Kayakalpa by Dr. Shruthi Thennati

 By Dr. Shruthi Thennati  Kayakalpa Clinic, Vadodara  MBBS, MD, DipIBLM, PgDip Endocrine (UK) Understanding HbA1c HbA1c is one of the most commonly used tests for diagnosing and monitoring diabetes. It reflects the average blood glucose levels over the past 2–3 months . For many patients, it has become the primary marker used to evaluate blood sugar control. However, relying only on HbA1c can sometimes give an incomplete picture of metabolic health . Why HbA1c May Not Tell the Full Story Although HbA1c is a useful test, several factors can affect its accuracy. In some individuals, HbA1c may appear normal even when blood sugar levels fluctuate significantly. This can happen due to: • Early insulin resistance  • Significant post-meal glucose spikes  • Conditions affecting red blood cells  • Iron deficiency anemia  • Certain medical conditions Because of these factors, HbA1c alone may not always detect early metabolic disturbances . The Problem of Po...

 By Dr. Shruthi Thennati  Kayakalpa Clinic, Vadodara  MBBS, MD, DipIBLM, PgDip Endocrine (UK) What Is Prediabetes? Prediabetes is a condition where blood sugar levels are higher than normal but not high enough to be diagnosed as diabetes . Many people believe diabetes develops suddenly. In reality, it usually progresses through a stage called prediabetes , which can last for several years. During this stage, the body already shows signs of insulin resistance and metabolic imbalance . Why Prediabetes Often Goes Undiagnosed Most individuals with prediabetes do not experience obvious symptoms . Because of this, the condition often remains unnoticed until routine blood tests reveal abnormal glucose levels. Many patients discover prediabetes during tests such as: • Fasting blood sugar  • HbA1c  • Oral glucose tolerance test Without proper intervention, a significant number of people with prediabetes eventually develop Type 2 Diabetes . Common Risk Factors for Prediab...

 By Dr. Shruthi Thennati | Kayakalpa Clinic, Vadodara  MBBS, MD, DipIBLM, PgDip Endocrine (UK)  General Physician | Metabolic Physician | Lifestyle Medicine Practitioner What Is Fatty Liver Disease? Fatty liver disease occurs when excess fat accumulates in the liver.  Today, it is one of the most common metabolic conditions worldwide , especially in urban populations. Many patients are surprised when an ultrasound report suddenly mentions: “Grade 1 Fatty Liver.” Because most people with fatty liver have no symptoms initially. Why Fatty Liver Is Increasing in India Lifestyle changes have significantly increased fatty liver risk. Common contributors include: • Insulin resistance  • Obesity and abdominal fat  • Sedentary lifestyle  • Excess refined carbohydrates  • Poor sleep patterns  • Chronic stress Fatty liver is now closely linked with diabetes, PCOS, and metabolic syndrome. Early Signs You Should Not Ignore Although fatty li...

  By Dr. Shruthi Thennati | Kayakalpa Clinic, Vadodara MBBS, MD, DipIBLM, PgDip Endocrine (UK) General Physician | Metabolic Physician | Lifestyle Medicine Practitioner PCOS Is Not Just a Period Problem Many women are told: “It’s hormonal.” “It’s stress.” “Take pills and it will settle.” But Polycystic Ovary Syndrome (PCOS) is primarily a metabolic condition in most cases. And the most common hidden driver?   Insulin resistance. What Is PCOS Really? PCOS (Polycystic Ovary Syndrome) is a condition where women may experience: ✔ Irregular or absent periods  ✔ Acne  ✔ Excess facial hair  ✔ Weight gain (especially abdominal)  ✔ Hair thinning  ✔ Difficulty conceiving But underneath these visible symptoms lies a deeper issue —  metabolic imbalance. The Insulin–PCOS Connection When the body becomes insulin resistant: The pancreas produces more insulin High insulin stimulates ovaries to produce excess androgens (male hormones) Ovulation becomes irreg...

  By Dr. Shruthi Thennati | Kayakalpa Clinic, Vadodara MBBS, MD, DipIBLM, PgDip Endocrine (UK) General Physician | Metabolic Physician | Lifestyle Medicine Practitioner Insulin Resistance: The Silent Driver of Diabetes & PCOS in Vadodara Many patients walk into Kayakalpa Clinic, Vadodara saying: “Doctor, I don’t eat much, but I still gain weight.”  “My sugar is borderline.”  “I have PCOS and nothing is working.” In most of these cases, the real culprit is insulin resistance . What Is Insulin Resistance? Insulin is a hormone that helps glucose enter your cells for energy.  When your body becomes resistant to insulin: Sugar stays in the bloodstream The pancreas produces more insulin Fat storage increases Weight loss becomes difficult Over time, this can lead to: Type 2 Diabetes PCOS Fatty Liver Belly obesity High triglycerides Early Signs of Insulin Resistance You may have insulin resistance if you notice: ✔ Increasing waist size  ✔ Sugar cravings  ...

 Diabetes is no longer just about “high sugar levels.” It is a metabolic condition influenced by insulin resistance, lifestyle patterns, hormonal imbalance, stress, and long-term habits. If you are searching for the best diabetes doctor in Vadodara , what you likely want is not just medication — but long-term control, fewer complications, and clear guidance. At Kayakalpa Clinic, Vadodara , Dr. Shruthi Thennati, MD Internal Medicine, offers a structured and root-cause–based approach to diabetes care. Why Diabetes Management Often Fails Many patients experience: Increasing medications over time Rising HbA1c despite treatment Weight gain after starting therapy Fluctuating sugar levels Confusion about diet This usually happens because treatment focuses only on blood sugar numbers — not the underlying metabolic drivers. The Kayakalpa Root-Cause Approach to Diabetes At Kayakalpa Clinic, diabetes management goes beyond prescriptions. 1️⃣ Comprehensive Metabolic Evaluation Every ...