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. 2019 Jan-Mar;40(1):8-15.
doi: 10.4103/ayu.AYU_105_19.

Effect of Ayurveda intervention, lifestyle modification and Yoga in prediabetic and type 2 diabetes under the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS)-AYUSH integration project

Ramavtar Sharma  1 , Vinod Kumar Shahi  1 , Shruti Khanduri  1 , Arun Goyal  1 , Suhas Chaudhary  2 , Rakesh Kumar Rana  1 , Richa Singhal  1 , Narayanam Srikanth  1 , Kartar Singh Dhiman  1
Affiliations

Effect of Ayurveda intervention, lifestyle modification and Yoga in prediabetic and type 2 diabetes under the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS)-AYUSH integration project

Ramavtar Sharma et al. Ayu. 2019 Jan-Mar.

Abstract

Background: Type 2 diabetes is a lifestyle-related disorder that affects around 422 million individuals in India. Integration of AYUSH (Ayurveda) with the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) was conceived on pilot basis at Gaya, Bihar, to provide integrative treatment for non-communicable disease patients and to manage the burden of non-communicable diseases in India.

Objectives: The objective of this study was to analyze the effect of Ayurveda intervention, lifestyle modification and Yoga in the management of type 2 diabetes under NPCDCS-AYUSH integration project.

Materials and methods: A multi-centric, open-labeled, prospective, comparative clinical study was conducted at 17 community health centers and 1 district hospital. Population over 30 years of age was screened and prediabetic or type 2 diabetic individuals were enrolled in two cohorts, i.e., pre-diabetic (Cohort A) and type 2 diabetic (Cohort B). Each cohort was further divided into two groups: Group A1 was advised for lifestyle modification and Yoga and group A2 was given Ayurveda medication in addition to lifestyle modification and Yoga. Similarly, group B1 was advised for lifestyle modification and Yoga along with allopathic medication and group B2 was given Ayurveda medication, i.e., Mamajjaka, Amalaki and Guduchi powder in addition to lifestyle modification and Yoga along with allopathic medication. Treatment was given for 6 months. Data were analyzed through paired t-test.

Results: A significant reduction was observed in fasting blood sugar level in groups A2 and B2 (P = 0.001) and also in the postprandial blood sugar level in Groups A2 and B2 (P = 0.001). Further, improvement in subjective symptoms such as polyuria, polydipsia, polyphagia, blurred vision and weakness was found in all the groups, while non-healing ulcer does not show any improvement.

Conclusion: The study reveals that Ayurveda intervention, i.e., Mamajjaka Churna (1 g), Amalaki Churna (3 g) and Guduchi Churna (3 g) two times a day effectively controls blood sugar level in pre-diabetic and type 2 diabetic patients and improves the disease management with lifestyle modification and Yogasana as well as with allopathic treatment.

Keywords: Ayurveda; Madhumeha; Noninsulin-dependent diabetes mellitus; Prameha; type 2 diabetes.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Scheme of categorization of patients
Figure 2
Figure 2
Methodology for enrollment of patients
Figure 3
Figure 3
Outflow of the patients in the study
Graph 1
Graph 1
The effect of intervention on the symptom of polyuria, n=3044
Graph 2
Graph 2
The effect of intervention on the symptom of polydipsia, n=3044
Graph 3
Graph 3
The effect of intervention on the symptom of polyphagia, n=3044
Graph 4
Graph 4
The effect of intervention on the symptom of weakness
Graph 5
Graph 5
The effect of intervention on the symptom of blurred vision
Graph 6
Graph 6
The effect of intervention on the symptom of non-healing ulcer
Graph 7
Graph 7
The effect of integrative management on fasting blood sugar level
Graph 8
Graph 8
The effect of integrative management on postprandial blood sugar level
See this image and copyright information in PMC

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