01
Nutrition
Nutrition comes first. Dr. Roshani starts by adding what is missing - often enough protein - so hunger settles and the carbohydrate conversation becomes easier. Patients learn what their own meals do to glucose, not a diet chart.
Doing everything right - but your HbA1c still isn't coming down?
An endocrinologist-led program that asks why - before adding the next tablet.
American Board-Certified Endocrinologist · ★ 4.9 · 202 Google reviews · 20+ years
Type 2 Diabetes remission means an HbA1c below 6.5% - the level used to diagnose diabetes - held for at least three months without diabetes medication. It is not a cure; it has to be maintained. For many people it is possible. A C-peptide blood test helps show whether remission is realistic for you.
Medically reviewed by Dr. Roshani Sanghani, American Board-Certified in Endocrinology, Diabetes, and Metabolism ·
First Consultation
The first question is not which tablet comes next.
It is whether your pancreas is still producing insulin, and what has been keeping glucose high.
- C-peptide and insulin production
- Current medicines and escalation history
- Food, sleep, stress, and movement patterns
- Whether remission may be possible for you
You will leave knowing what is driving your glucose, what can change first, and whether remission is biologically possible.
Watch: How Dr. Roshani treats Type 2 Diabetes
What does another tablet actually fix
Most diabetes care follows the same script. The number rises, a medicine is added. It rises again, the dose goes up. Eventually, insulin.
The script works for the number on the report. It does not work for what is making the number rise. Nobody checks whether the pancreas is still producing insulin.
“This was the first time someone strongly insisted that I get a C-peptide test done. In all these years, I had never done it.”
That is what the first consultation starts with.
What changes - and in what order
Dr. Roshani does not ask patients to change everything at once. The work starts with nutrition; each wheel that steadies creates the conditions for the next.
“They met me where I was. No push to do anything.”
02
Sleep
Short, disrupted, or late sleep can worsen insulin sensitivity. Dr. Roshani looks at sleep soon after food because when sleep improves, glucose, cravings, and energy often change too.
03
Stress Management
A well-fed, well-rested body handles stress differently. Dr. Roshani treats stress as biology to understand: chronically high cortisol can keep glucose high even when food looks right.
04
Movement
Movement comes fourth, not because it matters least, but because it works best once the other wheels are turning. As hunger, sleep, and stress improve, patients often ask to move more - they are not pushed into it.
And while the wheels turn
As glucose comes down, the medicines that were right can start becoming too strong.
In India, Dr. Roshani lowers doses directly as your numbers change - insulin, sulfonylureas, oral medications. For patients outside India, she gives you the clinical reasoning to bring to your local prescriber.
This is what needs an endocrinologist.
What patients have achieved
3–7 points
HbA1c reduction
60–80%
Reduction in diabetes medication
₹3k–₹10k
Monthly medication cost saved
Blood pressure and fatty liver often improve as metabolic health improves.
In the DiRECT trial (The Lancet, 2018), 46% of people reached remission at one year through structured weight management, and 36% remained in remission at two years.
Patient outcomes vary. Results depend on pancreas function, history, medications, and follow-through.
What changed in real life
The numbers matter because daily life changes with them: medicines, food decisions, travel, and confidence.
13.3 → 5.9 HbA1c
HbA1c improved · Metformin halved in one month
“My family understood that diabetes was a lifelong illness that one could only control, not reverse. I have learned, for the first time, the underlying causes of diabetes. This understanding allows me to make better choices.”
HEENA · GOOGLE REVIEW · TYPE 2 DIABETES
In remission after 20+ years
Told he must start insulin. Dr. Roshani helped him change course.
“All the best doctor's of this country has told me that you are diabetic for more than 20 years and no tablets will work on you. You must now go on insulin. She has done what she promised.”
NARENDRA · GOOGLE REVIEW · TYPE 2 DIABETES
Insulin box no longer needed
15+ years with diabetes · 3 years on insulin
“Earlier, when I went out, I carried my insulin box and ice pack. Now, that burden is gone.”
