → HbA1c

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Stress

Combined Yoga and Gastro-Hepatic Pack (CYG) → Stress

Combined Yoga and Gastro-Hepatic Pack (CYG) → Stress

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Diabetes Distress Scale score

Gastro-Hepatic Pack Group (GH) → Diabetes Distress Scale score

Gastro-Hepatic Pack Group (GH) → Diabetes Distress Scale score

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Fasting blood sugar (FBS)

Gastro-Hepatic Pack Group (GH) → Fasting blood sugar (FBS)

Gastro-Hepatic Pack Group (GH) → Fasting blood sugar (FBS)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Glucose iAUC (OGTT)

Gastro-Hepatic Pack Group (GH) → Glucose iAUC (OGTT)

Gastro-Hepatic Pack Group (GH) → Glucose iAUC (OGTT)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Gastro-Hepatic Pack Group (GH) → HbA1c

Gastro-Hepatic Pack Group (GH) → HbA1c

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Stress

Gastro-Hepatic Pack Group (GH) → Stress

Gastro-Hepatic Pack Group (GH) → Stress

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Diabetes Distress Scale score

Yoga Group (YG) → Diabetes Distress Scale score

Yoga Group (YG) → Diabetes Distress Scale score

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Fasting blood sugar (FBS)

Yoga Group (YG) → Fasting blood sugar (FBS)

Yoga Group (YG) → Fasting blood sugar (FBS)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Glucose iAUC (OGTT)

Yoga Group (YG) → Glucose iAUC (OGTT)

Yoga Group (YG) → Glucose iAUC (OGTT)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Yoga Group (YG) → HbA1c

Yoga Group (YG) → HbA1c

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
75
Positive
ConsistencyScore™
35
mixed
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Stress

Yoga Group (YG) → Stress

Yoga Group (YG) → Stress

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
100
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • HbA1c levels decreased by up to 1.94% across interventions.
  • Fasting plasma glucose levels dropped significantly by 42 mg/dL.
  • PSS scores improved significantly, indicating reduced stress.
who this applies

Who this applies to

  • Adults aged 30-65 with type 2 diabetes.
  • Individuals seeking alternative lifestyle interventions for diabetes management.
keep in mind

Keep in Mind

  • Results may not apply to populations outside the study's demographic.
  • Further research needed to confirm long-term effects.
  • Intervention effectiveness may vary based on individual adherence.
between the lines

Between the Lines

  • Sample size not specified, which may affect generalizability.
  • Potential for unmeasured confounders influencing outcomes.
  • Short duration of intervention may limit long-term applicability.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Yoga Group (YG) and HbA1c, Yoga Group (YG) and Mental Health.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Yoga Group (YG) improve stress?

Moderate Evidence

Yoga Group (YG) appears to improve Stress.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Stress

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | strong positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Yoga Group (YG) improve HbA1c?

Moderate Evidence

Yoga Group (YG) may improve HbA1c.

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Combined Yoga and Gastro-Hepatic Pack (CYG) improve diabetes distress scale score?

Emerging Evidence

Combined Yoga and Gastro-Hepatic Pack (CYG) appears to improve Diabetes Distress Scale score.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Diabetes Distress Scale score

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Combined Yoga and Gastro-Hepatic Pack (CYG) improve fasting blood sugar (fbs)?

Emerging Evidence

Combined Yoga and Gastro-Hepatic Pack (CYG) appears to improve Fasting blood sugar (FBS).

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Fasting blood sugar (FBS)

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026
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