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Endocrinological Disorders
Question #40106
100 days ago
968

How can I effectively reduce my HbA1c levels? - #40106

Client_8fc507

I am 54 yrs having diabetic since oe years , fbs 200 hba1c 8 Taking madhumeharikwatha, diashaman, insulan D , prescribed by my doctor Taking protein diet and doing 40 minutes walk, regularly exercise Plz let me know how to reduce hba1c

How long have you been following your current diet and exercise regimen?:

- More than 6 months

Have you noticed any specific foods that affect your blood sugar levels?:

- No, nothing specific

How often do you monitor your blood sugar levels?:

- A few times a week
PAID
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Doctors' responses

When fasting sugar stays around 200 and HB A1C is eight. It means your body is still not responding fully to the medicines, even though you are walking and eating carefully. Usually this happens when the liver keeps releasing extra glucose or when there is long-standing inflammation in the gut muscles so the insulin you produce does not work efficiently The aim now is to bring down the fasting sugar, reduce cravings and improve our cells. Use glucose. You can continue the medicines. You are already taking and add Madhunashini vati one tablet twice daily before food to be taken. It should be chewed and then swallowed Take 10 ML of karela juice amd 5 ml of Amla juice daily Soaks methi seeds overnight and at morning on an empty stomach, wet, and then drink the water Have your dinner before 7:30 PM Avoid chapathi at night Use green vegetables and a small portion of dal Avoid gaps between meals Maintain 40 minute walk along with that practice pranayama meditation

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Hello Thank you for sharing your details. It’s great that you’re already taking Ayurvedic medicines and maintaining a good lifestyle. Your dedication to walking and exercise is commendable. Since your HbA1c is 8%, this indicates moderately uncontrolled diabetes — but with the right Ayurvedic plan and discipline, it can be effectively brought down below 6.5% within 3–4 months.

✅AYURVEDIC PLAN OF TREATMENT

✅INTERNAL MEDICATION

You are already on good classical formulations — Madhumehari Kwatha, Diashaman, and Insulan D. You can enhance your results by:

✅ Add-on Support (with doctor’s guidance)

1 Nisha Amalaki Churna – ½ tsp twice daily before meals with warm water. (Combination of Turmeric & Amla – excellent for reducing HbA1c and improving insulin sensitivity.)

2 Vijaysar Wood – Soak overnight and drink the water next morning (empty stomach).

3 Chandraprabha Vati – 1 tablet twice daily after meals if mild urinary symptoms or fatigue present.

✅DIET MODIFICATION

✅ Include

Millets: Ragi, Jowar, Foxtail, or Kodo millet instead of rice/wheat. Vegetables: Bitter gourd, bottle gourd, drumstick, methi, ridge gourd. Spices: Cinnamon, turmeric, methi seeds, black cumin, garlic. Protein sources: Moong dal, lentils, paneer (in moderation), sprouts. Fruits: Guava, papaya, apple (in small quantity). Herbal drinks: Methi water, cinnamon tea, or amla juice in the morning.

❌ Avoid

Rice, maida, potatoes, banana, mango, grapes, sugar, bakery foods. Tea/coffee with sugar or milk-heavy drinks. Late-night meals and daytime sleeping.

✅ Lifestyle & Yoga Tips

Continue your 40-minute walk, but add pranayama daily: Anulom Vilom – 10 mins Kapalabhati – 5 mins Bhastrika – 2 mins Sleep by 10:00 pm; wake up early before sunrise. Avoid stress and anger — both increase blood glucose through cortisol.

✅ Detox and Panchakarma (Optional)

If feasible, once every 6 months, a gentle detox program helps: Virechana (therapeutic purgation) – to cleanse liver and gut. Udwartana (herbal dry massage) – for reducing Kapha and fat. Basti (medicated enema) – for long-term Vata-Kapha balance.

This should be done under supervision of a qualified Ayurvedic physician.

✅Monitoring & Goal Setting Check fasting and post-meal sugar every 7–10 days. Recheck HbA1c after 3 months of consistent routine. Target fasting <110 mg/dl and post-meal <160 mg/dl.

With consistent Ayurvedic routine, your HbA1c can drop from 8 to 6.5 within 3–4 months.

Stay steady with diet, daily exercise, and herbal support — that’s the real secret to sustainable reversal.

