Modification in the life style in diabetic patient is very essential in prevention, management and postponing complications due to diabetes.

Aim of life style changes are:

1. Increased physical activities.
2. Eat healthy diet.
3. Reduce stress.

Physical activity:

• Exercise is very helpful for all those with or without diabetes.
• Physical activity burn up glycogen in body. To get rid of fat, you need to work out for at least 30 minutes every day, about 4 times a week.
• Exercise causes improvement in insulin action leading to better control of diabetes.

General exercise precautions:

• Encourage to stay safe and ensure that exercise is productive.
• Exercise programs carried out with precaution so that the person does not feel fatigue.

• Wear comfortable footwear during exercise andwash the feet with soap and water and dry thoroughly.
• Wear loose and comfortable cloths during exercise.
• People with high blood glucose and complications should not exercise unless advised by physician

• People with foot infections should avoid exercise.
• People with heart problems to avoid exercise unless advised by physician
• People with diabetic eye complications are advised to avoid heavy weight lifting as it can cause bleeding in eye.
• People with tingling and numbness should avoid weight bearing exercise such as running which can lead to foot ulcers and stress fractures.

Type of exercise:

• Walking – 1 km in 20minutesinitially and then gradually increase to 2 km in 20 minutes in week's time or continuous walking for 30 minutes.

          Use the stairs instead of lift 10 minutes of stairs climbing is equal to 30 minutes of walking.

• Cycling- Use  bicycle for short distance instead of motorcycle.
• Jogging for 30 minutes
• Swimming for 30 minutes
• People who cannot walk like in arthritis can do breathing exercise and yoga as advised by physician.

Intensity:

Increase the exercise intensity gradually and stop if there is any discomfort in chest, nausea or breathlessness.

Duration:

Stretching and warm up exercise for 10 minutes followed by 20 minutes regular exercise and increase gradually for 30 minutes or as advised by physician.

Timing:

Usually exercise in the morning, avoid late evening exercise.

Stress:

• Diagnosis of diabetes is a stressful situation in life of an individual
• Do not get stressed out, stress increases blood sugar level
• Family support and a healthy work place is important.
• Do yoga and meditation
• Deep breathing exercise
• Listening to music

• The main reasons for the rise of incidence of and mortality from non-communicable diseases including diabetes are unhealthy lifestyles and a lack of early and frequent screening for high risk diseases. Solution of Mobile Medical Units directly addresses the reasons: we educate about, screen for, manage and follow up with people who have diabetes. Through this outreach program patients are provided medicines on a monthly basis and indigenously developed application monitoring systemmaintains electronic medical records of beneficiaries to enable comprehensive disease management.