Diabetes care means keeping blood sugar in a safe range and checking regularly for effects on the eyes, kidneys, nerves, heart and feet. At Continental Hospitals, Gachibowli, Dr Sujith Chadala — who has completed the CCEBDM course and a Fellowship in Diabetes Mellitus — diagnoses diabetes and prediabetes, sets personal HbA1c targets, and adjusts tablets or insulin at regular reviews.
Information from the practice of Dr Sujith Chadala, MBBS, MD (General Medicine)
Overview
Type 2 diabetes is common in Hyderabad, often found on a routine check-up years before it causes symptoms. High sugar quietly affects blood vessels and nerves, so the aim of treatment is not just a good number today but fewer problems over the next ten and twenty years.
Every plan is personal. A 35-year-old working long hours in the IT corridor, a pregnant woman with gestational diabetes and a 75-year-old with kidney changes need different targets and different medicines. Dr Chadala sets realistic goals with you and explains how food, activity, sleep and stress fit in alongside medicines.
Regular reviews include HbA1c, kidney and cholesterol tests, foot examination and reminders for eye checks, so that complications are picked up early when they are easiest to manage.
What this covers
- New diagnosis of type 2 diabetes
- Prediabetes (borderline sugar)
- Type 1 diabetes and insulin adjustment in adults
- Starting or adjusting insulin, including insulin pens
- Frequent low sugars (hypoglycaemia) or very high readings
- Diabetes with high blood pressure, cholesterol or kidney changes
- Diabetes care during illness, fasting or travel
- Screening for eye, kidney, nerve and foot complications
When should you see a doctor?
- Fasting sugar of 100 mg/dL or more, or HbA1c of 5.7% or more on a report
- Increased thirst, frequent urination, tiredness or unexplained weight loss
- Sugar readings that stay high despite your current medicines
- Shakiness, sweating or confusion that improves with sugar (possible low sugar)
- Tingling, burning or numbness in the feet, or a foot wound that is slow to heal
How care works
- 1
Confirm and classify
Fasting and post-meal sugar, HbA1c and other tests confirm the diagnosis and the type of diabetes.
- 2
Check the whole body
Kidney function, urine albumin, cholesterol, blood pressure, weight and a foot examination set your starting point.
- 3
A personal target
Your HbA1c and sugar targets are set for your age, other illnesses and risk of low sugar — and explained so you know what you are aiming for.
- 4
Treat and review
Lifestyle steps and medicines (tablets, newer drugs or insulin) are started step by step and reviewed every few months.
Emergency warning signs
Call 108 or go to the nearest emergency department immediately if you notice:
- Sugar above 300 mg/dL with vomiting, abdominal pain or fast breathing
- Drowsiness or confusion in a person with diabetes
- Low sugar that does not improve after taking glucose
- A foot that is red, hot, swollen or has a wound with discharge
Before your visit
- Your sugar log or glucometer (or continuous glucose monitor data)
- Recent HbA1c, kidney function and cholesterol reports
- All diabetes medicines and insulin, with the doses you actually take
- For a fasting test: no food for 8–10 hours (water is fine) — ask before skipping your medicines
Frequently asked questions
What HbA1c level means diabetes?
An HbA1c of 6.5% or higher (confirmed on repeat testing) indicates diabetes, and 5.7% to 6.4% indicates prediabetes. Your doctor reads it together with fasting and post-meal sugar values.
Can prediabetes be stopped from becoming diabetes?
In many people, yes. Losing 5–7% of body weight, regular physical activity and changes in diet substantially lower the chance of prediabetes progressing. Regular testing helps you see whether it is working.
Will I need insulin for the rest of my life?
Not always. Some people with type 2 diabetes need insulin only for a period, for example during illness or when sugar is very high at diagnosis. People with type 1 diabetes always need insulin. The plan is reviewed at each visit.
How often should a person with diabetes see the doctor?
Usually every three months until targets are reached, then every three to six months. HbA1c is typically checked every three months, kidney and cholesterol tests yearly, and the eyes and feet at least once a year.
This page is general health information and does not replace a consultation. Treatment decisions depend on your examination and reports. See the medical disclaimer.