Wishing you a good health😊

Warm Regards Dr Snehal Vidhate

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Client_8fc507
Client
99 days ago

Thank you so very much doctor for your valuable suggestions i have undergone panchakarma twice , In empty stomach i am taking methi and amla water, diet plan : taking only brown rice , eggs , ragi mudde (balls) , boiled vegetables , millets , broken wheat kichid rarely 2 chapathi with more boiled veggies Daily eating guava , berries, pomegranate ( moderately)

I will consider your valuable advice

Thank you 🙏 Suprabha USA

That’s such a disciplined approach, Suprabha You’re already following a very balanced and mindful routine — your use of methi and amla water, millets, fiber-rich fruits, and Panchakarma therapy all align beautifully with Ayurvedic management for diabetes

Just Add gentle detox once weekly: Take Triphala churna 1 tsp in warm water at bedtime once or twice a week — helps clear metabolic ama and regulate sugar metabolism.

Continue your daily walk, but include 5 minutes of slow Pranayama (Anulom Vilom or Bhramari) post-dinner — helps regulate blood glucose through calming stress hormones.

Try to maintain early dinner (before 7:30 PM).

You’re doing very well your efforts are clearly reflecting Ayurvedic balance in your diet and lifestyle.

Keep tracking your HbA1c every 3 months and maintain a small wellness diary.

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HELLO,

In type 2 diabetes, your body still makes insulin, but your cells stop responding properly to it. This is called insulin resistance. Because of that, sugar from your food stays in your blood instead of going into your cells for energy.

Gradually, your pancreas gets tired ad produces less insulin, causing your blood sugar to rise even more.

In Ayurveda,diabetes is seen as “Madhumeha”, one of the 20 types of prameha- disorders related to metabolism and urinary system.

It occurs mainly due to -Kapha imbalance too much heaviness, sluggishness, mucus formation -Medo Dhatus dushti fat tissue dysfunction -agni mandya=weak digestive fire -ama formation- toxic waste due to improper digestion -vata aggravatio in advanced stages causing excessive urination ad weakness

TREATMENT GOALS -balance kapha and meda- to remove the root cause -kindle agni (digestive fire)- to improve digestion and metabolism -remove ama (toxins)- to clear channels and restore insulin sensitivity -rejuvenate tissue especially pancreas, liver -support mental and emotional health- because stress raises blood sugar - avoid complications

INVESTIGATIONS TO RULE OUT -Fasting blood sugar weekly -Postprandial 2 hrs after meals weekly -HbA1c every 3 months -Lipid profile -LFT, KFT -Urine routine and microalbumin -Eye and food check

INTERNAL MEDICATIONS

1) NISHA AMALAKI CHURNA TABLET= 500mg twice daily after meals =improves insulin sensitivty, antioxidant, reduce inflammation

2) GUDMAR CAPSULES= 500mg once daily in morning =reduces sugar absorption, regenerate beta cells

3) VIJAYSAR= soak 1 piece in water overnight, drink that water in morning =natural hypoglycaemic, detoxifies blood

4) CHANDRAPRABHA VATI= 2 tabs twice daily after meals =balances kapha, improves urianry function

5) TRIPHALA CHURNA= 1 tsp at bedtime with warm water =detox, improves digestion, and liver function

6) AROGYAVARDHINI VATI= 1 tab twice daily =improves liver function and metabolism

duration= 3 months

DIET PLAN GRAINS= barley, millets, bajra, jowar, ragi, red rice in moderation PULSES= green gram, masoor dal, horse gram VEGETABLES= bitter gourd, bottle gourd, ridge gourd, drumstick, methi leaves, spinach, cabbage, cucumber FRUITS= amla, guava, papaya, pomegranate SPICES= turmeric, fenugreek, cinnamon, black pepper, cumin, mustard HEALTHY FATS= small amounts of cow ghee or sesame oil DRINKS= warm water, methi water, turmeric tea, guduchi decoction

AVOID STRICTLY -sugar, sweets, jaggery, honey -white rice, refined flour, maida, bread, bakery foods -fried or oily foods, cheese, butter, red meat -cold drinks, alcohol, and smoking -curd at night, or heavy dairy products

YOGA ASANAS -suryanamaskar= improves metabolism, burns fat -ardha matsyendrasana= massages pancreas -dhanurasana= strengthens pancreas -pawanmuktasana = helps digestion - vajrasana= sit in this pose for 10 mins after meals

PRANAYAM -Kapalbhati= 3 rounds of 30 strokes. stimulates pancreas -anulom vilom= 5-10 min for balance and calm -bhastrika= 1-2 min to activate metabolism - bhramari= 5 rounds for stress reduction

HOME REMEDIES -Methi seed water= soak 1 tsp overnight, drink in morning -amla juice + turmeric= 20 ml + pinch of turmeric on empty stomach -bitter gourd juice= 30 ml fresh juice in morning 3-4 times/week - cinnamon powder= 1/2 tsp in warm water daily

