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A 65-year-old male patient complained of fluctuation in blood sugar levels since March 2021. He is a known diabetic since past 7 years. Initially, he took allopathic medicines, but as there was no significant change in the sugar levels, he stopped allopathic medicine and started ayurvedic medicines. The blood sugar was well under control, until March 2021. The patient had a history of chronic calcific pancreatitis since 2011, for which he had taken allopathic treatment and got relief. Now he is not taking any medication for the same. He now consulted Dr G G Gangadharan and the Ayurvedic diagnosis was made as Prameha. The line of treatment was pramehara cikitsa, to increase the vyadhi kshamata and to normalise jataragni. USG Abdomen done on 25.8.2021 revealed dilated pancreatic duct measuring 11mm with calculus measuring 17 mm. With standalone ayurveda treatment, diet and lifestyle modification, the blood sugar values showed a significant reduction within 4 months’ time. The HbA1c which was recorded as 8.6 at baseline, reduced to 6.5 % which demonstrates the shift from poor control to good control. A repeat USG showed the size of the pancreatic duct dilation and calculus remarkably reduced to 8.4mm and 5.9 mm.