CLINICALLY SIGNIFICANT IMPROVEMENTS IN GLYCAEMIC AND CARDIOMETABOLIC PARAMETERS FOLLOWING THE MADHAVBAUG COMPREHENSIVE DIABETES CARE PROGRAMME COMBINING PANCHAKARMA PROCEDURES WITH STRUCTURED DIETARY INTERVENTION IN TYPE 2 DIABETES MELLITUS: A RETROSPECTIVE COHORT STUDY

Background: The Madhavbaug Comprehensive Diabetes Care (CDC) programme is an integrative intervention combining two synergistic components: (i) three sequential Panchakarma procedures - Snehana (therapeutic oleation), Swedana (passive heat therapy), and Basti kadha (medicated per-rectal herbal administration) - and (ii) a structured 800-calorie Prameha dietary regimen delivered through monthly dietary kits and clinical counselling. These two components address distinct but complementary pathophysiological targets of Type 2 diabetes mellitus (T2DM): the dietary restriction reduces caloric substrate for hepatic glucose production and promotes visceral fat loss, while the Panchakarma procedures deliver specific herbal biomodulators through the intestinal and dermal routes, targeting insulin receptor sensitivity, glucose absorption, and vascular function. No prior study has reported CDC programme outcomes from the Madhavbaug Medical Square, Nagpur clinic, nor has any study reported outcomes beyond the standard 90-day endpoint.