Nisha Shinde and Subhash Khatri/ Elixir Physio. & Anatomy 84 (2015) 33733-33736 33733 Introduction The number of cases of diabetes is on a rise in India, owing to many of the risk factors including change in lifestyle and standard of living. The data given by the WHO is much less than the actual gravity of the condition. WHO says that India ranks highest with 32 million diabetic patients and this number will increase to 79.4 million by the year 2030. It has affected around 10-16% of the urban population and 5-8% of the rural population.[1] The population of India has now crossed 1000 million, and this should give us the magnitude of the problem, with average estimate of patients is about 40 million. This means that India has the highest number of diabetics than any other country in the world. Impaired Glucose Tolerance (IGT) is a mounting problem in the world. The prevalence of IGT is thought to be around 8.7 per cent in urban areas and 7.9 per cent in rural areas, although this estimate may be too high. [2,3] The pathogenesis of diabetes begins at a much earlier age in India that also means that chronic long term effects like Retinopathy, Cardiomyopathy, Vasculopathy, neuropathy and Nephropathy. Suffering from any of the complications of diabetes can be a very difficult to go through. Even though if individual is tough, it can be pretty devastating for that individual, and both family and friends. It is even worse for Individuals if they develop diabetes who already suffers from other existing conditions. [4,5] This is why one must treat this condition (diabetes) at the right time. It is a very sad fact is that there are people in the world who do not even know they have diabetes, even though they have [5]. It is a proven fact that people who suffers from diabetes also have a very high risk of developing other health conditions. Proper control over blood glucose levels is associated with a reduced risk for developing diabetes complications. [6,7 ]There are many ways in which diabetes can be prevented. From the time of recognition of diabetes mellitus to now, different management methods have been recommended. The major medical care is insulin or other anti hyperglycemic drugs along with diet and exercise.[6] Despite this regular management, many complementary interventions had been used. Solutions or remedies by which one can remove the problems in life. Some of the remedies are nature, proper exercise, proper breathing, proper relaxation, proper diet, proper thinking, yoga, pranayama, meditation and recreation that could imply massage therapy and progressive muscle relaxation; are the special physiotherapy techniques.[7,8] In all the remedies one of the technique that are highly important to learn and implement into daily life is relaxation. Relaxation can be highly beneficial if practiced routinely in one‟s everyday life. The relaxation is widel y used by people to reduce anxiety and cope with stress-related problems. [9] In the clinical setting, relaxation procedures are active, educational forms of therapy that can decrease the occurrence of tension and anxiety disorders. Clinical Relaxation can ease or eliminate problems for those already afflicted as well. In clinical intervention, the client and therapist work collaboratively to understand the source of the problem and its impact in that person‟s life. Relaxation therapy is initiated and taught in the clinician‟s office but is practiced primarily in the client‟s own environment. [10,11 ]There are countless methods used to achieve relaxation, but the procedures that are most commonly practiced in the clinical setting are Jacobson‟s (1938) Progressive Muscle Relaxation. [9] New research is showing the simple act of becoming relaxed can have surprising health benefits, In addition to the obvious psychological effects of relieving stress and mental tension, the new findings indicate, deep relaxation, if practiced regularly, can strengthen the immune system and produce a host of other medically valuable physiological changes. Moreover, the research shows, relaxation may help to prevent the disease by making people less Effect of Jacobson‟s Progressive muscle relaxation on Diabetes Mellitus II: RCT Nisha Shinde and Subhash Khatri College of Physiotherapy, Pravara Institute of Medical Sciences, Loni. ABSTRACT The objective of this randomized controlled study was to determine the effects of Jacobson‟s progressive muscle relaxation on blood glucose, QOL, Stress, and HbA1c (A1C) and cholesterol in patients with Diabetes mellitus II ( TDM2). Patients with diabetes mellitus II were randomized to either groups. Session of JPMR and sessions of routine management. All sessions were individual. Ttotal of 20 participants were entered, and 19 completed the 3-month protocol. A blood glucose, A1C, Cholesterol were assessed, and WHOQOL and HADS for depression and anxiety were administered pre-randomization and after completion of intervention for both groups. Statistical analysis was done for comparison of both groups. After applying “ t ” test pre relaxation and post relaxation data shows highly significance difference between mean and standard deviation values of all parameters in group A i.e. (p <0.01) This pilot study supports the use of Jacobson‟s progressive muscle relaxation in patients with Diabetes mellitus II ( TDM2) Further research is necessary to determine the long-term effects of JPMR Jacobson‟s Progressive muscle relaxation can be included in routine management in Diabetes mellitus II. © 2015 Elixir All rights reserved. ARTICLE INFO Article history: Received: 15 May 2015; Received in revised form: 8 July 2015; Accepted: 16 July 2015; Keywords Diabetes Mellitus, TDM2, JPMR, QOL, Stress, Paired t test. Elixir Physio. & Anatomy 84 (2015) 33733-33736 Physiology and Anatomy Available online at www.elixirpublishers.com (Elixir International Journal) Tele: E-mail addresses: nishakiran63@gmail.com © 2015 Elixir All rights reserved