Background: Diabetes is leading cause of death, disability and economic loss throughout the World. Type 2 diabetes makes up about 90% of cases of diabetes. It has been estimated that the number of diabetes sufferers in the world will double from the current value of about 190 million to 325 million during the next 25 years, earning the dubious distinction of being as “Diabetic Capital of World”. WHO projects that diabetes will be the seventh leading cause of death in 2030. In Ayurveda, disease diabetes mellitus correlated with Prameha /Madhumeha. So, Kapha Pradhana Tridosha alleviating local as well as systemic treatment should be done. Material and Methods: Ayurvedic literature, modern texts as well as the data web-based search engines, journal, were used to search for relevant literature and information. Result: The main causes of type 2 diabetes are sedentary lifestyle, unhealthy eating practices, stress, substance use, alcohol and cigarette smoking, anxieties and genetics. Sedentary lifestyle featuring long working hours and lack of physical exercise also takes its toll on the young today. They take years to develop however, once they become active enough to cause problems; they become extremely difficult to cure. Conclusion: In Ayurveda, the fundamental principles should applied for achieving regain of the normalcy of Prameha /Madhumeha and restoring the normal function by its preventive and curative approach.