Diabetes markers
13.3 → 5.9
HbA1c
Heena
Metformin was halved in the first month.
She describes finally understanding the underlying causes of diabetes and making better choices from there.
Source: Google Review
Endocrinologist-led care for diabetes, weight, PCOS, thyroid, menopause, and metabolic health.
Dr. Roshani Sanghani · American Board-Certified in Endocrinology, Diabetes, and Metabolism
Your reports and history are reviewed before you meet.
Any medication change is considered clinically, not casually.
Many people reach Reisaan after trying seriously: diets, videos, medicines, nutritionists, or advice from different people. The problem was not effort. They still did not know what their body was responding to.
Dr. Roshani reviews the medical picture and the daily pattern together before any program is recommended.
Insulin resistance means the body stops responding to insulin, so it makes more and more of it. High insulin does not stop at blood glucose.
Picture a rush-hour train so full the platform staff are pushing people in. That is insulin forcing glucose into cells that are already packed.
That one pattern can show up as:
Medication can bring a number down. Dr. Roshani looks at why the pattern is there, so lifestyle and medication can be read as one picture before anything new is added.
You do not have to choose perfectly. Many people arrive with more than one issue: glucose and weight, PCOS and thyroid, menopause and sleep, fatty liver and family history.
The First Consultation maps the overlap.
Dr. Roshani reviews the medical picture and daily pattern before recommending a program, a course, local care, or no further Reisaan support.
Often starts with: Blood glucose, medicine escalation, insulin resistance
Map glucose, medicines, C-peptide, food, sleep, stress, and whether remission may be possible in your biology.
Often starts with: Hunger, regain, GLP-1 decisions, metabolic lock
Find what is driving hunger, regain, insulin resistance, thyroid or PCOS patterns, and GLP-1 decisions.
Often starts with: Cycles, androgens, insulin, weight, fertility questions
Review insulin, androgens, thyroid, cycles, weight, and symptoms as one hormonal picture.
Often starts with: TSH, dose history, fatigue, weight, symptoms
Look beyond TSH to symptoms, dose history, energy, weight, and metabolic context.
Often starts with: Insulin patterns, food, exercise, glucose swings
Understand glucose swings, insulin patterns, food, exercise, sleep, and daily variables with more safety.
Often starts with: Sleep, weight, mood, memory, hormones, HRT questions
Discuss sleep, weight, mood, memory, hormones, and whether HRT belongs in your clinical picture.
Often starts with: Prediabetes, fatty liver, family history, risk markers
Catch risk before a diagnosis hardens: prediabetes, fatty liver, family history, blood pressure, or metabolic syndrome.
The condition tells Dr. Roshani where to begin. The consultation shows what is driving your case. Before any program is recommended, she reviews the medical picture and the daily pattern together.
See what changed for patients →01
Blood work, glucose patterns, thyroid markers, hormonal panels, liver markers, lipids, and the results that have been treated as separate problems.
02
What you take now, what changed your numbers, what caused side effects, and where any reduction would need medical supervision.
03
When weight, cycles, sleep, hunger, fatigue, glucose, mood, or thyroid symptoms changed, and what was happening around that shift.
04
Food, sleep, stress, movement, travel, family context, and the practical constraints that decide what can actually hold.
The proof is not one dramatic promise. It is a repeated clinical pattern: numbers move, daily life changes, and patients understand what was driving the case.
Individual outcomes vary. These are patient-reported stories, not guarantees of the same result.
Diabetes markers
13.3 → 5.9
HbA1c
Heena
Metformin was halved in the first month.
She describes finally understanding the underlying causes of diabetes and making better choices from there.
Source: Google Review
Metabolic markers
Pre-diabetes markers improved
Dhaval
He also reported improvement in liver health, pain, and inflammation.
The review emphasizes a sustainable lifestyle, not a short diet plan.
Source: Google Review
Daily-life change
Energy, sleep, and confidence changed
Mansi
Her review describes a steadier thyroid picture over three months.
The lived outcome was confidence for bigger life decisions, including motherhood.
Source: Google Review
Shirin had signed up for bariatric surgery. She lost 40 kg in 10 months.
A Stanford gastric balloon had failed. Bariatric surgery was already planned. Her cardiologist later stopped statins.
“I was someone who thought food was my best friend. I couldn't go a minute without thinking of what I'm going to be eating next. It became my crutch when I was feeling stressed.
By the time I reached your clinic, I had given up on myself.
I had signed up for bariatric surgery. I went to Stanford, got a balloon - it worked for a little while, but once I started eating again the weight came back.
The biggest shift was from saying ‘I have to lose weight’ to ‘I want to lose weight.’”
Shirin · Weight Management
40 kg lost. Bariatric surgery cancelled. Cardiologist stopped statins.
Edited from video interview.
More patients. Different starting points. Same clinical question.
Each story has its own medical context. The shared thread is not a formula; it is the investigation of what is driving that person's case.
Milind · Type 2 Diabetes
His review also describes better sleep, fitness, and mental alertness.
Source: Google Review
Zoya · Type 2 Diabetes
Her story starts with years on insulin, high medication costs, and the feeling that insulin had become permanent.
Source: Google Review
KV · Type 2 Diabetes
He describes 25 lbs lost without losing favorite foods, and a shift in mindset by the end of the program.
Source: Google Review

“A potential life-changer.”
