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Hypertension and Diabetes Case Study: Sr. Creatinine Improves from 2.0 to 1.3 as BP and Blood Sugar Come Under Control in 1 Month

Hypertension and Diabetes Case Study: Sr. Creatinine Improves from 2.0 to 1.3 as BP and Blood Sugar Come Under Control in 1 Month

Medically Reviewed By

Dr Anuja Ajay Dalvi

Last Updated

03 Aug 2026

Opening Summary

Mr Divanand Shetty, a 52-year-old hotelier from Mumbai, had been living with diabetes and hypertension for 10–12 years, dependent on four allopathic blood-pressure medicines and diabetes medication throughout. Years of a stressful, irregular routine with no fixed meal timings, no sleep schedule, had gradually taken a toll. His kidney function had started declining, with serum creatinine reaching 2.0 mg/dL. He came to Madhavbaug’s Goregaon East clinic wanting to bring his blood sugar and blood pressure under control naturally. He began a combination diabetes and hypertension care plan, and within just one month, all four of his anti-hypertensive medicines and his diabetes medicine were stopped under doctor supervision, his HbA1c dropped from 10.5% to 7.0%, and his serum creatinine improved from 2.0 to 1.3 mg/dL. He continues on his 3-month care plan with ongoing monitoring.

Note: individual results vary, and medicine changes shown here were made and supervised entirely by the treating doctor. This is a single documented case and should not be read as a guarantee of similar outcomes for every patient.

Outcome Snapshot

PatientMr Divanand Shetty
Age and city52 years, Mumbai
Primary diagnosisType 2 Diabetes, Hypertension, Dyslipidemia (12-year history)
Main symptomsLargely asymptomatic; disturbed sleep for 6 months
Care planCDC SP 3 (diabetes) + HTN Complications Management Base, at Madhavbaug Clinic, Goregaon East
Duration1 month (with a 3-month programme ongoing)
Key measured resultHbA1c: 10.5% → 7.0%; all 4 anti-hypertensive medicines and diabetes medicine stopped under doctor supervision; weight down 4.5 kg; serum creatinine improved from 2.0 to 1.3 mg/dL
Current statusOngoing care plan, continuing follow-up

The Patient’s Story

Mr. Shetty has run a hotel business for years, and the lifestyle that came with it, no fixed meal timings, no consistent sleep schedule, constant work-related stress that caught up with him. He was diagnosed with diabetes, hypertension and dyslipidemia, and stayed on allopathic medication for over a decade. Over time, his uncontrolled blood sugar began affecting his kidneys, with serum creatinine climbing to 2.0 mg/dL. He also had a strong family history of high blood pressure and stroke and was determined not to end up in that situation himself.

Symptoms and Impact on Daily Life

SymptomSince when?Notes
Disturbed sleep6 monthsRecorded in clinical history

Medical History and Care Before Madhavbaug

Known case of diabetes mellitus, hypertension, and dyslipidemia for approximately 12 years, on allopathic treatment throughout this period. He was taking 4 medicines for high BP and 1 medicine for diabetes at the time of starting care at Madhavbaug.

Why the Patient Chose Madhavbaug

After more than a decade on allopathic medication for his blood pressure and blood sugar, Mr. Shetty wanted to bring both under control naturally rather than remain dependent on daily medication. His declining kidney function reflected in an abnormal serum creatinine reading added urgency to this decision. He came to Madhavbaug’s Goregaon East clinic specifically seeking a natural approach to managing his diabetes and hypertension.

Baseline Diagnostic Findings (May 2026)

ParameterBaseline valueDateReference / target
Blood Pressure120/75 mmHg12 May 2026120/80 mmHg
HbA1c10.5%13 May 2026Below 6.0%
BMI2512 May 202619–23
Serum Creatinine2.0 mg/dL13 May 20260.7–1.3 mg/dL
Weight77.5 kg12 May 2026N.A.
Allopathic medicines for High BP412 May 2026

Doctor’s Assessment and Goals

As recorded by the treating team: with a 12-year history of diabetes and high blood pressure, Mr. Shetty’s metabolic health had been gradually declining, and his high blood sugar had begun affecting his kidneys, reflected in rising serum creatinine. Despite consistent allopathic medication, his blood sugar remained poorly controlled. The primary treatment goals were to bring his high blood sugar and high blood pressure under control.

Personalised Care Plan

Care componentDetails
Diagnosis and follow-upGoregaon East Clinic: daily medicines, vitals tracked at every visit plus home BP and random blood sugar monitoring twice weekly
Panchakarma / therapyCDC Panchakarma and HTN Complications Management, twice weekly, for detoxification therapy
Diet planPrameha Diet Kit, followed for 3 months, aimed at blood sugar and blood pressure reduction
Activity / rehabilitationDaily combination exercises (~25 minutes, via a mobile app) to support blood sugar control
Medicine coordinationAllopathic medicines tapered under doctor supervision

Care-Plan Narrative

Mr Shetty’s treatment programme combined a diet kit, Panchakarma procedures, Ayurvedic medicines and a structured exercise programme. The diet kit was designed to be easy to prepare and portable; he could carry his meals to work in a tiffin, which made it practical to sustain alongside a demanding hotel business. Panchakarma sessions were scheduled twice weekly, one on a weekend and one midweek, alongside Ayurvedic medicines. His exercise programme was delivered through a mobile app and followed daily at home for about 25 minutes. He followed this combination for one month, within which his results changed substantially. His full programme is planned for 3 months; he is continuing the remaining course of treatment at the clinic. Given his strong family history of high blood pressure and stroke and the stress of running his own business, his commitment to the plan reflected a clear determination not to let his condition progress further.

