Jaiwant Rangi, MD, FACEEndocrinologist | Founder, Lower The Dose® | Speaker

When Medicine Misses the Message: The High Price of Fragmented Diabetes Care

29 Aug 2026 · 1 min

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Dr. Jaiwant Rangi describes a man with type 2 diabetes whose A1C stayed between 8 and 11 for a decade. Despite seeing multiple doctors and filling prescriptions, no one intensified his treatment or protected his organs from damage. He lost his leg after six months of surgery, revealing how fragmented care missed the core problem of uncontrolled blood sugar.

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A man who came to see me with his son, he was leaning on a walker. He had just been discharged from the hospital after more than 6 months of surgeons trying to save his leg. 6 months of wound care, 6 months of complications. They could not save it. And when I looked back through the records, the A1C had been 8 to 11 for almost 10 years. And he was in the system. He had the doctors, he had prescriptions, he had appointments, but no one was looking at the whole big picture and asking, why is the blood sugar still dangerously high after years? Why has the treatment not been intensified? Are his blood vessels being protected? Are his kidneys being protected? Is his heart being protected? And are his nerves already being damaged by maybe side effect of medications or from missing B12 or from diabetes itself over time?