CC BY-NC-ND 4.0 · Journal of Social Health and Diabetes 2019; 07(01): 033
DOI: 10.1055/s-0039-1683463
Letter to the Editor
Novo Nordisk Education Foundation

The Hindi Pentad of V: Vijay over Diabetes

Bharti Kalra
1  Department of Gynaecology, Bharti Hospital, Karnal, Haryana, India
Hans Raj Kalra
2  Department of Diabetes Education, Bharti Hospital, Karnal, Haryana, India
Navneet Aggarwal
3  Department of Diabetology, DOT Centre, Gwalior, Madhya Pradesh, India
Shrimant Kumar Sahoo
4  Department of Diabetology, Global Hospital and Research Center, Mount Abu, Rajasthan, India
› Author Affiliations
Further Information

Publication History

Received: 19 November 2018

Accepted after revision: 21 November 2018

Publication Date:
28 June 2019 (online)


Motivation of a person with diabetes is a challenging aspect of diabetes care. Persons with diabetes, and their caregivers, find it difficult to internalize the concepts of diabetes care philosophy. We share a simple, Hindi language–based model, designed in an alliterative manner, to explain the constituents of good diabetes self-care and their strength.

The proactive pentad of vijay (victory) over diabetes, as we term it, includes the five Vs: vyanjan (diet), vyayam (exercise), vichaar (stress management), vyavhaar (behavior), and vaidya anupalan (adherence to therapy). Following these five Vs can help overcome deleterious effects of virasat (genes) and vatavaran (environment) and help modify vidhi ka vidhaan (destiny) ([Fig. 1]).

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Fig. 1 The proactive pentad of Vs.

Thus, the pentad of Vs fosters a proactive and optimistic outlook, in a patient-centered manner. This model is concordant with the concept of metabolic karma, as it encourages actions designed to improve future outcomes. It stimulates the internal locus of control of the person with diabetes, thus encouraging active self-care and self-management. The five pointed rubric can also be used as a motivational tool for family and community members.