Diabetes Self-Management Blog

During the last 10–15 years, many of us involved in the world of health and healing have been intrigued by alternative medicine and complementary therapies. Some of these therapies have been embraced for a long time, even though they haven’t been researched for effectiveness. They are often used by people because we believe that are going to work, and in some instances they actually do work to help us feel better. But because they often haven’t been fully researched, we’re not totally sure if they seem to work because of a placebo effect or because they are actually doing something to make a difference.

Over the last 10 years or so, we have come to understand a new concept called psychoneuroimmunology, or PNI for short. This concept suggests that there is a reason to believe that the thing we call the mind-body interaction actually has a basis in fact. PNI is the study of how the mind affects the body and how the body affects the mind. It suggests that, on a cellular level, we can influence how we feel and how we are reacting to life simply by imagining pleasant circumstances. PNI is also interested in the effects of how we think on our immune system.

One of the PNI treatment strategies that has been researched extensively is guided imagery. This type of therapy consists of becoming very relaxed and then imagining anything from a pleasant scene or sense of a scene to actually imagining using your own immune system to fight off illness. With an illness like cancer, for instance, a person using guided imagery might imagine his body’s own defense system working with his chemotherapy to fight off the cancer. Guided imagery can actually be far more complex than this, but you get the idea.

With diabetes, imagery may be used to bolster how you see yourself in relation to the condition. For example, one of the images I teach people to use is that of a mountain. A mountain weathers all storms, temperatures, seasonal changes, winds, and rain to remain solid. Mountains are enduring of change, and have their own unique character, strength, and beauty. They have the ability to withstand the forces of nature, hold on to their strength, and have openness to all seasons. They live with change and yet are not broken by it.

I believe that people who live with diabetes need many of these characteristics—the ability to persist, endure change, and still maintain the strength to face whatever comes their way. I know from my own practice of meditation and guided imagery that these practices can work to effectively bolster our self-care.

For more information on guided imagery, PNI, or complementary therapies, some people to look up online include the following: Candace Pert, Joan Borysenko, and Jeanne Achterberg. You can also look to my Web site, www.mindfuljoe.com, for an example of “The Mountain Meditation,” which is the guided imagery I mentioned before.


  1. My mom have diabetes for 10 years, Her blood test show 6.5 but her right leg skin near to ankle began to crack and watery subtance began to bleed. It is very painful for her. Can you tell what to do this situation and how to heal through guided imagery. Thank you.

    Posted by mara |

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