Yoga for Modern City Life: Most Urbanites Start with a Class

The best place to start is with a class, where a teacher can show you how to adapt poses using props and help you learn proper technique for the postures.

The good news is that yoga classes have never been more widely available. You'll find them at small studios, health clubs and gyms. The hard part is finding a class that's just right for you. Studios that are dedicated to yoga also foster a more dedicated practice. The same students return to class week after week, and instructors usually follow a particular discipline of yoga. Some classes are aimed at beginners.

Whether you consider a studio or health club classes, here are some tips to find qualified instructors and classes that suit your needs:

Define your goals. Do you have chronic back pain or other physical limitations. An Iyengar-based class, with its emphasis on proper form and use of props, would be ideal. Looking to improve concentration and reduce stress. Consider a class that incorporates meditation. Seeking a challenging workout. Try an ashtanga class.

Ask about the instructor's background. There is no national certification program for yoga yet, although some disciplines have their own rigorous teaching certification programs. You want an instructor who has been practicing and teaching for a long time.

Check out the space. Look for rooms that are spacious and well ventilated. Plenty of props sticky mats, straps, foam bricks, blankets and bolsters are a good sign, too. Ideally, yoga rooms are quiet, but that may not be the case in a gym setting where students have to contend with loud music and clanking weight machines.

Yoga for Women: Before you Start

The following yoga poses can be done anytime, anywhere, or as part of another workout. Always warm up for a few minutes with some walking, marching or similar activity until your body and muscles feel loose and warm.

Breathe deeply and fully while holding the poses, breathing from your lower belly and diaphragm rather than holding your breath in your chest. In yoga a breath cycle is one inhale and one exhale.

Do the poses in a tranquil environment. Music, if used, should be tranquil and peaceful. Move to your own limits.

How to Start

You can get audio or video tapes that give breathing instruction and teach relaxation techniques at health food stores, bookstores, and by mail order. It's probably fine to learn breath and relaxation from a tape or booklet, but don't try the yoga exercises without a skilled teacher. He or she can make corrections, caution you when necessary, and help you to adapt poses, if you need to.

It will be worth it to you to spend a little time finding an instructor who is right for you. Your diabetes nurse educator or other health care professional may be able to recommend a yoga instructor. Get referrals for a yoga instructor as you would for any professional you might wish to consult.

Yoga instructors aren't required to be certified, but many are, through many different programs. Ask prospective teachers if they are certified. A certified teacher isn't necessarily better than someone who isn't certified, but it's something to consider.

Yoga is fun, healthy, and calming. It's a wise way handed down over several thousands of years. There is little danger in yoga, and even a little progress brings with it freedom and peace of mind.

Although most people with diabetes can exercise safely, exercise involves some risks. To shift the benefit-to-risk ratio in your favor, take these precautions:

Have a medical exam before you begin your exercise program, including an exercise test with EKG monitoring, especially if you have cardiovascular disease, you are over 35, you have high blood pressure or elevated cholesterol levels, you smoke, or you have a family history of heart disease.

Discuss with your doctor any unusual symptoms that you experience during or after exercise such as discomfort in your chest, neck, jaw, or arms; nausea, dizziness, fainting, or excessive shortness of breath; or short-term changes in vision.

If you have diabetes-related complications, check with your healthcare team about special precautions. Consider exercising in a medically supervised program, at least initially, if you have peripheral vascular disease, retinopathy, autonomic neuropathy, or kidney problems.

Learn how to prevent and treat low blood glucose levels (hypoglycemia). If you take oral agents or insulin, monitor your blood glucose levels before, during, and after exercise.

If you have type I, and your blood glucose is above 250 milligrams per deciliter, check your urine for ketones. Don't exercise if ketones are present, because exercise will increase your risk of ketoacidosis and coma.

Always warm up and cool down.

Don't exercise outdoors when the weather is too hot and humid, or too cold.