KETAN · INTERVIEW WITH DR. ROSHANI · TYPE 2 DIABETES
Even doctors trust her
A physician's son - already off two endocrinologists - stayed five months in the program. 20 kg lost. Blood sugars in normal range.
WASUNDHARA · physician and mother · GOOGLE REVIEW
“Dr. Roshani and her team managed what to me was a miracle. She managed to connect with him, and he stayed with her program for 5 months. She also helped me - by asking me to hand over all responsibility to her. That was such a relief.”
“I want to say to anyone reading this: it is never too late.”
Pravin · Age 88
55 years with Type 2 Diabetes. Rebuilding muscle, reducing medication.
Origin Story · 2013
The patient who changed how Dr. Roshani saw Type 2 Diabetes
In 2013, a 58-year-old man named Dinesh arrived with an HbA1c of 11.4%, four oral medications, and a referral note that called him non-compliant. Insulin was the expected next step.
Dr. Roshani did something different. She listened long enough to see the real problem: a hungry man eating 10 chapatis a day because no one had helped him build a meal that could satisfy him.
Within days, his glucose dropped from 350 to below 200.
His HbA1c later reached 6.6% on fewer medicines, on metformin alone.
That case changed the question. Long-standing Type 2 Diabetes was not always a burnt-out pancreas. Sometimes the pancreas was still fighting. The lifestyle simply was not supporting it back.
That is why the program looks for what the current treatment may be missing before assuming the next step is more medicine.
Physician-led care
Meet Dr. Roshani Sanghani
The Type 2 Diabetes program is led by an American Board-Certified Endocrinologist whose work combines clinical medicine, behavior change, and careful medication review.
“I wasn't this doctor 20 years ago. I was part of the old diabetes system: one tablet, two tablets, three tablets, four, finally insulin.”
American Board-Certified
Endocrinology, Diabetes, and Metabolism · Internal Medicine
20+ years clinical experience
Patients across 12+ countries · MINT Certified Trainer
Recommended for consultations by Dr. Eric Berg
“For those of you that need to work with a very competent physician...”
“...there's so many people out there that are on medications that need assistance - and I know you have several programs.”
- DR. ERIC BERG, IN CONVERSATION WITH DR. ROSHANI SANGHANI(“Why Do Most Indian Men Have Potbellies?” - YouTube, 2024)
Published work
Her book on Type 2 Diabetes is endorsed by international clinicians and researchers
“A potential life changer.”
- Dr. Jason Fung, NYT Bestselling Author, The Obesity Code & The Diabetes Code
Dr. Jason Fung
NYT Bestselling Author, The Obesity Code & The Diabetes Code
Dr. Eric C. Westman
Duke University
Dr. Medha Munshi
Harvard Medical School
Benjamin Bikman, PhD
Author, Why We Get Sick
William R. Miller, PhD
Co-founder, Motivational Interviewing
From confusion to clarity
The program is built to move patients from “what do I do now?” to knowing what changes their glucose, when medicines need review, and how to keep going.
First Consultation: find the lever
Dr. Roshani's team maps your reports, medicines, C-peptide, food, sleep, stress, movement, and glucose history before the consultation. The call can then focus on the pattern, not paperwork. For Dinesh, the lever was chapatis. For another patient, it may be sleep, stress, protein, or medicines.
First weeks: watch the body respond
Patients work online with Dr. Roshani and her team. Every 10–12 days, glucose readings, hunger, energy, symptoms, weight, sleep, stress, and medicine response are reviewed together. The cadence exists because the body can change quickly when the right lever is found.
Month 3: graduate with self-knowledge
The point is not lifelong dependence on Reisaan. Patients learn how their meals, sleep, stress, movement, and medicines affect their numbers - so they know when to act, when to ask for help, and how to keep going without a diet chart.
Support around the work
Medical supervision
- Medication review as glucose changes
- Medication management for India-based patients
- Clinical guidance for international patients to discuss with a local prescriber
- Scheduled Dr. Roshani review of progress and medicines
Between-session guidance
- Coach support Monday to Friday
- Progress review between consultations
- App tracking for food, sleep, stress, movement, weight, and blood glucose
Tools that stay with you
- Dr. Roshani's video course for 3 months
- The Reisaan app after the program
- A clearer map of what changes your glucose
- Maintenance options and alumni community if continued support is useful
Note: Working online with Dr. Roshani does not replace the need for physical examinations with your primary care provider.
