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Bring Your HbA1c Under Control, Safely

CGM, nutrition support, and evidence-based therapy aligned to RSSDI and ADA guidelines

Book Diabetes Consultation
1.2%
Average HbA1c Drop at 3–6 Months
With CGM-driven adjustments and adherence
48 hrs
CGM Setup & Review
Sensor placement and first report within 2 days
85%
Plan Adherence
Patients completing 3 tele-follow-ups in 90 days

When to Consult

  • •Frequent urination, excessive thirst, or unexplained weight loss
  • •Fasting glucose consistently over 126 mg/dL or HbA1c 6.5% and above
  • •Pregnancy planning, gestational diabetes, or postpartum high sugars
  • •Non-healing foot wounds, numbness, or burning feet
  • •Blurred vision, recurrent infections, or fatigue
  • •Prediabetes wanting prevention and weight control

Understanding Diabetes in the Indian Context

Indians develop diabetes at lower BMIs and younger ages. At Ajuda Hospitals in Hyderabad, we emphasise waist size, time-in-range, and cardio-renal protection. Meal plans use familiar foods with millets-forward swaps and shift-friendly timing.

When to Consult Our Diabetes Specialists

⚠️ Seek urgent care for:

  • ✓ Very high sugars with vomiting, abdominal pain, or deep breathing
  • ✓ Confusion, sweating, or fainting suggestive of hypoglycemia
  • ✓ Infected or non-healing foot wound

Book a routine visit for high readings, prediabetes, pregnancy planning, or if you want to reduce medicines safely.

Our Diagnostic Approach

Labs and Risk Profile

HbA1c, fasting/PP glucose, lipids, renal function, urine ACR, and TSH.

CGM or Structured SMBG

Pick the best monitoring strategy for your lifestyle and budget.

Complication Screening

Retinal exam, foot risk grading, neuropathy checks, and kidney monitoring.

Cardio-Renal Strategy

Decide on SGLT2/GLP-1, ACE/ARB, and statin use to protect heart and kidneys.

Treatment Pathways

From lifestyle coaching to modern medications and insulin, we individualise treatment with CGM insights and tele follow-ups. Foot care and cardio-renal risk reduction run in parallel.

What to Expect: Your Care Journey

Week 0: baseline and CGM setup → Week 2: first review → Weeks 6–8: dose and diet adjustments → Months 3–6: HbA1c target → Quarterly: maintenance with complication screening.

Technology & Innovation

CGM and EMR-linked dashboards show patterns clearly so your team can adjust quickly and safely.

Preventing Complications

Good control, BP and lipid management, and foot checks reduce heart, kidney, eye, and nerve complications.

Why Ajuda for Diabetes Care?

📊 CGM-Driven Precision

Time-in-range targeting helps personalise doses and meals.

🥗 Practical Indian Meal Plans

Millets-forward menus designed for festivals and shift work.

📱 Tele Follow-ups

WhatsApp nudges and quick tweaks maintain momentum.

Take the First Step

Call 9010550550 or book online for CGM setup and a plan that fits your life.

Diagnosis Approach

1

Baseline Labs and Risk Profile

HbA1c, fasting/PP glucose, lipids, LFT, renal function, urine ACR, TSH; calculate ASCVD risk and BMI/waist.

2

Glucose Monitoring Strategy

CGM for pattern mapping (time-in-range) or structured SMBG when CGM not feasible; education on hypo awareness.

3

Complication Screening

Dilated retinal exam, foot exam with monofilament, neuropathy screening, and kidney microalbumin monitoring.

4

Cardio-Renal Protection

Assess indications for SGLT2/GLP-1, ACE/ARB, and statin per RSSDI/ACC guidance to lower long-term risk.

Treatment Options

Lifestyle Program (Nutrition + Activity)

Millets-forward, low-GI plates, protein targets, and step/resistance plans with festival and shift-work adaptations.

0.5–0.8% HbA1c drop and 2–4 kg weight loss at 12 weeks
12-week core with quarterly refresh

Medication Optimization

Metformin foundation; add SGLT2 or GLP-1 for weight and cardio-renal benefit; safe sulfonylurea or DPP-4 where appropriate.

Additional 0.8–1.5% HbA1c reduction over baseline
Ongoing with 4–8 week titration cycles

Insulin Initiation and Titration

Basal-first algorithm; add prandial or premix if needed; hypoglycemia education and SMBG/CGM based titration.

Rapid control of symptomatic or very high HbA1c cases
Daily titration first 2–4 weeks, then stabilise

Cardio-Metabolic Risk Management

Statin for most patients over 40 or high risk, ACE/ARB for albuminuria or hypertension, antiplatelet as indicated.

Lowers MACE and kidney progression risk
Long-term with annual review

Foot Care and Neuropathy Clinic

Foot risk grading, footwear advice, callus care, and neuropathy relief with B12 correction where needed.

Reduces foot ulcer events and hospital visits
3–6 month reviews

Telemedicine Follow-up

WhatsApp check-ins, CGM report sharing, dose tweaks, and adherence nudges for sustained control.

Cuts 90-day drop-off by ~25–30%
6–12 months maintenance

Expected Outcomes

Treatment Timeline

2–4 Weeks

Fasting and post-meal readings stabilise; fewer highs/lows

6–8 Weeks

HbA1c trajectory visible; medication/lifestyle adjustments

3–6 Months

Most reach HbA1c under 7% with good adherence

1 Year+

Complication risk reduction and durable habits

Success Metrics

  • 70% achieve HbA1c under 7% by 6 months
  • Time-in-Range over 70% for CGM users
  • Hypoglycemia episodes reduced with education and titration

Take Control of Your Diabetes Today

Emergency
9010550550
Email
contact@ajudahospitals.in

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