Coach Roshan Programme

Diabetes Management Programme

For type 2 diabetes and pre-diabetes. Steadier blood sugar through food you actually want to eat — designed by a pharmacist who reads your reports and understands what your medication is doing.

Works with your doctor, never around them

Diabetes managed properly - glucometer beside whole grains and green vegetables
Read this first

This programme never changes your medication. Reducing carbohydrate while taking insulin or a sulfonylurea (glimepiride, gliclazide, glibenclamide) can cause dangerously low blood sugar. If you are on either, your doctor must be involved from day one and may need to adjust your dose as your numbers improve. I will ask which medicines you take before we start, and I will contact you about this specifically. Nothing here is worth a hypo.

What is actually happening

Type 2 is a fuel problem, not a moral one

Type 2 diabetes develops when cells stop responding properly to insulin, so glucose stays in the blood instead of being used. It builds over years, usually silently, and by the time it is diagnosed the process has been running for a long time.

It is not caused by eating sugar, and it is not a character failure. It is a metabolic state — and metabolic states respond to changes in food, movement, sleep and weight.

The approach

Four levers

01

Understand your numbers

HbA1c, fasting glucose, post-meal readings, lipids, kidney function, B12. We establish where you actually are before changing anything.

02

Flatten the spikes

Not carb elimination — carb restructuring. Protein and fibre first, carbohydrate never naked, and a short walk after meals. Simple changes with measurable effects.

03

Build the glucose sink

Muscle absorbs glucose. Resistance training two to three times a week improves insulin sensitivity independently of weight loss.

04

Lose weight if there is weight to lose

Losing 10–15% of bodyweight has the single largest effect on blood sugar of anything in this list. For some people it is enough to reach remission.

Being straight with you

About “reversing” diabetes

Remission is real. Clinical trials have shown a meaningful proportion of people achieving normal blood sugar without medication after substantial weight loss — particularly within the first few years of diagnosis.

But remission is not cure. It has to be maintained, it is far more likely if you are recently diagnosed, and it is not achievable for everyone — especially after many years or where the pancreas has lost significant function.

What I can promise is that your numbers will be tracked properly, your plan will account for the medicines you take, and you will be told the truth about what is realistic for you. What I will not do is promise you will come off medication. That is your doctor’s call, based on your results.

Low glycaemic Indian foods - millets, brown rice, rotis, greens, paneer and curd
Honest fit

Is this right for you?

This is for you if

This is not for you if

Included as standard

What’s in this programme

Everything below is included. Nothing here is an add-on or an upsell.

Before you book

Common questions

That is entirely your doctor’s decision, made on your test results. Many clients do reduce their dose over time and some come off certain medicines altogether — but I will never tell you to change anything, and you should be sceptical of anyone who does.

No. Complete restriction fails and makes people miserable. What changes is portion, pairing and timing — rice with dal and vegetables, a walk afterwards, sweets occasionally and after a meal rather than on an empty stomach.

Yes, and it is routinely missed: long-term metformin depletes vitamin B12, which can cause fatigue and nerve symptoms that get blamed on the diabetes itself. I check it. Metformin does not carry a hypo risk on its own, which is one reason it is such a good first-line drug.

That risk exists mainly with insulin and sulfonylureas. If you take either, your doctor is involved before we change your intake, and we monitor closely as your numbers improve. Recognising and treating a hypo is covered at the start, not left to chance.

Yes — a monitoring device is included so we can see how your body responds to specific meals rather than guessing. Seeing your own numbers after your own food changes behaviour faster than any advice I can give.

Start with a free consult

Twenty minutes on WhatsApp. Bring your latest HbA1c and a list of your current medicines — that is enough for me to tell you honestly what is achievable.

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