Diabetes mellitus is a disease as old as humanity and is one of the major problems in clinical practice even today. To tackle this disease, the physician should identify a target level of glycaemic control for each patient and provide the patient with the educational and pharmacologic resources necessary to achieve this level. The first line of therapy in a patient with suspected type 2 Diabetes involves advice about dietary and life style modification. This can help achieve adequate glycaemic control in approximately 50% of the patients; while anti diabetic drugs will be required in 20% to 30% and insulin in the rest. Thus, patient education should be viewed as a continuing process with regular visits for reinforcement. Amongst all the available therapies for diabetes mellitus, Ayurveda is the oldest. Ayurvedic approach towards diabetes and all other diseases is that they are caused by doshic imbalance. Still, the speciality in the management of Diabetes (prameha) through Ayurvedic approach is that it has described the complete change of life style for the patients along with dietary modifications and drugs. In Ayurveda, the management of any disease (including prameha) is based on the individuals constitution or Prakriti and the line of treatment chosen according to the individuals strengths (bala) assessed by the various parameters of rogi pariksha and the strength of the disease (roga bala). These points are analyzed by observing the following various parameters such as Charakokta dashavidha pariksha, Sushrutokta dwadashavidha pariksha etc to name a few i.e. prakriti, vikriti, satwa, satmya, ahara etc.. Based on these factors, the management is individualized for each patient with drugs, diets and life style modification. Thus, it is attributed the combined use of these three factors described in Ayurveda, will produce very significant metabolic advantages for the prevention and treatment of diabetes and its complications.