A 3-month program led by Dr. Roshani Sanghani for more stable glucose, clearer insulin decisions, and less daily burden.
Dr. Roshani Sanghani · Board-Certified Endocrinologist · ★ 4.9 · 202 Google reviews · 20+ years
First Consultation
A clinical review of your glucose patterns, insulin regimen, and daily context.
Dr. Roshani’s team reviews the data behind your repeated highs, lows, doses, and daily variables.
You leave with a clearer picture of what keeps repeating and whether the program fits.
Watch Dr. Roshani explain the variables beyond insulin dose
You make 180 more decisions every day than someone without Type 1. And the usual appointment may still come down to a few minutes every few months.
You know insulin. You know carb counting. You know what a 3 AM alarm feels like. Sometimes your family knows it too.
The reading is high even when you did everything right.
And still, so much can feel like guesswork. Why did the same meal spike today? Why did exercise drop glucose yesterday and raise it today? Why did stress look like a food problem?
The appointment often comes down to the HbA1c, the dose, and the next three months. But your life changes every day.
If you have Type 1 Diabetes and daily management feels like guesswork instead of a system, this program was built for that.
The approach is lifestyle alongside insulin therapy. Not instead of it.
The goal is more stable glucose, clearer insulin decisions, and less daily burden.
Dr. Roshani does not only ask what your glucose is. She asks what your glucose is responding to.
Food, insulin timing, pump settings, sleep, stress, hormones, travel, illness, and exercise can all change the picture.
Dr. Roshani and her team study your logs, glucose patterns, insulin doses, and daily context to find what repeats.
The work is not to chase every reading. It is to understand the pattern behind the reading, so insulin decisions start making more sense.
Food logs
what you eat, how much insulin you use, and what happens after
Glucose patterns
highs, lows, timing, variability, and repeated spikes
Insulin doses
basal, bolus, corrections, pump settings, and timing
Daily context
sleep, stress, exercise, travel, illness, and hormonal shifts
Liva's documented case shows what can change when food, insulin timing, stress, travel, pump settings, and daily life are reviewed together.
8% → 5.4%
HbA1c
Documented in Liva’s case story
60 → 22
Insulin units per day
Lower daily insulin need in Liva’s case
(40–400) → (80–180)
Glucose range (mg/dl)
A more stable recorded range
This is one patient's documented story, not a promise of the same result. Results vary by insulin sensitivity, duration of Type 1 Diabetes, sleep, stress, hormones, lifestyle consistency, and other physiological factors.
“In the past 20 years, I have met many endocrinologists but did not ever meet a doctor who genuinely cared about the patient or made the effort to listen, understand the person's issues and tackle the root cause.”
Source: Liva Google Review and verified video story. Individual results vary.
Dr. Roshani and her team teach carbohydrate counting and insulin dosing so food becomes a choice, not only a calculation. Patients learn how different carbohydrate levels affect their glucose, and choose how far to take it.
From the expert community
Dr. Roshani also hosts in-depth conversations with Type 1 Diabetes researchers. In this session with Andrew Koutnik, PhD, a researcher who has lived with Type 1 since childhood, they discuss exercise, glucose stability, insulin kinetics, and the mental-health load of Type 1. These are the details that often do not fit into standard appointments.
Watch the full conversation →Start with the data you already live with: glucose logs, insulin regimen, and CGM data if you use one.
₹4,000 / USD 60 · In person in Mumbai or online by video
Patterns, not single readings
Stopped reacting to individual readings
“I no longer react to individual blood sugar levels, but instead I try to understand patterns, I try to understand the 'why' behind a spike or drop in my blood sugar levels, and then make adjustments to my lifestyle and insulin that work for me.”
Food preferences respected
Support that made daily management feel easier
“They helped me with an entire lifestyle change with patience and understanding my food preferences. Thanks to the team and Dr. Roshani for constant support and helping me manage this seamlessly.”
Pump therapy, Graves disease, and Type 1
Reviewed together over 10+ years
“She has an advanced understanding and takes time to analyze data thoroughly. If you are seeking genuine, sustainable improvement in your health, please consult her and her team.”
Indian meals can create glucose curves that standard examples do not always prepare patients to dose for. Rice, dosa, idli, chapati, dal, fruit, snacks, festival food, and restaurant meals all behave differently in real life.
