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DOI: 10.1055/s-0039-1683468
Metabolic Vipaka
Publication History
Received: 06 December 2018
Accepted after revision: 11 December 2018
Publication Date:
28 June 2019 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00041241/201901/lookinside/thumbnails/10-1055-s-0039-1683468_00047-1.jpg)
Abstract
Diabetes management should focus on biopsychosocial aspects and comprehensive care. The philosophical tenets of Buddhism can be a source of inspiration for both the individual with diabetes and health care provider. Buddhism preaches the immutable relationship between action and outcomes. This has a corollary in diabetes care; optimized metabolic control in diabetes is associated with improved short- and long-term outcomes and a legacy effect. Buddhism emphasizes on maintaining a “middle path.” When applied to diabetes care, this would mean avoiding both extremes of hyperglycemia and hypoglycemia and optimization of metabolic health while minimizing treatment-emergent adverse events. Mindfulness meditation-based stress reduction strategies may further improve not only psychological health but also biophysical outcomes in diabetes and merit further research.
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