Ayurvedic Management of Type 2 Diabetes Mellitus – A Case Report

Abstract

Diabetes mellitus, often simply referred to as diabetes, is a complex and chronic metabolic disorder characterized by elevated levels of glucose in the blood. It remains a significant global health challenge today. This condition develops due to the body’s inability to properly regulate blood glucose levels, leading to various complications if not managed properly. Management of type 2 diabetes mellitus in modern medicine involves a combination of lifestyle modifications, medications, and regular monitoring. Modern medicine for treating type 2 diabetes mellitus has several drawbacks, which include side effects such as gastrointestinal issues, weight gain, and cardiovascular risks. The cost of these medications, especially newer ones, can be prohibitively high, limiting access for some patients. Adherence to complex medication regimens can be challenging, reducing treatment efficacy. There is also a tendency to rely heavily on medications instead of addressing crucial lifestyle factors like diet and exercise. Additionally, treatments such as insulin and sulfonylureas carry the risk of hypoglycaemia, which can be dangerous. In the present case study, a 47-year-old female patient with a known history of type 2 diabetes mellitus presented with a glycosylated haemoglobin (HbA1c) level of 12.2%, a postprandial blood sugar (PPBS) of 511 mg/dL, and a fasting blood sugar (FBS) of 346 mg/dL. The patient exhibited symptoms of polyurea, lethargy, increased sweating and burning sensation in the soles. Following traditional Ayurvedic principles and considering her specific clinical issues, she was administered with aqueous extract of  Madhunashini (Gymnema Sylvestre), Guluchyadi kashayam, Triphala choornam and Chandraprabha vati, from June 13, 2023, to February 13, 2024. The therapy proved effective, resulting in a significant improvement in her health condition, with her HbA1c level decreasing to 7.4% after eight months. This case study highlights the potential efficacy of Ayurvedic therapy in managing diabetes mellitus, suggesting that these results could prompt further research and advancements in Ayurvedic treatments.