Integrative Approach to Type 1 Diabetes Mellitus: An Unani Perspective on Asbab-E-Sitta Zaruriya

Introduction Type 1 Diabetes Mellitus (T1DM), also known as Ziabetus Shakri in Unani terminology, is an autoimmune condition characterised by insulin deficiency.: This study aims to evaluate the impact of Asbab-e-Sitta Zaruriya on glycaemic control in patients with Type 1 Diabetes Mellitus. Methods: A cross-sectional observational study was conducted over 8 months at Government Nizamia General Hospital, Hyderabad, involving 60 insulin-dependent T1DM patients aged 9–30 years. Data were collected via structured questionnaires assessing lifestyle domains and HbA1c measurements before and after lifestyle intervention guided by Unani principles. Results Post-intervention HbA1c levels showed statistically significant improvement (mean pre: 11.63%, post: 10.88%, p = 0.003). The majority of participants belonged to the adolescent age group and showed notable gains in glycaemic control when adhering to optimal lifestyle practices. Improvements were especially linked to balanced diet, physical activity, mental stability, and sleep hygiene. It showed statistically significant improvement in glycaemic control post-lifestyle adjustments, affirming the relevance of Unani preventive concepts in modern diabetes management Conclusion: Incorporating Asbab-e-Sitta Zaruriya into T1DM management is both feasible and effective. The Unani lifestyle framework offers a meaningful integrative approach that enhances glycaemic outcomes and overall well-being in diabetic patients.