LIFESTYLE GUIDELINES -wake up early before sunrise -walk 30-40 min daily -do not sleep in daytime -eat at regular times, avoid overeating -maintain emotional balance- avoid stress and anger -go to bed early before 10 pm for hormone balance -stay socially active and positive- emotional well being is vital

DURATION OF TREATMENT -INITIAL STABILIZATION= 1-2 month blood sugar reduction -METABOLIC CORRECTION= 3-6 months weight, digestion, energy improve -MAINTENANCE/ REJUVENATION= 6-12 months

DIABETES REVERSAL DEPENDS ON -duration of disease (earlier=easier) -weight and lifestyle -consistency in following regimen

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Client_8fc507
Client
99 days ago

Thank you for your detailed response I am practicing the same thing almost all you have mentioned Will take some of the medicine you mentioned along with my medication

Thank you for your warmth response 🙏🙏🙏🙏

GET WELL SOON

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TAKE 1 TSP AMLACHURNA WITH JAMBOON SEEDS POWDER WITH METHI POWDER AT DAILY EMPTY STOMCH TAKE KARELA JUICE AT MORNING

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HELLO, I recommend the following treatment plan for your condition- TREATMENT- 1.CHANDRAPRABHA VATI -1-0-1 AFTER MEALS 2.MAMEJAVA VATI-1-0-1 AFTER MEALS DIET- .Include fenugreek,bittergourd in your diet. .Avoid sweets, bakery products and sugary drinks. . Eat fruits like jamun, peach,kiwi ,avocado instead of grapes,banana and sweet pulpy fruits.

YOGA- kapalbhati,anulom vilom,bhastrika IMPORTANT TIPS- .Brisk walk 30 min daily in the morning and after dinner. .Practice yoga daily.

REVIEW AFTER 1 MONTH Take care Regards, DR.ANUPRIYA

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Don’t worry take nishamalki 1tab bd, madhumemayog gold 1tab bd,siva gulika 1tab bd enough u ll get results

Dr RC BAMS MS

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If your hba1c is 8 along with above medicine start Madhukalpa vati 1-0-1 Triphala churna 1 tsp with warm water at night Karela + Giloy + Amla + neem juice 5 ml each with water on empty stomach daily Continue walking continue allopathic medicine

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Client_8fc507
Client
99 days ago

Thank you for the response doctor For your kind information , I am taking only Ayurveda medicine , not taking any allopathy I will consider your advice

Thank you 🙏

Ok How is ppbs ?? Before how your hba1c levels wer ?

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1.Nisha Amalaki Churna 1 tsp daily before breakfast with water 2.Diabecon DS 2 tab twice daily 30 min before meals 3.Chandraprabha vati 2 tab twice daily with water after meals

🍲 Diet & Lifestyle Tips to Support HbA1c Reduction - Include: Bitter vegetables (karela, methi), barley, moong dal, ghee, cinnamon, jamun - Avoid: Refined carbs, sugary fruits, curd at night, overeating - Meal timing: Early dinner, avoid late-night snacks - Hydration: Warm water with fenugreek seeds soaked overnight

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1. Ceylon Cinnamon Drink (Daily Morning) 1 inch Ceylon cinnamon stick + 1 glass water → boil 5 min → strain → add ½ tsp pure honey (after cooling) - Drink empty stomach.

2. Bitter Gourd + Amla Juice (Alternate Days) 1 small karela + 1 amla → blend → strain → 20 ml juice + 100 ml water → drink morning.

3. Fenugreek Seed Soak (Nightly) 1 tsp methi seeds in 1 glass water → soak overnight → drink water + chew seeds morning. 4. Jambu Beej Powder 1 tsp jambu beej churna (black plum seed) + warm water → twice daily after meals. 5. Triphala Water ½ tsp Triphala churna in 1 glass warm water → soak overnight → drink morning.

Diet (Anti-Diabetic) Breakfast: 2 boiled eggs + 1 avocado or moong dal chilla. Lunch: Brown rice (50 gm) + dal + lauki/tinda sabzi + 1 tsp ghee. Snack: 4 soaked almonds + green tea. Dinner: Khichdi (moong + brown rice) + ghee (before 7 PM). Avoid completely: Sugar, maida, potato, white rice, fruit juice. Packaged low-carb junk.

Lifestyle Walk 30 min after dinner. Yoga: Vajrasana 5 min after meals. Sleep 10 PM – 6 AM. Stress: 5 min deep breathing daily.

