Original Research ArticleInternational Journal of Research in Medical Sciences

Publication:
The effectiveness of HeartMath biofeedback intervention to improve blood glucose levels among type 2 diabetes mellitus patients

Int J Res Med Sci. 2026;14(4):1405-1410.DOI10.18203/2320-6012.ijrms20260947

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Abstract

Background Biofeedback interventions are widely used among naturopathic practitioners to treat and manage various health conditions, such as mental health-related disorders, hypertension, and diabetes mellitus. The aim of the study was to evaluate the efficacy of the biofeedback HeartMath emWave Pro intervention in patients with type 2 diabetes mellitus (T2DM).

Methods A total of 25 adults [male (n=14) and female (n=11)] participants (age: 51.32±4.13 years) were recruited in this quasi-experimental pilot study. Heart rate variability (HRV) and breathing analysis were trained and measured using HeartMath emWave Pro during biofeedback training. Blood glucose parameters [haemoglobin A1c (A1c)], fasting blood glucose, and post-prandial blood sugar) were measured pre- and post-intervention using a biochemistry auto-analyzer. Data were analyzed via the Wilcoxon Signed Rank test and Spearman correlation.

Results Post-intervention findings revealed a significant difference in HbA1c, fasting blood sugar, post-prandial blood sugar, and cortisol (all, p<0.05). Post intervention, thyroid-stimulating hormone (TSH) (r=-0.408) and breathing (r=0.465) showed significant correlation with HRV (all, p<0.05).

Conclusions These findings suggest that HeartMath biofeedback training may improve blood glucose control in individuals with T2DM.

Keywords

Affiliations

  1. Department of Natural Medicine, International Quantum University of Integrative Medicine, Honolulu, Hawaii, USA

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