Diabetes Prevention, Control, and Remission Begin Today!

Your body can heal. With the right support and lifestyle, you can prevent and control diabetes. Start your journey today.

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Who We Are

Crest Medics — Your Partner in Diabetes Management

Take control of your health with expert-led, evidence-based guidance for managing and preventing diabetes. From pre-diabetes screening to advanced lifestyle interventions, we're here every step of the way.

At our Diabetes Management Clinic, we provide a comprehensive approach that starts with early detection through pre-diabetes screening and extends to personalized lifestyle interventions rooted in science.

Our Team of Diabetes Experts

Pre-Diabetes Care

Pre-diabetes is a silent warning. It means your blood sugar is elevated but not yet in the diabetes range. With timely lifestyle changes and proper care, it's completely reversible. Acting now can help you prevent Type 2 Diabetes and lead a healthier, longer life.

Pre-Diabetes is Reversible with right interventions.

Pre-diabetes often progresses to full-blown diabetes within 3-5 years if ignored.

India is witnessing a surge in diabetes cases at an alarming rate, with younger populations increasingly at risk.

Early intervention is not just an option, it's your best chance to reclaim long-term health and avoid lifelong complications.

Pre-diabetes can be reversed with early screening and the right medical care. Taking timely action can help you prevent or delay the onset of Type 2 Diabetes.

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Diabetes Care

Diabetes mellitus is a long-term condition where the body either doesn't produce enough insulin or can't use it effectively. This leads to a buildup of glucose in the blood, known as hyperglycemia. Over time, uncontrolled blood sugar can damage organs and increase the risk of serious health complications.

Reducing HbA1c below 7% can extend life expectancy by up to 3.8 years.

Lowering your HbA1c below 7% is one of the most effective ways to manage Diabetes and prevent long-term complications.

Keeping it under 7% helps reduce the risk of heart disease, kidney failure, nerve damage, and vision loss. take control of your diabetes and improve your overall health.

Don't wait for complications to arise. Take control of your diabetes today, and reclaim your long-term health and freedom.

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Progression of Diabetes

Diabetes develops gradually, From normal sugar levels to pre-diabetes and then full diabetes over nearly 12 years. We get a 12-year window period to act. it is better to prevent diabetes before it starts.

Normal to Diabetes = 12 years

  1. Normal → Impaired Glucose Tolerance (Pre-Diabetes) - 4 years
  2. IGT (Pre-Diabetes) → Post Meal Hyperglycemia (Pre-Diabetes) - 6 years
  3. Post Meal Hyperglycemia (Pre-Diabetes) → Diabetes - 2 years

Fatty Liver Care

Fatty liver, or Non-Alcoholic Fatty Liver Disease (NAFLD), is a growing health concern where excess fat accumulates in the liver. Fatty liver is closely linked to insulin resistance, obesity, diabetes, and high cholesterol—and increases your risk of heart disease, chronic liver disease, and metabolic complications.

Fatty Liver is reversible with the right interventions.

Over 1 in 3 adults are estimated to have fatty liver disease in India. Fatty liver (Hepatic Steatosis) occurs when fat accumulates in liver cells, often silently.

It's commonly associated with obesity, Type 2 Diabetes, and insulin resistance. Fatty liver increasingly seen in younger populations due to poor diet and lack of activity.

Early-stage fatty liver is highly reversible with the right medical guidance and support. Fatty Liver is more common than you think and it's silently damaging your health.

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Fatty Liver Progression

NAFLD progresses to NASH (20-30%), then Fibrosis (40-50%), Cirrhosis (10-15%), and HCC (1-3%/year). Early detection can halt or reverse liver damage.

NAFLD (Non-Alcoholic Fatty Liver Disease)

In India NAFLD Estimated 25-32% of general population and Global prevalence is 25-30%.

