It generally believes that any disease caused is due to doshic imbalance. The doshas are the three humors that govern the human body, they are vata, pitta and kapha. It includes diabetes in the prameha category, which are a list of urinary disorders especially characterized by profuse urination with several abnormal qualities.

Classical Ayurvedic therapy for madhumeha (diabetes) begins with an assessment of the dosha imbalance. In all types of pramehas , kapha is vitiated, but in madhumeha, vata is often aggravated as well. Therefore, therapies will be directed at both vata and kapha simultaneously to restore the balance of the doshas.

By determining the causal imbalances at the basis of a disorder, an Ayurveda evaluation strikes the root causes of diabetes which are Overeating and consequent obesity, Excessive intake of sugar and refined carbohydrates, Overloading of proteins and fats which get converted into sugar if taken in excess, Excessive tension, worry, anxiety & grief, Hereditary factors.

Common ayurveda remedies include :

a) Diet restrictions -Avoid foods that increase kapha dosha like potatoes, rice, sugar, fatty foods and avoiding alcohol.

b) Exercise - Regular physical exercise is a must for diabetics. Practising yogic asanas like 'Halasan', 'Paschimottanasan" are found effective.

c) Panchakarma Therapy - The greatest benefit of Panchakarma is that it reduces the insulin resistance in the tissues in diabetics which is the primary goal in treating the diabetes.

i.e., Ayurveda also addresses the diet modification by eliminating sugar and simple carbohydrates, and emphasizing complex carbohydrates. Protein is limited, as excessive intake can damage the kidneys. Fat is also limited because there is often a deficiency of pancreatic enzymes, making fat digestion difficult. Since many diabetics have autoantibodies, Panchakarma is typically used for this cleansing the same. This begins with herbal massages and an herbal steam sauna, followed by fasting to cleanse the body. This is followed by an herbal purge for the liver, pancreas, and spleen. Colon therapy is next, first to cleanse the digestive tract and then to reconstitute the system.

Ayurvedic management of Diabetes depends on the strength of patient and type of diabetes he/she has. But some generalized management are mentioned below.

If the patient has sufficient strength panchakarma treatment can be started with snehana followed by vamana and virechana. Virechana can be repeated frequently. Dhanwantharam Gritham is apt for snehanam. Pizhichil is good for a week. Takradhara can also yield good results. Internal medicines that can be used are katakakhadiradi kashayam, aragvadhadi kashayam, nisadi kashayam, mehari dravakam and Nisha katakadi qwath. Apart from these ayaskriti and lodhrasavam are good.

Mehasamhari gulika, brihantmehantaka gulika, niruryadi gulika, svetagaunjadi gulika, haldi (turmeric), amalaki (gooseberry) choorna, nyagrodadhi churna,Brihat triphala churna, Madhumegha karpagm, nisosiradi tailam,or eladi tailam can be added to the kashayams as the case may be. Shilajit, vasntakusumakara rasa, nag bhasma, vanga bhasma, and chandraprabha vati can be used favorably.

Hyponidd tablets, Diabecon tablets, Mehanil tablets, Glucova, Nishakatakadi qwath tablet can be used on regular basis.

Sugar in any form like rice, especially from fresh grains, potato, banana, and other such cereals and fruits are to be avoided. Fat intake should also be avoided. Tamarid and salt intake should be minimal. All bitter things are of help in general. Vegetables like bitter gourd, drumstick, patola(sponge gourd), okra (ladies finger) are good. So is neem (Azadirachta indica) and bilva (Aegle marmelos). It is also advised to decrease all food intakes by three quarters of normal. Wheat, barely and all millets are good. Some cases recover fully just with exclusively meat diet. Don't use polished grains as bryan is good for diabetes.

Shadangapaniyam or water boiled with ekanayakam (Salacia reticulate) is excellent to quench thirst in diabetics. Exercise within limits is advisable, yogic exercise, particularly matsyendra asanam is useful.

Sleep during daytime, sex, not resting after food intake and excessive labour is to be avoided.