Type 2 diabetes care
Personalised type 2 diabetes care in Nagpur: diagnosis, diet, activity, medicines, insulin when needed, and regular complication screening.
Medically reviewed by Dr. Ajay V. Kaduskar · Last reviewed 24 October 2026
Type 2 diabetes happens when the body does not respond well to insulin (insulin resistance) and the pancreas gradually cannot make enough insulin to keep up. Over time, high blood sugar can damage blood vessels and nerves, which is how complications in the eyes, kidneys, feet and heart develop. Good control, started early, lowers that risk considerably.
Why Indians develop diabetes earlier
Many Indians develop type 2 diabetes at a younger age and at a lower body weight than people in Western countries. Doctors call this the "Asian Indian phenotype": more fat around the abdomen and in the liver, and less muscle, even when weight looks normal. This is why waist size matters as much as weight, and why testing should not wait for symptoms.
How we manage type 2 diabetes
1. Understanding where you are. We look at your HbA1c, home readings, weight, waist, blood pressure, cholesterol, kidney and liver tests, and any existing complications. Body composition analysis shows how much of your weight is fat and how much is muscle.
2. Setting your targets. For many adults, an HbA1c below 7% is a reasonable target, but targets are individual. Older adults, people with heart disease, or those prone to low sugar may have different goals.
3. Food and activity first. Our nutritionist plans meals around what you already eat: rotis, rice, dal, sabzi, snacks, festival food. Small, steady changes in portion, timing and food quality work better than strict diets that cannot be kept up. Regular walking and simple strength exercises improve insulin sensitivity.
4. Medicines when needed. Most people with type 2 diabetes need one or more medicines at some stage, because the condition tends to progress over years. Modern diabetes medicines differ in how they work. Some also help with weight or protect the heart and kidneys. Your doctor will choose based on your sugar levels, weight, kidney function, heart health, cost and preference, and explain the reason for each.
5. Insulin when it is the right tool. Insulin is not a punishment or a sign of failure. It is sometimes the safest and most effective way to bring sugar down, for example at diagnosis with very high readings, during illness, surgery or pregnancy, or when tablets are no longer enough. We teach injection technique, dose timing, and how to recognise and treat low sugar.
6. Home monitoring. We advise how often to check sugar with a glucometer, and whether a continuous glucose monitor (CGM) sensor would be useful for you.
7. Screening for complications at least once a year: eyes, kidneys, feet, nerves, heart and cholesterol.
Low blood sugar (hypoglycaemia): know the signs
In an emergency
Shakiness, sweating, sudden hunger, palpitations, confusion, irritability or blurred vision. If you are on insulin or certain tablets and feel these symptoms, check your sugar. If it is below 70 mg/dL, take 15 g of fast-acting sugar (for example 3 teaspoons of sugar or glucose powder in water, or half a glass of fruit juice), recheck after 15 minutes and repeat if still low. Then eat a small snack. If the person is drowsy, confused or unconscious, do not give anything by mouth: call 108 or 112.
Frequently asked questions
Yes, in the right amounts and combinations. No single food is completely banned. Portion size, what you eat it with (protein, fibre, vegetables) and timing make the difference. Seasonal fruits, including mango, can usually be fitted in as a measured portion in place of another carbohydrate, not on top of a full meal. Our nutritionist will show you how.
Jaggery and honey raise blood sugar much like sugar does. Products labelled "sugar-free" often contain refined flour, fat or other sugars. Artificial sweeteners in small amounts are generally acceptable for most adults, but they do not make a sweet healthy. Read labels and discuss with our nutritionist.
A CGM sensor shows how your sugar changes through the day and night, including after meals and during sleep. It is very useful for people on insulin, those with frequent lows, and during the first months of treatment when you are learning how food affects you. It is not needed for everyone. We will advise whether it helps in your case.
Treatment should be adjusted, not stopped. Talk to us at least two weeks before planned fasts such as Navratri, Ramzan or Ekadashi so that medicine timing and doses can be changed safely and you know when to break the fast.
Usually every 3 months until your targets are reached, then every 3 to 6 months. Sooner if readings change or you feel unwell.
Fatty liver is common in people with type 2 diabetes and obesity and often has no symptoms. We check liver tests and assess liver fat risk, and weight management helps both conditions.
Sources and further reading
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Call 0712 2422214 or +91 84591 41584, message us on WhatsApp, or use the appointment form. Please bring your previous reports and a list of the medicines you take.