Dr. Roshani and her team help patients build insulin decisions around the food they actually eat, not an idealized Western plate.
Most Reisaan patients are of Indian origin, living across 12+ countries. Reisaan welcomes patients from other backgrounds who want this approach.
Your journey — four steps
A 30-minute consultation with Dr. Roshani — in person in Mumbai or online by video.
Before the consultation, Dr. Roshani’s team reviews the data behind your repeated highs, lows, doses, and daily variables. You leave with a clearer picture of your glucose patterns, insulin regimen, daily context, and whether the program fits.
Your 3-month program begins, with consultations every 10–12 days and daily support between visits.
The team reviews your glucose patterns, insulin timing, food logs, sleep, stress, exercise, and daily context so your insulin plan starts matching your life.
After the program, you have a clearer way to read your own glucose patterns and make insulin decisions with more confidence. The Reisaan app stays with you. For patients who want continued clinical involvement, maintenance options and an alumni community are available.
The program is built to help you read your own patterns more clearly, during the three months and after.
Note: Working online with Dr. Roshani does not replace the need for physical examinations with your primary care provider.
Dr. Roshani Sanghani has practiced lifestyle-first endocrinology for over 20 years. She is American Board-Certified in Endocrinology, Diabetes, and Metabolism, and a MINT-Certified Motivational Interviewing Trainer.
She has worked with Type 1 Diabetes patients for over a decade — including insulin pump transitions, Graves disease, and multi-condition management.
American Board-Certified in Endocrinology, Diabetes, and Metabolism·American Board-Certified in Internal Medicine·MINT-Certified Motivational Interviewing Trainer·Certified Personal Trainer·Author, Turn Around Diabetes (2024)
Dr. Ian Lake, BM, BSc
“There is a special chapter on holistic management of type 1 diabetes to help people living with it explore issues beyond dietary insulin adjustment. It should be on the must-read list not just for people with diabetes but also for their clinical teams.”
— Dr. Ian Lake, BM, BSc · General Medical Practitioner, United Kingdom · Person with Type 1 Diabetes
Turn Around Diabetes is Dr. Roshani's guide to using lifestyle alongside medical care in Type 1 and Type 2 Diabetes. The Type 1 chapter covers insulin resistance, carbohydrate counting, pump management, and the mental-health burden of glucose instability.
“Type 1 diabetes, although not reversible, can be managed in a much simpler and safer way to allow you to live a life of health.”
— Mark Cucuzzella, MD · Professor, West Virginia University School of Medicine · Staff Physician, Martinsburg VA Hospital
Dr. Jason Fung
NYT Bestselling Author, The Obesity Code and The Diabetes Code
Dr. Eric C. Westman
Duke University
Dr. Medha Munshi
Harvard Medical School
Benjamin Bikman, PhD
Author, Why We Get Sick
William R. Miller, PhD
Co-founder, Motivational Interviewing
“Brittle diabetes” became a label for Type 1 that seemed impossible to stabilize: wide swings, unpredictable highs and lows. Dr. Roshani’s view is that much of what gets called brittle often has patterns. When her team reviews food logs, glucose patterns, sleep, stress, insulin timing, and daily context in detail, the randomness often becomes more understandable.
Managing Type 1 on high-carb meals with high insulin doses can feel like Formula One racing: high acceleration, high deceleration, high risk of crashing. A lower-carb approach with accurate dosing is closer to slow city driving. If the bumper touches, the damage is smaller.
The goal is not to remove insulin. The goal is to make insulin decisions clearer and glucose less reactive.
Lifestyle changes do not restore insulin-producing cells in Type 1 Diabetes. But they can significantly affect insulin sensitivity, glucose variability, recovery, energy levels, and the amount of insulin required day to day.
None of this replaces insulin. The work is lifestyle alongside insulin therapy, not instead of it.
Yes. This is more common than most people realize. If your insulin doses keep climbing — especially past 40 units a day — and you're gaining weight around the belly despite the same lifestyle, that's a sign. The lifestyle approach in this program directly addresses insulin resistance, even in Type 1. The goal is more stable glucose with the lowest safe insulin dose.
Start with the data you already live with: glucose logs, insulin regimen, and CGM data if you use one.
In person in Mumbai or online by video
★ 4.9 · 202 Google reviews · 20+ years clinical experience
Watch: Dr. Roshani describes the first consultation →