Uncontrolled Sugar & High BP

When HbA1c stays high despite multiple medicines, insulin doses keep rising, or blood pressure resists treatment — you need specialist-led stabilisation, not just another prescription.

Meet Our Specialists
Overview

Why control keeps slipping — and what to do about it

Persistently high HbA1c, escalating insulin requirements and resistant hypertension often signal underlying insulin resistance and metabolic factors that standard care misses. Adding one more tablet rarely fixes a problem that sits deeper than the last prescription.

Our care is guided by our U.S. endocrinology & obesity-medicine advisor Dr. Ashok Kadambi, MD, FACE, with expertise in insulin resistance, GLP-1–based therapies, medical weight management and evidence-based medication selection aligned to U.S. standards. Meet our specialists.

Signs you may need specialist stabilisation

  • HbA1c too high despite multiple medicines
  • Rising or high insulin doses
  • Resistant hypertension (high BP despite medication)
  • Unexplained weight gain / insulin resistance
  • Frequent sugar swings (highs and lows)
  • Feeling unwell despite "treated" diabetes

Beyond another prescription

A structured metabolic review can uncover why control is failing and reset the plan — targeting the root cause instead of stacking more medicines.

The Boston Standard Care Pathway

Every program follows the same three-stage pathway — comprehensive assessment, personalized intervention, and continuous outcome measurement.

Care Pathway

Three stages, one goal — regain control

1

Comprehensive Assessment

A full metabolic review, insulin-resistance evaluation, blood pressure profiling and a complete medication audit to find why control is failing.

2

Personalized Intervention

A rationalised medication plan, GLP-1 and modern therapies where appropriate, a weight and lifestyle program and blood pressure optimisation.

3

Continuous Measurement

HbA1c, blood pressure and weight are tracked over time to confirm targets are met — care guided by results, not assumptions.

Related Programs

Explore other complication programs

Get your diabetes back under control

Specialist-led stabilisation, aligned with U.S. standards.

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