EFFECT OF NISHA- AMALAKI YOGA IN PREDIABETES (PRAMEH POORVAROOPA) – A CASE SERIES

Background: Prediabetes is a metabolic condition characterized by impaired glucose regulation and is considered a high-risk state for the development of Type 2 Diabetes Mellitus. In Ayurveda, this condition can be correlated with Prameha Poorvaroopa, which manifests before the full-blown disease of Prameha. Nisha-Amalaki Yoga, a classical Ayurvedic formulation, is known for its Pramehaghna, Rasayana, and Medohara properties. Aim: To evaluate the clinical efficacy of Nisha-Amalaki Yoga in patients of prediabetes (Prameha Poorvaroopa). Materials and Methods: This is a case series involving patients diagnosed with prediabetes based on fasting blood glucose (100–125 mg/dl) and/or HbA1c (5.7–6.4%). Patients were administered Nisha-Amalaki Yoga for a specified duration. Clinical symptoms and biochemical parameters were assessed before and after treatment. Results: Significant improvement was observed in subjective symptoms like Prabhuta Mutrata, Kshudha-Adhikya, Pipasa-Adhikya, and Daurbalya. Objective parameters such as fasting blood sugar and HbA1c showed a favourable reduction. Conclusion: Nisha-Amalaki Yoga is effective in managing prediabetes (Prameha Poorvaroopa) and may prevent progression to overt diabetes when used along with lifestyle modifications.