title: Clinical assessment of dietary interventions and lifestyle modifications in Madhumeha (type- 2 Diabetes Mellitus).
abstract: BACKGROUND
  India leads the world with maximum number of diabetes patients being termed as the "diabetes capital of the world." Certain risk factors including unsatisfactory diet, overweight, and a sedentary lifestyle are potentially reversible. Acharayas have widely described the role of diet and activities to control Madhumeha (type 2 diabetes mellitus [T2DM]) along with medications. Habitual consumption of roasted or dry Barley (Hordeum vulgare L.) flour, Mudga (Phaseolus aureus Roxb.) and Amalaki (Emblica officinalis Gaertn.) prevents the manifestation of Prameha.
  
  
  OBJECTIVE
  To assess the clinical effects of dietary interventions and life style modifications in Madhumeha patients.
  
  
  METHODS
  Present study was carried out on 56 patients of Madhumeha from S.S. Hospital, Banaras Hindu University, Varanasi. Dietary interventions and life style modifications schedule was prepared based on Ayurvedic principles and patients were advised to follow this regimen. Three consecutive follow-ups were done for 3 months at the interval of one month each.
  
  
  RESULTS
  Significant improvement was observed in clinical signs and symptoms along with plasma glucose and glycosylated hemoglobin (HbA1c) in Madhumeha patients after these interventions (P < 0.001).
  
  
  CONCLUSIONS
  Dietary interventions and life style modifications are two important tools by which adequate glycemic control can be obtained, especially in newly diagnosed T2DM patients and in patients who are on antidiabetic medication, but not properly controlled.
authors.affiliation: Department of Vikriti Vigyan, Faculty of Ayurveda, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
authors.forename: Archana
authors.initials: A
authors.lastname: Gupta
authors.affiliation: Department of Endocrinology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
authors.forename: Neeraj Kumar
authors.initials: NK
authors.lastname: Agarwal
authors.affiliation: Department of Vikriti Vigyan, Faculty of Ayurveda, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
authors.forename: Parameswarappa S
authors.initials: PS
authors.lastname: Byadgi
keywords: Amalaki; HbA1c; Madhumeha; Mudga; Yava; blood sugar; type 2 diabetes mellitus