Role of Ayurveda-Virechana karma ,Basti karma and Ayurvedic Medicine in the management of Pre-diabetes

INTERVENTION: CONDITION: Health Condition 1: E119‐ Type 2 diabetes mellitus without complications PRIMARY OUTCOME: Decrease in Level of HOMA‐IRTimepoint: 20‐25 days SECONDARY OUTCOME: An increase in insulin sensitivity leads to enhanced metabolic health by improving glucose control ; Increase insulin sensitivity help reduce the risk of pre‐diabetes progressing to type 2 diabetes and cardiovascular disease. ; Timepoint: Once after 4 weeks INCLUSION CRITERIA: Willing and able to participate in the study Patient having any of 3 to 4 Prameha Purvarupa which are mentioned in diagnostic criteria Patients Yogya for Virechana Karma and Basti karma as per Ayurvedic classics Pre‐diabetes with insulin resistance and who yet to start Medicine HbA1C Value: 5.7percentage to 6.4percentage.