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Chronic Disease Care

Diabetes & Hypertension Management

Personalised blood sugar & blood pressure control, medication optimisation, lifestyle coaching, and long-term chronic disease care — all under one trusted roof in Delhi.

26+Years Experience
2-in-1Conditions Managed
AllAge Groups
Diabetes and Hypertension Management at Trisha Family Clinic
Delhi's Trusted Chronic Care Specialist

Complete Care for Chronic Conditions

Diabetes and hypertension are among the most common — and most manageable — chronic conditions. At Trisha Family Clinic, Dr. Tivender provides comprehensive, patient-centred care that goes beyond prescriptions to address root causes, lifestyle, and long-term health outcomes.

Whether you are newly diagnosed, struggling with control, or managing multiple conditions together, we create a personalised plan tailored to your unique clinical profile.

Blood Sugar Control

Regular HbA1c monitoring, fasting & postprandial glucose assessment, and insulin optimisation for Type 1 & Type 2 diabetes.

Blood Pressure Management

Evidence-based antihypertensive therapy, lifestyle modifications, and ABPM (ambulatory monitoring) for accurate diagnosis.

Medication Optimisation

Regular review and rationalisation of medications to reduce side effects, drug interactions, and polypharmacy burden.

Long-Term Follow-Up

Scheduled reviews, complication screening (kidney, eye, nerve, heart), and proactive care to prevent disease progression.

Know Your Condition Better

Informed patients manage their conditions better. Learn about both conditions Dr. Tivender treats at Trisha Family Clinic.

Diabetes management

Managing Diabetes with Precision

Diabetes is a chronic metabolic condition affecting how your body processes blood sugar (glucose). Left unmanaged, it can damage the kidneys, eyes, nerves, and heart. Dr. Tivender provides complete Type 1, Type 2, and pre-diabetes care with individualised treatment plans.

Common Symptoms to Watch:

Frequent urination Excessive thirst Unexplained weight loss Fatigue & weakness Blurred vision Slow-healing wounds Tingling in feet/hands

What We Monitor:

HbA1c (3-monthly) Fasting Blood Sugar Postprandial Glucose Kidney Function (eGFR) Lipid Profile Foot Examination Eye Referral (annual)
Hypertension blood pressure management

Controlling Blood Pressure Effectively

Hypertension (high blood pressure) is often called the "silent killer" because it causes no obvious symptoms until serious complications — stroke, heart attack, kidney failure — occur. Consistent monitoring and treatment are vital.

Warning Signs (often absent — hence "silent"):

Severe headaches Dizziness or vertigo Nose bleeds Chest discomfort Shortness of breath Visual disturbances

Our Management Protocol:

Regular BP Monitoring 24-hr Ambulatory BP ECG Assessment Kidney Function Tests Salt & Fluid Guidance Medication Review Stress Management

How We Manage Your Condition

A structured, step-by-step care protocol ensures you receive consistent, evidence-based management that adapts to your body's response over time.

Did You Know?

Over 77 million Indians have Type 2 diabetes, and nearly 1 in 4 adults has hypertension. Both conditions are highly manageable with the right clinical partnership.

1
Initial Comprehensive Assessment

Detailed history, physical examination, and baseline investigations — blood sugar panel, HbA1c, lipid profile, kidney function, ECG, and blood pressure assessment across multiple readings.

2
Personalised Treatment Plan

An individualised clinical plan combining the right medications, dietary targets, exercise goals, and lifestyle modifications — tailored to your age, weight, co-morbidities, and lifestyle.

3
Regular Monitoring & Medication Review

Scheduled follow-ups every 3 months (or more frequently if unstable) to review blood sugar and BP readings, adjust medications, and screen for early complications.

4
Complication Prevention & Referral

Annual diabetic foot exams, kidney function monitoring, retinal screening referrals, and cardiac risk assessment to catch complications before they become serious.

5
Patient Education & Self-Management

We empower you to understand your condition — teaching glucose self-monitoring, recognising warning signs, and making confident lifestyle decisions between visits.

Know More About Diabetes & Blood Pressure

Evidence-based articles by Dr. Tivender Addhrann to help you understand and manage your condition better.