  1. Simple Steatosis - 70-80% of NAFLD patients fat accumulation but low risk of progression
  2. NASH (Non-Alcoholic Steatohepatitis) - 20-30% of NAFLD patients inflammation + liver injury and higher risk of progression

NAFLD to NASH

20-30% of NAFLD patients progress to NASH over time. Risk factors accelerating progression:

  1. Type 2 Diabetes Mellitus
  2. Obesity and Metabolic Syndrome
  3. Older age, Male sex, and Genetic predisposition

NASH to Fibrosis

Among NASH patients, 40-50% may develop some stage of fibrosis. Fibrosis Stages:

  1. F0 = No fibrosis
  2. F1 = Mild (periportal)
  3. F2 = Moderate (portal fibrosis)
  4. F3 = Severe (bridging fibrosis)
  5. F4 = Cirrhosis
  6. 15-25% may develop fibrosis (F2-F3) over 10-15 years
  7. 10-15% may progress to cirrhosis (F4) over 15-20 years

Cirrhosis and Hepatocellular Carcinoma (HCC)

5-20% of NASH patients may progress to cirrhosis over time. Once cirrhosis develops, Decompensation risk: 5-7% per year.

  1. Annual incidence ~1-3% in NASH cirrhosis
  2. HCC can also develop without cirrhosis in NASH (20% of NASH-HCC cases occur in non-cirrhotic livers)
  3. NASH is now the 2nd leading cause of liver transplantation for HCC in some countries

Progression Pathway

  1. NAFLD to NASH - Progression: 20-30%
    Time Frame: 1-10Years
  2. NASH to Fibrosis - Progression: 40-50%
    Time Frame: 5-15Years
  3. Fibrosis to Cirrhosis - Progression: 10-15%
    Time Frame: 10-20Years
  4. Cirrhosis to HCC - Progression: 1-3% annual risk
    Time Frame: After cirrhosis onset

Doctor 1

Stop Diabetes Early

Early intervention saves future medical costs and complications. Preventing diabetes now protects your heart, kidneys, eyes, and nerves. Screening takes just a few minutes — and could change your future.

Wellness Begins with Your Daily Routine.

Your lifestyle is your strongest medicine. Crest Medic provides expert guidance on nutrition, exercise, stress management, and regular monitoring to help you reduce diabetes risk and improve your health. Our dedicated team works closely with you to create sustainable habits for long-term wellness. Know More..

Balanced diet tailored to your needs

Tailored meal guidance focused on blood sugar control and balanced eating.

Customized Exercise Programs

Fitness routines designed to improve insulin sensitivity and overall fitness.

Stress Management Support

Techniques and counseling to reduce stress and improve mental well-being.

Ongoing Monitoring & Medication Optimization

Ongoing tracking of blood sugar and health markers with timely medication adjustments.

Our Team of Diabetes Experts

Our expert team of doctors, specialists, and health coaches is dedicated to helping you prevent, manage, and reverse diabetes with personalized, science-backed care.

Dr. Sanjay Verma 25 yrs+ Exp. Diabetologist. Ex: Max, Safdarjung 32+ Years of Experience.

Dr Verma is the brain behind all things medical at Crest Medics.

Over 30 years of experience in Internal Medicine, Diabetes Management, and General Healthcare He believes standardised care can elevate the level of diabetes treatment in India.

His areas of expertise include diabetes and pre-diabetes management, hypertension treatment, general internal medicine, ECG interpretation, and women's health services such as gynecological and laparoscopic procedures. Dr. Verma is committed to providing evidence-based, personalized care to improve long-term health outcomes for his patients.

Dr. Pratima Verma MBBS | PGDIM | MBA | Family Physician | Chronic Lifestyle Disease Specialist | Preventive Health Advocate 32+ Years of Experience.

Dr. Pratima Verma is a highly experienced General Physician with over 32 years of medical experience.

She practices at Max Superspeciality Centre, and Apollo Clinic Delhi. She specializes in preventive care, lifestyle disease management, and adult vaccinations, with a strong focus on holistic and patient-centered treatment.

Dr. Verma specializes in the management and reversal of metabolic diseases such as Type 2 Diabetes, Hypertension, Fatty Liver, and Obesity conditions that are increasingly common due to modern, sedentary lifestyles and unhealthy food habits.

Dr. Verma firmly believes that many of these chronic conditions can be prevented, controlled, and even reversed with the right care, education, and sustained guidance.

Neha Sharma postgraduate in Dietetics and Public Health Nutrition Diabetes Education | 14+ Years of Experience

With over 14 years of experience, Dr. Sharma has held key roles in clinical education, patient support, and healthcare innovation.

She has worked closely with endocrinologists, diabetologists, and healthcare teams to support the implementation and optimization of diabetes therapies and devices, including insulin pumps and continuous glucose monitors (CGMs).