Progress and Measured Results

Before-and-After Results

ParameterBeforeAfterChange
HbA1c10.5%7.0%↓ 3.5 percentage points
Serum Creatinine2.0 mg/dL1.3 mg/dL↓ 0.7 mg/dL
Returned to within normal range (0.7–1.3 mg/dL)
Blood Pressure120/75 mmHg113/75 mmHgModest further reduction, remained well-controlled
BMI2523↓ 2 points
Moved to within normal range
Weight77.5 kg73 kg↓ 4.5 kg
Allopathic medicines for High BP40All 4 anti-hypertensive medicines were stopped under doctor supervision.
Allopathic medicines for Diabetes10Diabetes medicine stopped under doctor supervision

Results Narrative

The most notable outcome in this case is that improved blood sugar and blood pressure control supported a meaningful recovery in kidney function, serum creatinine came down from 2.0 mg/dL to 1.3 mg/dL, back within the normal range, without any additional intervention beyond the structured diabetes and hypertension care plan. Alongside this, HbA1c fell from 10.5% to 7.0%, weight reduced by 4.5 kg, and BMI moved from 25 to 23. Under his treating doctor’s supervision, all four of his anti-hypertensive medicines and his diabetes medicine were tapered off within the month. He continues on his 3-month programme with ongoing monitoring, and this single case should not be read as predicting the same outcome for another patient.

What Changed in Everyday Life?

Mr Shetty reports a gradual improvement in his overall symptoms, with increased walking tolerance and greater independence in completing daily activities. He states that he has been attending to his work more consistently and sleeping better and has noticed improved appetite and energy levels. He also describes experiencing less breathlessness during routine activities and feeling more confident managing his day-to-day tasks.

Trust and Clinical Validation

Patient Testimonial

“I am very happy with the overall results, and now I am not dependent on any allopathic medicines for my blood sugar and high BP. This has made my life much easier; now I can travel and work without any worries.”

Attribution: Mr Divanand Shetty Approval: 12 July 2026

Doctor’s Note / Clinical Validation

“This shows lifestyle modifications and Ayurvedic treatment can help control high BP and high blood sugar and improve quality of life. His overall improvement is very good; for further improvement, he is advised to continue with treatment. The patient is advised to keep a close watch on his vitals and maintain follow-up with the doctor to continue these results.”

Doctors: Dr Anuja Ajay Dalvi (Clinic Head, BAMS) and Dr Saloni Suresh Salvi (Compliance Doctor, BAMS) Review date: 13 July 2026

Conclusion

Despite the demands of a stressful business and years of an irregular lifestyle, Mr Divanand Shetty was able to bring his long-standing high blood pressure and high blood sugar under control with a combination of diet modification and Ayurvedic treatment. In just one month, his HbA1c improved from 10.5% to 7.0%, his kidney function markers returned toward normal, and all his allopathic BP and diabetes medicines were stopped under doctor supervision. He remains in follow-up with his doctor to sustain these results and complete his 3-month programme. Every patient’s condition and response is different; if you’re managing long-standing diabetes, hypertension or related complications, we invite you to get your own health assessment done at the earliest.

Understand What the Right Care Plan Could Look Like for You

Every patient’s condition and response are different. Book an assessment with a Madhavbaug doctor to discuss your reports, symptoms and suitable next steps.

Frequently Asked Questions

  1. How much did HbA1c improve in this case, and over what period?

HbA1c reduced from 10.5% to 7.0% within 1 month of starting Madhavbaug’s combination diabetes and hypertension care plan (CDC SP 3 with HTN Complications Management).

  1. Were the patient’s BP and diabetes medicines stopped on his own or under supervision?

All medicine changes, the discontinuation of all 4 anti-hypertensive medicines and his diabetes medicine, were made and supervised by the treating doctor as part of a structured, monitored care plan. No reader should stop or change their own medicines without medical supervision.

  1. What tests were used to track this patient’s progress?

Progress was tracked using HbA1c, blood pressure, BMI, weight, and serum creatinine, alongside home monitoring of blood pressure and random blood sugar twice weekly.

  1. Why did this patient’s kidney function improve alongside his blood sugar and BP?

His serum creatinine had risen due to the effects of long-standing poorly controlled diabetes and hypertension. As his blood sugar and blood pressure came under better control through the care plan, his kidney function markers improved alongside them.

  1. Can every diabetes and hypertension patient expect the same result?

No. Outcomes vary from person to person based on individual health status, adherence, and other factors. This case describes one patient’s documented, doctor-supervised outcome and should not be seen as a guarantee of the same result for anyone else.

About The Author

Dr Anuja Ajay Dalvi

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Disclaimer

The content on this website is for informational purposes only and should not be considered a substitute for medical advice. Please consult a qualified Madhavbaug Ayurvedic doctor before starting any treatment.

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