- Dr. Jason Fung, nephrologist, NYT bestselling author of The Obesity Code and The Diabetes Code
In 2013, Dr. Roshani discovered her own HbA1c was 6.3 - pre-diabetic. An endocrinologist developing the condition she had spent years prescribing medication for. That changed the direction of her practice.
She stopped adding medication as the first answer. She trained in motivational interviewing under Dr. William Miller - who co-founded the method. She built a practice around making patients independent - not dependent.
6,200+ patients across 12+ countries. The goal is clinical clarity, safer decisions, and more independence over time.
Dr. Roshani Sanghani · Endocrinologist, Founder, Author and Speaker.
Read Dr. Roshani's full story →Podcasts and interviews where she explains metabolic health, medication reduction, behavior change, and lifestyle-first care. The work has also started showing up in wider public coverage.
Featured podcast
DIET DOCTOR
Diet Doctor
Dr. Roshani explains type 2 diabetes, low-carb care in India, and when medication reduction becomes possible.
Listen to the podcast →
Video interview
DR. ERIC BERG
Dr. Eric Berg
Dr. Roshani discusses belly fat, insulin resistance, Indian diets, and why lifestyle-first care has to work in real life.
Watch the interview →
Book cited in
THE GUARDIAN
The Guardian
Turn Around Diabetes was cited in a public essay on the diabetes epidemic.
Read the mention →
Watch: Your first appointment with Dr. Roshani
Before you meet Dr. Roshani, her team spends 30 minutes reviewing your reports, medications, and history. Your live consultation is not about collecting information - it’s about connecting the dots.
In person or online by video.
At the end of the first consultation, you decide. No commitment. No pressure. You leave with a clear picture either way.
3 months. Consultations every 10–12 days. Your team tracks your progress between sessions and adjusts as your body responds.
For people who want to learn before or alongside care, courses are the education path: the same doctor, the same science, yours to keep, without replacing individualized medical care.
Understand how food affects diabetes, and make decisions that hold.
View course →
See why dieting makes cravings louder, and what changes when biology is addressed.
View course →
Learn the biology of perimenopause, HRT, and the changes many women were never taught to connect.
View course →
Dr. Roshani and your health coach review your reports, medications, symptoms, and history before the call. The consultation maps what is driving your case, where to start, and whether a program, a course, local care, or no further Reisaan support is the right next step.
It's for people ready to understand their body and make changes - with medical support. It's not a quick fix, a diet chart, or a medication-only approach. If you're looking for a prescription without lifestyle change, this isn't the right fit.
Dr. Roshani is an endocrinologist. She can order blood work, interpret metabolic markers, prescribe and deprescribe medication, and manage your condition clinically. A nutritionist or coach cannot do these things. The program combines medical management with lifestyle change - that's what produces the results.
Dr. Roshani Sanghani is an endocrinologist and the founder of Reisaan Health. She is American Board-Certified in Endocrinology, Diabetes, and Metabolism, and in Internal Medicine, with 20+ years of clinical experience and patients across 12+ countries. She practices lifestyle-first endocrinology - using nutrition, sleep, stress, and movement alongside careful medication review - and is the author of Turn Around Diabetes (2024).
Yes. Many patients are vegetarian, Jain, or vegan. The program works with your food, your kitchen, and your family's way of eating.
Yes. Most patients work with Dr. Roshani online by video. For medication management outside India, she provides clinical guidance for your local prescriber.
The first consultation is a clinical assessment, not a commitment. Program pricing is shared by the customer success team during or after the first consultation.
Insulin resistance means the body stops responding well to insulin, so it makes more and more of it - and high insulin doesn't only raise blood glucose. It also makes fat easier to store, hunger and cravings louder, and hormones shift, which is why one root can show up as diabetes, stubborn weight, PCOS, and fatty liver. Picture a rush-hour train so full the staff are pushing people in - that's insulin forcing glucose into cells that are already packed. Lowering the glucose number helps, but changing the insulin pattern underneath is what changes the direction. Thyroid and menopause run on different hormonal axes but often tangle up with it.
Type 2 Diabetes can improve significantly for many patients, and remission may be possible in some cases. Whether it is realistic for you depends on your biology, history, medication use, and how much insulin your pancreas is still producing. The Type 2 Diabetes page explains this in more detail.
The program runs for 3 months, with consultations every 10–12 days and support between sessions. Some patients notice changes early; others need more time. Results vary by condition, history, medications, and follow-through.
Yes. Reisaan Health treats Type 2 Diabetes, Type 1 Diabetes, weight management, PCOS, thyroid conditions (hypothyroidism, Hashimoto's, hyperthyroidism), menopause and HRT, fatty liver, and preventive cardiometabolic health. All programs are led by Dr. Roshani Sanghani, an endocrinologist with 20+ years clinical experience.
GLP-1 medications may be appropriate for some patients. Dr. Roshani does not position lifestyle and medication as opposites. Reisaan looks at what comes before, during, and after medication use: hunger, insulin resistance, sleep, stress, muscle, food patterns, labs, and medical risk.
A First Consultation with Dr. Roshani and your health coach maps your reports, medications, symptoms, and history. If Reisaan is not the right fit, you will be told honestly.
In person or online by video
★ 4.9 · 202 Google reviews · 6,200+ patients · 20+ years clinical experience