As a certified Insulin Pump Trainer, she provides specialized training to both patients and healthcare providers, ensuring safe and effective use of advanced diabetes technologies. She also designs and delivers patient education programs focused on lifestyle modification, nutrition, and medication adherence.

Swadha Sinha Clinical Nutritionist | Certified Diabetes Educator | 14+ Years of Experience | B.Sc. in Clinical Nutrition & Dietetics | PG Diploma in Dietetics & Food Service Management | Certified Diabetes Educator (NDEP)

13 years of experience in the field of clinical nutrition, having worked across hospitals, clinics, and corporate wellness programs.

Her career has included, Senior Nutritionist at Uma Sanjeevani Hospital and Sawan Neelu Angel Hospital, where she provided therapeutic nutrition support across a wide range of patient cases.

Clinic Manager at Cureos, where she specialized in therapeutic diets, diabetes management, and coordinated comprehensive nutritional care. Extensive involvement in corporate wellness projects and public health nutrition campaigns. Extensive involvement in corporate wellness projects and public health nutrition campaigns.

Dr. Alpana Choudhary BPT, MPT (Orthopedics), COMT, FOMT | Consultant Physiotherapist | 24+ Years of Experience

Dr. Alpana is a senior physiotherapist with over 24 years of experience in the field. She holds a Bachelor's degree in Physiotherapy from Kasturba Medical College, Manipal, and a Postgraduate degree in Orthopedics from CCS University.

Her areas of expertise include pain management, neurological rehabilitation, cardiopulmonary care, and sports injury recovery.

She has worked with renowned institutions such as Indraprastha Apollo Hospital, Sitaram Bhartia Institute, and National Heart Institute. Currently, she practices as a Consultant Physiotherapist at MMTC Ltd and Apollo Clinic.

 

Common Diabetes Questions

Get clear answers to the most common questions about diabetes. from causes, symptoms, and risk factors to diagnosis, treatment, lifestyle changes, and prevention. Understand what matters most and take informed steps toward better health. Explore Our Diabetes Knowledge

Who Should Be Tested — Am I at Risk ?

Everyone above 45 years

Younger individuals who are overweight and have one or more diabetes risk factors:

  1. Little or no physical activity
  2. Family history of diabetes
  3. High blood pressure
  4. High cholesterol levels
  5. Fatty liver (NAFLD)
  6. Polycystic Ovary Syndrome (PCOS)
  7. Diabetes during pregnancy

What is diabetes?

Diabetes is a chronic condition where the body either doesn't produce enough insulin or cannot use insulin effectively, leading to high blood sugar levels.

What is pre-diabetes?

Pre-diabetes is a metabolic state where blood sugar levels are higher than normal but not high enough to be diagnosed as diabetes. It signals a high risk of developing Type 2 diabetes.

What causes fatty liver disease?

Fatty liver disease occurs when excess fat builds up in liver cells, often due to obesity, insulin resistance, high cholesterol, or excessive alcohol intake.

How can pre-diabetes be reversed?

Pre-diabetes can often be reversed through lifestyle changes like healthy eating, regular exercise, weight loss, and sometimes medication under medical supervision.

What are common symptoms of diabetes?

Common symptoms include frequent urination, excessive thirst, unexplained weight loss, fatigue, blurred vision, and slow-healing wounds.

How does fatty liver affect diabetes?

Fatty liver can worsen insulin resistance, making blood sugar control more difficult and increasing the risk of developing or worsening diabetes.

Can diabetes be prevented?

Yes, Type 2 diabetes can often be prevented or delayed through a healthy diet, regular physical activity, maintaining a healthy weight, and regular health checkups.

What tests diagnose pre-diabetes and diabetes?

Blood tests like fasting blood glucose, oral glucose tolerance test (OGTT), and HbA1c are used to diagnose pre-diabetes and diabetes.

Is fatty liver reversible?

Yes, fatty liver is often reversible with lifestyle changes such as weight loss, a balanced diet, regular exercise, and controlling diabetes or cholesterol.

How often should I monitor my blood sugar if I have diabetes?

Monitoring frequency varies but typically involves daily checks, especially if on insulin. Your healthcare provider will tailor the schedule based on your treatment plan.

Trusted insights and practical tips to take charge of your health. Explore our Diabetes Knowledge Hub