Frequently asked questions
Remission, reversal, and cure - what the words mean
Remission
- What it means
- HbA1c under 6.5% (the diagnostic threshold) held for 3+ months with no diabetes medication.
- Has to be maintained?
- Yes - through continued lifestyle.
- Reisaan’s position
- The goal the program works toward.
Reversal
- What it means
- The everyday word for the same outcome - glucose back in a non-diabetic range.
- Has to be maintained?
- Yes - same as remission.
- Reisaan’s position
- What people mean by 'reversal' is remission.
Cure
- What it means
- Diabetes permanently gone, with nothing to maintain.
- Has to be maintained?
- A cure needs no maintenance.
- Reisaan’s position
- Not promised - no cure exists for Type 2 Diabetes today.
Many people search for diabetes 'reversal.' The precise medical word is remission. Remission means your HbA1c stays below 6.5% - the level used to diagnose diabetes - for at least three months without diabetes medication. That is the standard definition agreed by the American Diabetes Association and other international diabetes bodies. It is not a cure: it has to be maintained. For many people, it is possible. A blood test called C-peptide shows how much insulin your pancreas is still making, which helps determine whether remission is realistic for you. Dr. Roshani has helped hundreds of patients reach it. How long you have had the condition matters too.
Yes. The C-peptide test shows how much insulin your pancreas is still making. Many patients on insulin still have a working pancreas - it's just being overwhelmed. Dr. Roshani has helped patients get off insulin with the right C-peptide levels and a structured lifestyle approach.
Yes. Whether you want to reduce your GLP-1, get off it, or were just advised to start one - Dr. Roshani guides patients through it safely alongside lifestyle change.
People of Indian and South Asian origin tend to carry more fat around the organs and have less muscle - the classic picture is thin arms and legs with a protruding belly. That low muscle mass comes from too little strength training and protein-deficient diets. So Type 2 Diabetes can develop at a lower body weight and progress faster than in others of similar weight, and the same HbA1c can represent a higher level of risk.
Medication helps control the number. Lifestyle helps change why it's high. The American Diabetes Association acknowledges that low-carb diets improve diabetes - better glucose with less medicine. In the DiRECT trial, published in The Lancet, around 46% of people put their Type 2 Diabetes into remission at one year through a structured weight-loss program, and 36% were still in remission at two years. When the right changes are made, many of Dr. Roshani's patients need less medication - and some need none at all.
In India, Dr. Roshani manages medications directly. She reviews results and adjusts as health improves. For patients outside India, she provides clinical guidance that you can discuss with your local prescriber.
Yes. The approach is low-carb and flexitarian - not a fixed diet. Dr. Roshani helps patients reduce carbohydrates and increase protein with whatever food they eat - vegetarian, non-vegetarian, Jain, or vegan. No food group is eliminated. Patients find what works for their kitchen and their life.
Patients get a dedicated chat group with their coach and Dr. Roshani's team. The team follows progress between consultations - so when something comes up, no one is waiting for the next session to figure it out.
Most patients start feeling better within days. Glucose levels often improve within the first week. Measurable changes in blood work typically appear within 4–6 weeks.
Book your First Consultation. Patients fill in a questionnaire through the Reisaan app beforehand. Dr. Roshani's team reviews everything before the meeting. Come with your reports, your medications, and your questions.
Yes. Pay in full at sign-up, or split into two - 50% at sign-up and 50% before your second consultation.
Most patients graduate managing independently - that's the goal of the program. Dr. Roshani's video course and teaching sessions give patients the tools to continue without ongoing hand-holding.
For patients who want continued support, maintenance options and an alumni community are available.
Your first step
You've read the approach, the results, and the stories. The consultation tells you whether this fits your situation.
In person or online
★ 4.9 · 202 Google reviews · 20+ years clinical experience
Watch: Dr. Roshani describes the first consultation →