A recent study led by experts at the University of Nottingham reveals that several traditional medicines commonly employed in South Asia demonstrate effectiveness in managing blood sugar levels among individuals with type 2 diabetes.

The study focused on Ayurveda, a traditional medical system used for centuries in South Asian countries like India and Nepal. This system incorporates herbs also utilized in other regions, including Iran, China, and Mexico. Ayurveda employs a holistic approach, involving lifestyle modifications, detoxifying therapies, and medicines containing plant, animal, or mineral-based ingredients.

Published in Frontiers in Pharmacology, the study marks the first comprehensive systematic review of any traditional medicine, encompassing various Ayurvedic medicines. Dr. Kaushik Chattopadhyay, the study's lead author, emphasized the research's uniqueness, highlighting its in-depth review demonstrating the effectiveness of these medicines in blood sugar control, with additional positive effects on body weight, blood pressure, cholesterol, and other diabetes-related parameters.

Type 2 diabetes is a complex condition with substantial health, social, and economic implications. Ayurvedic medicine serves as a significant choice for patients with type 2 diabetes, aligning with their health beliefs and cultural preferences. Patients often prefer Ayurvedic medicines due to factors such as cultural fit, satisfaction, and perceived relief, particularly among rural, older, and minority populations.

While previous systematic reviews indicated the potential of Ayurvedic medicines in managing type 2 diabetes, this study stands out as the first to provide a comprehensive summary of all evaluated medicines. The researchers analyzed 199 randomized controlled trials involving 21,191 participants and 98 Ayurvedic medicines, representing a broad perspective on the medicines used.

Despite potential skepticism among Ayurvedic practitioners regarding the inclusion of herb extracts and proprietary Ayurvedic medicines, the study reflects the practical usage of these medicines by both practitioners and patients. The evidence suggests the benefits of various Ayurvedic medicines in enhancing glycemic control for individuals with type 2 diabetes. To bolster the evidence base, the researchers recommend conducting high-quality randomized controlled trials. Additionally, a clinical guideline for managing type 2 diabetes by Ayurvedic practitioners has been developed based on this evidence as part of the funded project, supported by the UK's FCDO, MRC, NIHR, and Wellcome Trust under the Joint Global Health Trials scheme.

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