Diabetes mellitus, known as madhumeha in Ayurveda, is a lifestyle and metabolic disorder related to aggravated kapha dosha and increased medo dhatu. Ayurveda identifies various predisposing factors like age, weight, inactivity, stress and hereditary factors. Treatment in Ayurveda focuses on diet modification, exercise, herbal medicines, purification therapies and managing doshas. Some key herbs recommended are bitter gourd, neem, methi, guduchi, jamun and cinnamon. Lifestyle changes like avoiding sugar and refined carbs and maintaining regular exercise are also emphasized to manage diabetes.