Dwarka, New Delhi

Diabetes Treatment in Dwarka — Type 1 and Type 2

Long-term diabetes care built around your readings, your routine and the smallest medication load that keeps you safe.

Signs you should get your sugar checked

Diabetes often develops quietly. Many people are diagnosed only when a routine test is done or when a complication has already started.

  • Passing urine more often, especially at night
  • Constant thirst or a dry mouth
  • Unexplained weight loss despite a normal appetite
  • Tiredness that does not improve with rest
  • Cuts, boils or gum infections that heal slowly
  • Tingling, burning or numbness in the feet
  • Blurred vision that comes and goes

What happens at your first consultation

The first visit is a detailed one. Dr. Arora reviews your history, current medicines, previous reports, diet pattern, work schedule and family history before any treatment decision is made.

If recent reports are not available, the required tests are arranged — including free home sample collection from an NABL-accredited lab, with reports usually available the same day.

  • Fasting and post-meal blood glucose
  • HbA1c — your average sugar over the last three months
  • Kidney function and urine albumin
  • Lipid profile and liver function
  • Thyroid profile where indicated
  • Foot examination and blood pressure check

How treatment is planned

There is no single protocol that suits every patient. A person newly diagnosed at 35 with a desk job needs a very different plan from someone who has had diabetes for 20 years and is on insulin.

The approach is stepwise: establish the true picture with data, correct what diet and activity can correct, and use medication at the lowest effective dose. Where safe, medicines are reduced rather than added.

  • A written target for fasting, post-meal and HbA1c values
  • A diet plan built around what you actually eat, not a generic chart
  • Insulin initiation, titration and technique training when required
  • Continuous Glucose Monitoring (CGM) for patients with unstable or unexplained readings
  • Screening for eye, kidney, nerve and foot complications
  • Scheduled follow-up so the plan is corrected before problems build up

Type 1 diabetes

Type 1 diabetes requires insulin from diagnosis. The work is in matching doses to food, activity, illness and sleep so that readings stay steady without frequent lows.

Care includes carbohydrate counting, correction dose training, sick-day rules, and hypoglycaemia recognition for both the patient and the family.

Frequently asked questions

Can Type 2 diabetes be reversed?
Some people — usually those diagnosed recently, with significant weight to lose and reasonable insulin reserve — can bring their sugars into the normal range without medication and keep them there with sustained diet and activity changes. This is remission, not a cure: the tendency remains and readings must still be monitored. Whether it is realistic in your case depends on your duration of diabetes, HbA1c and test results, and is discussed honestly at the consultation.
Will I have to start insulin?
Not necessarily. Insulin is used when tablets cannot achieve safe control, during pregnancy, in Type 1 diabetes, and sometimes temporarily during infection or surgery. Many patients started on insulin during a crisis are later shifted back to tablets once control is restored.
How often do I need to come for follow-up?
Typically every three months once control is stable, matching the HbA1c cycle. During dose adjustment, insulin initiation or pregnancy, reviews are more frequent — sometimes weekly.
Do I need to bring my old reports?
Yes. Bring every previous report, prescription and glucose meter log you have. Trends over time are far more useful than a single reading.

Consult Dr. Brijmohan Arora

MBBS, M.Med (CMC Vellore) · 23+ years in internal medicine and metabolic care. Palam Extension, Sector 7, Dwarka, New Delhi.

Mon–Sat · 11 AM–2 PM & 4–8 PM · Sunday closed