How Geetha Improved Diabetes Control, Balanced Inflammation & Rebuilt Nutritional Health By Deepika Chalasani, Best Online Nutritionist in Hyderabad, India

CASE STUDY & SUCCESS STORIES

Name: Geetha 

Age: 56 years 

Location: Nanded 

Profession: Lecturer

Case History

Geetha, a 56-year-old lecturer from Nanded, came to us with the primary concern of managing her long-standing diabetes. Despite being on regular diabetes medication, she continued to experience fluctuating blood sugar levels, fasting glucose at 157 mg/dL (normal 74–100) and post-prandial glucose at 300 mg/dL (normal 70–140). Her HbA1c stood at 7.7%, confirming poor glycaemic control and impaired carbohydrate tolerance.

In addition to diabetes, Geetha’s blood work revealed critically low Vitamin D (9.9 ng/mL) and B12 (150.7 pg/mL), both of which are essential for energy, nerve health, and metabolic balance. There was also glucose leakage in her urine, pointing to poor sugar regulation at the renal level.

Geetha’s weight was on the lower end of the normal BMI range. At 59 kg and 170 cm in height (BMI 20.4), it was very important that we help her retain her weight by improving her muscle mass. Her diet pattern showed low protein intake, over-dependence on processed, carbohydrate- and grain-centric foods, and a lack of structured meal timings. This not only aggravated her glycaemic variability but also placed stress on her overall metabolic health.

Her goal was clear: she wanted to gain better control over her diabetes, rebuild her energy and stamina levels, and correct her nutritional deficiencies so she could sustain an active professional and personal life without constant fatigue or worry over blood sugar fluctuations.

Approach by the Best OnlineClinicalNutritionist and Dietician in Hyderabad, Telangana, India – Deepika Chalasani

After reviewing Geetha’s health history, lab reports, and lifestyle, a personalized nutrition plan was designed to improve blood sugar control, correct micronutrient deficiencies, reduce inflammation, and support metabolic health.

Structuring Meals for Glycaemic Control

Geetha’s previous eating pattern contained hidden imbalances that contributed to erratic sugar levels. Her new plan was structured to provide balanced portions of complex carbohydrates, high-quality protein, and healthy fats while maintaining consistent meal timings.

Mornings began with two glasses of water followed by 5 soaked almonds and 1 soaked Brazil nut, with black tea after a 30–45-minute gap. At breakfast, she had 125 g of low-glycaemic fruit and aprotein shake providing ~22 g of protein. High-sugar fruits such as mango, custard apple, banana, grapes, and watermelon were avoided, while apple, pomegranate, kiwi, muskmelon, papaya, dragon fruit, guava, and berries were encouraged.

Lunch was redesigned to include 150 g of steamed vegetables or a green salad, along with either 120–150 g of rice or two jowar rotis (~35 g each), and 100 g of vegetable curry. Depending on her protein rotation, she added 70 g of chicken, two whole eggs, or 100 g of whole dal (such as chole, kala chana, green moong dal, lobia [black-eyed beans], or rajma) with 50 g of homemade paneer. A serving of curd (100 g) was included to support gut health. These combinations ensured a balanced intake of carbohydrates, protein, and fiber, helping minimize post-meal glucose spikes.

Evenings were kept simple with one cup of black tea at 4 pm. Dinner at 7 pm included 150 ml of lightly cooked vegetables or a homemade soup such as cauliflower or moringa soup, two millet rotis, 100 g of whole dal, 100 g of vegetable curry, and one whole egg. Soup and vegetables were deliberately prepared without deep frying and in bulk for consistency, while hydration was encouraged by sipping water hourly and avoiding large gulps before and after meals.

Anti-Inflammatory and Nutrient Support

Deep-fried foods and overcooked vegetables were eliminated. The meal plan emphasized raw salads, steamed vegetables, and omega-3-rich seeds. Magnesium, selenium, zinc, and protein were added systematically via nuts, eggs, dal, and protein powder. Vitamin D and B12 deficiencies were addressed with supplements alongside nutrient-dense foods.

Protein Optimization & Lifestyle Integration

Adjusted Protein intake averaged 55–60 g per day from eggs, chicken, pulses, paneer, and plant protein powders, supporting muscle health and insulin sensitivity. Practical strategies included bulk cooking of chicken and soups, freezer storage in portioned containers, and gradual inclusion of raw vegetables to improve tolerance. Dinners were consistently timed at 7 pm, reinforcing circadian rhythm and digestive comfort.

Results

Over the course of her therapeutic nutrition journey, Geetha experienced measurable improvements in her health profile and quality of life.

Her fasting and post-prandial glucose levels improved dramatically, fasting reduced to 112mg/dL and post-prandial to 116 mg/dL, reflecting the effectiveness of food-based interventions. During the 6 months, her weight fluctuated between 59 and 60.4 kg, which ensured that her BMI remained between 20.4 and 21.This was achieved without increasing her medication load but by rebalancing her food intake and correcting nutrient gaps.

Inclusion of omega-3-rich seeds, fermented foods, and structured meal timings contributed to lower inflammation and better lipid metabolism. Nutritionally, her Vitamin D and B12 deficiencies were addressed successfully, improving her stamina, mood, and energy balance. She reported no longer experiencing the extreme afternoon fatigue that previously slowed her down and was able to sustain her professional commitments and household responsibilities with greater ease.

In terms of body composition, Geetha maintained her weight within the healthy range but with improved muscle mass and better strength. This reflected not weight loss or gain, but a healthier internal shift where her body began using energy more efficiently.

Deepika Chalasani is a Clinical Nutritionist, Mind and Body Transformation Coach, and co-founder of Fit4Life India, an integrated nutrition and wellness organization for Indians that provides complete solutions, addressing health and wellness challenges of individuals by working on their overall well-being. Deepika, the best nutritionist in Hyderabad for weight loss and online dietician, can be contacted via email at deepika.chalasani@gmail.com or Mobile at +91 9381525943

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