Diabetes warning signs
Diabetes
10 Early Warning Signs of Diabetes You Shouldn't Ignore

Frequent thirst, fatigue, and blurry vision are not just tiredness — they may be your body signalling uncontrolled blood sugar. Dr. Tivender explains what to watch for.

5 min read Read More
Blood pressure monitoring
Hypertension
Why Hypertension is Called the Silent Killer — And What to Do About It

Most people with high blood pressure feel completely fine. That's exactly what makes it dangerous. Here's how to detect, monitor, and control it effectively.

6 min read Read More
Diabetic diet plan
Nutrition
The Best Diet for Diabetics in India — A Doctor's Practical Guide

Rotis, rice, dal, and sabzi — can an Indian diet work for diabetes? Dr. Tivender shares practical, culturally relevant dietary strategies that actually work.

7 min read Read More
Exercise for diabetes
Lifestyle
Exercise & Diabetes: How Much Is Enough, and What Type Is Best?

Walking, yoga, or strength training — what helps most with blood sugar control? Dr. Tivender explains how to safely build an exercise routine if you have diabetes.

5 min read Read More
HbA1c test explained
Diabetes
What Is HbA1c and Why It Matters More Than Your Fasting Sugar

Fasting sugar only shows one moment in time. HbA1c reveals your average blood sugar over 3 months. Understanding this number is key to long-term diabetes control.

4 min read Read More
Diabetes and hypertension together
Hypertension
When Diabetes and Hypertension Occur Together — Managing Both Safely

Over 75% of Type 2 diabetics also have high blood pressure. This combination significantly raises cardiac and kidney risk. Here's how Dr. Tivender manages both.

6 min read Read More

Why Choose Dr. Tivender for Chronic Care?

More than 26 years of clinical experience and a patient-first philosophy make Trisha Family Clinic Delhi's trusted destination for diabetes and hypertension care.

26+ Years Experience

Decades of hands-on chronic disease management across diverse patient profiles — from young adults to seniors.

Whole-Body Approach

Treating diabetes and hypertension together, considering all co-morbidities, medications, and lifestyle factors holistically.

Structured Follow-Ups

Scheduled 3-month reviews keep your condition under control and catch early warning signs before they escalate.

Family-Centred Care

One clinic for all ages — your entire family can manage their chronic conditions under one trusted, familiar doctor.

Common Questions About Diabetes & Hypertension

For Type 2 diabetics on oral medication, Dr. Tivender typically recommends checking fasting blood sugar 2–3 times per week and postprandial sugar once a week. Those on insulin should check daily or as advised. Your glucometer readings, combined with a quarterly HbA1c test, give the most complete picture of your control.

Type 2 diabetes can go into remission — especially in early stages — with significant weight loss, dietary changes, and exercise. "Reversal" means maintaining normal blood sugar without medication. However, this requires sustained lifestyle changes and regular monitoring. Dr. Tivender will assess your specific case and advise a realistic, achievable goal.

For most adults, a target below 130/80 mmHg is recommended. For diabetics or those with kidney disease, tighter control may be needed. For elderly patients, Dr. Tivender individualises targets to avoid the risks of over-lowering blood pressure, which can cause falls and dizziness.

In most cases, yes — hypertension is a long-term condition. However, significant lifestyle changes (weight loss, reduced salt, regular exercise, quitting smoking) can sometimes allow dose reduction. Stopping medication without medical advice is dangerous and can trigger rebound hypertension. Dr. Tivender reviews your need for medication at every follow-up.

Yes — increasingly so. Rising obesity rates, sedentary lifestyles, and high-sugar diets have made both conditions common in younger Indians. Dr. Tivender sees and manages chronic conditions across all age groups at Trisha Family Clinic, and recommends annual screening for children with a family history of diabetes or obesity.

Uncontrolled diabetes can lead to diabetic nephropathy (kidney damage), retinopathy (eye damage), neuropathy (nerve damage), and increased cardiovascular risk. Uncontrolled hypertension raises the risk of stroke, heart attack, heart failure, and kidney failure. At Trisha Family Clinic, annual complication screening is built into your care plan to detect these early.

Take Control of Your Health Today

Same-day consultations available · Complete chronic disease records maintained · All age groups

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