Type 2 diabetes managed with a reversal-first mindset: rational drug choice, written HbA1c targets, complication screening that actually happens, and a structured path to remission where it is still achievable. Dr. Sanjay Sachdev (MBBS, MNAMS) — Friends Colony East and Maharani Bagh.
The first visit sets the trajectory: confirmation testing, baseline HbA1c, kidney function with urine albumin-creatinine ratio, lipids, liver and thyroid, BP and waist measurement, plus a written HbA1c target and review date. Where the diagnosis looks atypical — lean build, rapid weight loss, young age — antibody and C-peptide testing rule out Type 1.
Reversal-first, where it is possible
Recent-onset Type 2 with preserved beta-cell reserve gets a remission attempt before medication escalation: 10–15% weight loss, resistance training twice weekly, protein-forward meals, GLP-1 support if clinically indicated, and a staged taper of drugs as sugars normalise.
Long-standing Type 2, simplified
Patients arriving on four or five drugs usually leave on fewer. Every agent is reviewed for benefit, hypoglycaemia risk, kidney safety and cost, and the regimen is rebuilt around what your HbA1c, CGM data and kidney function actually show.
Screening the complications that matter
Retina, kidney (urine ACR), nerves and feet, lipids and BP — annually, and recorded. Most diabetic complications are preventable and most are missed because nobody scheduled the check.
Two South Delhi clinics, home labs
Friends Colony East (C-58) and Maharani Bagh (E-64), Monday to Saturday, 10:00 AM – 7:00 PM by appointment; 5–15 minutes from Defence Colony, Greater Kailash, Lajpat Nagar, Nizamuddin and Kalkaji. Home phlebotomy available for HbA1c, lipids, kidney function and urine ACR.
Frequently asked
6 answers
Which doctor treats Type 2 diabetes?+
A consulting physician (MD Internal Medicine) or diabetologist manages Type 2 diabetes end-to-end — drug selection, HbA1c targets, complication screening, and the BP, cholesterol, weight and fatty liver that accompany it. Endocrinology referral is for complex hormonal disease, not routine Type 2.
Is Type 2 diabetes reversible?+
Early Type 2 — typically within 5–6 years of diagnosis with preserved beta-cell function — can enter remission with 10–15% weight loss, resistance training and protein-forward nutrition, with GLP-1 support where indicated and a staged medication taper. Remission must be maintained; sugars return if weight does.
What is the first medicine for Type 2 diabetes?+
Metformin for most people, unless kidney function or intolerance prevents it. From there, choice depends on your profile — SGLT2 inhibitors with heart or kidney disease, GLP-1 agonists where obesity dominates, insulin if HbA1c is very high at diagnosis.
How often should a Type 2 diabetic be reviewed?+
Every 3 months while HbA1c is above target or medication is changing, then 6-monthly once stable. Annually add urine albumin-creatinine ratio, kidney function, lipids, retina screening, foot examination and vitamin B12 if on long-term metformin.
What HbA1c means my Type 2 diabetes is controlled?+
Below 7% for most adults; 6.0–6.5% for young, newly diagnosed patients without heart disease; 7.5–8% for the frail elderly or those with hypoglycaemia. Equally important is time-in-range on CGM — a good HbA1c can still hide large post-meal spikes.
Can I stop diabetes medication once sugars are normal?+
Only under supervision, and only with proof — repeat HbA1c, weight maintained, and a monitoring plan. Stopping on your own is how people lose remission and return with a higher HbA1c a year later.