Type 2 diabetes is inherent in poor physical performance and cognitive functions that affect patients' overall performance in their activities of daily
living (ADL) (Lindsay et al., 2016) . Diabetes and cognitive dysfunction are linked, according to epidemiological evidence. When compared to
adults without type 2 diabetes, adults who develop type 2 diabetes later in life have cognitive decits; psychomotor productivity, executive
function, and learning and memory skills are often the most affected(Wrighten et al., 2009; Okereke, 2008.).So this study aims to investigate the.
efcacy of pranayamic breathing on cognition and Instrumental Activities of Daily living (IADL) in type2 diabetes mellitus.(DM). Thirty type2
Diabetic patients between 45-65 years of age were selected randomly and were divided into two groups. Group A received pranayama breathing
with conventional physiotherapy for 5 days a week for 4 weeks. Group B received conventional physiotherapy. Montreal cognitive assessment
scale (MoCA) and Functional activities questionnaire (FAQ) were reported to determine cognition and IADL.Between group comparison of
MOCAshowed that the paired difference obtained from pretest to post test in the experimental group was 3.80±0.862 and in the conventional group
1.13±0.352, the effect size was 4.05 and this observed difference was statistically signicant (p<0.001). Between group comparison of FAQ says
that the paired difference obtained was 3.33±0.816 for experimental group and 1.80±1.47 for control group. The effect size observed was 1.28 and
it was statistically signicant (p=0.002).The ndings of the study show that there is signicant difference between the scores of two groups which
concludes , pranayama breathing with conventional physiotherapy has shown signicant improvement in cognition and Instrumental Activities of
daily living among Type 2 Diabetes Mellitus..