Effect of Virtual Yoga in Diabetic Gastroparesis Patients

Diabetic gastroparesis (DGP), a chronic complication of diabetes mellitus, ischaracterized by delayed gastric emptying without evidence of mechanical obstruction. Itresults from a complex interplay of factors, including hyperglycemia‐induced vagal nervedysfunction, and impaired gastric motility. DGP predominantly affects individuals withlong‐standing diabetes, particularly those with poor glycemic control or diabeticneuropathy .The condition presents with a constellation of symptoms, including nausea, vomiting,bloating, early satiety and abdominal pain, which significantly impair quality of life .Beyond its physiological burden, DGP often leads to psychological distress, mentalwell‐being, anxiety, depression, and sleep disorders.Conventional management of DGP encompasses dietary modifications, pharmacologicaltreatments, and invasive interventions. Small, frequent meals and low‐fat, low‐fiberdiets are often recommended to minimize symptom severity. Pharmacological therapies, suchas prokinetic agents (e.g., metoclopramide, domperidone) and antiemetics, providesymptomatic relief but are limited by side effects and inconsistent efficacy. Inrefractory cases, interventions like gastric electrical stimulation may be employed.Despite these measures, most patients experience incomplete relief, highlighting the needfor novel, holistic approaches to management.In addition to conventional therapies, complementary and alternative approaches likeacupressure, a non‐invasive technique, have been explored as a potential intervention forgastroparesis. Studies suggest that acupressure points such as (P6) and (ST36), canimprove gastric motility and reduce symptoms like nausea and vomiting by modulating vagalactivity and enhancing gastric peristalsis.Yoga, another integrative therapy, has also demonstrated efficacy in addressinggastrointestinal disorders such as irritable bowel syndrome (IBS) and functionaldyspepsia. Yoga‐based intervention has shown promising results in improving autonomicregulation and managing diabetic neuropathy through yoga.Given its multifaceted benefits, when combined with standard care, yoga‐basedinterventions can significantly enhance autonomic function, improve glycemic control, andreduce the severity of neuropathic symptoms in patients with diabetes mellitus. Thesefindings suggest that yoga may have a beneficial role in managing the symptom severityand quality of life in gastrointestinal complications such as diabetic gastroparesis.In this study, we will evaluate the effect of a virtual yoga module on physical andpsychological symptoms and quality of life of patients with diabetic gastroparesis. Thisstudy will fill a critical gap in whether an ancient holistic practice like Yoga has anyeffect on physical and mental health of these patients.