Monitoring Fasting & PP sugar: Weekly. HbA1c: After 90 days. If sugar >180 consistently → see doctor.

Ceylon cinnamon + methi + jambu beej are top natural remedies. Use exact recipes daily. Low-carb + timing is key. No medicine needed yet but monitor sugar strictly. Expect 20–40 point drop in 30 days.

Regards Dr Gursimran Jeet Singh MD Panchakarma

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Start with Karela jamun juice 15 ml twice daily before food with 20 ml. Water. Tablet Liv-52 1-0-1 after food with water Mamejva ghanvati 2-0-2 after food with water Vasant kusumakar ras 1-0-0 after food with water Include fresh green vegetables in your diet which is cooked Avoid sugar jaggery honey in your diet Do pranamyam lom -vilom bhastrika kapalbhati brahmri daily for 5-10mins twice Learn & Do Yogasana under yoga expert guidance for diabetes. Avoid carbohydrates and starchy food

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Given your current medications and lifestyle components, aligning them with Ayurveda can be quite beneficial for managing and potentially reducing your HbA1c levels. Since you’re already on Ayurvedic medication, let’s discuss a complementary approach through diet and lifestyle that may help regulate your blood sugar levels more effectively.

1. Dietary Adjustments: A Vata-pacifying diet can be helpful as Vata is often vitiated in diabetes. Incorporate more whole grains like barley and millets, which help stabilize blood sugar levels. Ensure you consume more bitter and astringent vegetables such as karela (bitter gourd) and methi (fenugreek leaves), as they are known to lower blood sugar. Limit intake of sweet, oily, and processed foods, as these can increase kapha and agni, disrupting metabolism.

2. Meal Timings: Regular meal timings support stable agni. Ensure you eat three meals daily without skipping, and have them at consistent times. Eating dinner before 7 pm can be especially beneficial for blood sugar control because it gives your body time to process glucose overnight.

3. Ayurvedic Herbs: Continue with Madhumeharikwatha, but you might consider consulting your practitioner about incorporating Triphala, as it helps in detoxifying and managing sugar levels too. Also, include herbs like Gudmar (Gymnema sylvestre) — known for reducing sugar cravings and absorption — under supervision.

4. Yoga and Meditation: Along with your 40-minute walk, gentle yoga postures such as Dhanurasana and Ardha Matsyendrasana along with Pranayama can help in enhancing digestion and removing blocks, which in turn aid in harmonizing sugar levels.

5. Hydration and Tea: Drink warm water throughout the day to ease digestion. Herbal teas with ginger and cinnamon could be sipped instead of caffeinated drinks, as they help in regulating metabolism.

6. Monitor Stress Levels: Stress can significantly affect blood sugar. Make time for meditation or mindful breathing to bring balance to your mind and help lower cortisol levels that may interfere with glucose balance.

Following an integrated approach of these diet and lifestyle modifications, alongside your Ayurvedic medication, may contribute to a more substantial reduction in HbA1c levels over time. Always check in with your healthcare provider to monitor progress and make any necessary adjustments in your treatment plan.

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To effectively manage and reduce your HbA1c levels further, consider several focused adjustments based on Siddha-Ayurvedic principles:

1. Dietary Adjustments: Continue with a protein-rich diet but ensure it’s balanced with fiber from vegetables and whole grains, which can help stabilize blood sugar levels. Focus on eating smaller, more frequent meals to maintain energy levels.

2. Herbal Formulations: While you’re already taking prescribed medications, you might want to incorporate herbs known for managing diabetes. Fenugreek seeds (Trigonella foenum-graecum) can be soaked overnight and taken in the morning to help manage blood sugar.

3. Practices for Digestive Fire (Agni): Ensure your meal timings are consistent. Consider adding ginger or a small amount of cumin to meals to bolster digestion, aiding in the efficient metabolism of sugars.

4. Routine for Stress Management: Stress can impact blood sugar. Practices like pranayama or deep breathing can help. Engage in these for 10-15 minutes daily to support mental calmness.

5. Regular Ayurvedic Checks: Have regular follow-ups with your Ayurvedic physician to monitor your doshas’ balance and adjust the herbal formulations if required.

6. Physical Activity: Your walking and exercises are commendable. Ensure that it includes some post-meal walking to help manage glucose spikes.

7. Immediate Measures: If there’s discomfort, unexplained weight loss, or other serious symptoms, quickly consult a healthcare provider. Ensure your approach doesn’t delay or substitute necessary medical interventions for severe cases.

Implementing these steps can enhance the effectiveness of your current regimen. However, it’s vital to stay in touch with healthcare professionals to ensure comprehensive care.

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