i. Its origin is due to excess of vata & cough (air and phlegm) in the body. When its origin is due to vata, the patient is compelled to pass urine frequently and in large quantities which render him weak, and pushing the retentive capacity of his bladder to dangerous ends.
ii. Urine is alkaline, sweetish, yellow, thick and flies and ants get attracted to it due to its sweet smell and nature.
iii. Patient is always hungry and thirsty, in spite of excessive intake of food and water liquids.
iv. Gradual loss of weight and strength.
v. A diabetic patient prefers sitting to standing and also sleeping to sitting (may be due to lack of his body strength, weak legs, pain in calves and general run-down condition)
vi. Consistency in semen and vigour gradually diminished, rendering him impotent-both physically & sexually.
vii. The patient ignores ‘nature’s initial warning signals and symptoms’, thus inviting chronic stage of diabetes which, by the passage of time, becomes chronic and untreatable.
viii. If fasting glucose test reveals glucose beyond 100/110 mg, it is a definite indication of presence of diabetes mellitus and if the P.P. test reveals presence of sugar beyond 140/160, it indicates rise of sugar, in blood, after taking meals.
Presence of sugar in blood is a definite indication of DM, but mere presence of sugar in urine only should not lead to any definite diabetic status of a patient. Repeated tests of blood and urine are advised to confirm the diagnosis.
In ayurveda, diabetes is of 20 types viz (i) 10 types are caused by kapha (ii) 6 by bile and (iii)4 by wind. Urine examination and other allied symptoms of diabetes will determine, as to which of the three is the real contributory cause. Following dietary regimens are said to benefit in a particular causative factor.

In phlegmatic diabetes: The patient should resort to physical labour/exercise, deep introspection, journey, and roughage-creating and dry eatables, goat’s milk, juice of meat, rest worryless attitude. Care should be taken that wind producing palatable are taken, but not those which produce phlegm.

In bilious diabetes: Avoid pungent, heavy, fatty, acidic and spicy objects.

In wind laden diabetes: Things such as potatoes, curd, whey, potatoes, rice etc should be avoided.

Do’s & Don’ts: Try to keep your digestion in order, bowels should be regular and no constipation should occur. Take to physical exercise so that the food is fully digested and appetites remain normal. Do not lead a sedentary life. Try to shed weight, either through diet control or through
Some sort of physical activity. Avoid coitus and let not your semen be wasted away, even if the sex desire is uncontrollable. The obese should take only fat and starch free diet, rough grains should be used in diet. Take to walking. But, to the weak and lean persons, give nutritious diet, some amount of fat. Sweet, in any form whatsoever should be avoided, except sparse use of old honey (in moderate quantity only). Following medicines may be continued for 21, 42 or 96 days, or even for longer periods, depending on condition of the patient and stage of the disease.