Frequently asked questions

An international consensus report defines remission as an HbA1c below 6.5% (48 mmol/mol) measured at least 3 months after stopping glucose-lowering medicines. Remission is not a cure, eligibility varies, and it is not achievable for everyone. Medicines should only ever be changed under medical supervision, and regular monitoring continues either way. For many people the right goal is good long-term control, with or without medicines.

They may or may not. Some people are able to reduce certain medicines as their health improves; others continue to need them, and that is safe and normal. Every change is decided and supervised by your endocrinologist. Please never stop or change a medicine on your own.

No. Plans are personalised and built around Indian food habits. When a structured lower-calorie phase is appropriate, it is supervised, time-limited and planned with your doctor and dietitian, with medicines adjusted safely.

Yes, many parts can be done online, including many follow-up consultations and dietitian sessions. Some steps — such as a physical examination and certain tests — need an in-person visit to a participating centre or laboratory.

This depends on your condition. Common tests include HbA1c, glucose, lipids, kidney and liver function and thyroid tests. Your doctor may use recent reports you already have. Laboratory tests are charged separately unless stated in your package.

Thyroid conditions are usually managed alongside the programme. Kidney disease depends on its stage — advanced kidney disease needs a different, individually planned pathway. If you are pregnant, breastfeeding or planning a pregnancy, please tell us: some medicines must be avoided and your care will be planned differently.

Only when appropriate, after a full assessment by an endocrinologist and within approved indications. We do not prescribe through online forms, and these medicines are not suitable for everyone. Your doctor will explain the benefits, side effects, monitoring and what happens if treatment is stopped.

It varies between individuals. Some changes, such as in daily glucose readings, may be seen within weeks; others take months. Formal reviews are scheduled at 3 months and at the end of each programme stage.

You receive a maintenance plan, and you can continue with the Long-Term Maintenance programme for scheduled reviews, monitoring and early action if weight or sugars start to rise.

No. METAMISSION is a collaborative network of endocrinologists. The Salem, Tiruchirappalli, Hyderabad and Kalaburagi centres are independently owned clinics, each responsible for the care, records and billing of the patients it sees.

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