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51 with Prediabetes: Can I Reverse It Despite Efforts?

Dr Chandrakant

Dr Chandrakant Lahariya  | Answer  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 16, 2024

Dr Chandrakant Lahariya is a diabetologist, an infectious diseases and public health specialist and a vaccine expert.
The Delhi-based senior physician also has over 20 years of experience in hypertension, thyroid disorders and respiratory illnesses.
An expert on common health issues and the preventive aspects of medicine, he has co-authored the book, Till We Win: India's Fight Against The Covid-19 Pandemic.
Dr Chandrakant completed his MBBS from the Maulana Azad Medical College, New Delhi, and his MD from the Lady Hardinge Medical College, New Delhi.
He has a DNB (National Board of Examination, 2009) certification and a diploma in vaccinology from Institut Pasteur, Paris.... more
Asked by Anonymous - Jun 28, 2024Hindi
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I'm 51 years old and my hba1c level revolves between 6.7 and 7.5 from time to time (fbs 120-150) based on my diet. I'm trying to reverse my type 2 diabetes by joining a gym with strict modifications in diet plan, including limiting alcohol to 90 ml per week, no carbs after 2 pm .However fbs is not coming down below 120.How can i reverse my diabetes. Till 2018 i didn't have any diabetes

Ans: Based upon information provided by you, it is possible to reverse your diabetes status. However, in the beginning, the lifestyle modifications alone may not be enough.
There is a concept called 'Legacy effect' after UKPDS study, which indicate that if we control our sugar early, it is likely to have long term benefit and may reverse/ remission of diabetes.
The ideal candidate for remission/reversal are following:
1. Diabetes identified in last 5 years,
2. Blood sugar levels/ HbA1c less than 8% and on less than two anti-diabetic medications
3. Self motivated

Congratulations to you as you appear very motivated.
I would suggest stop alcohol completely and get started on one oral anti diabetic medicine.

It is possible that your blood sugar levels would come under control in next 6 months.

Dr Chandrakant Lahariya
Centre for Health: The Specialty Practice,
New Delhi
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Hello sir, my son's rank in jee mains rank 25156 he got admission in electrical in silchar in josaa round, not in csab 1st round he got mechanical in kurushetra nit and he got admission in bits pillani rajeshthan for manufacturing engineering sir we are confused that whether we have to wait for 2nd and 3rd rounds in csab or he has good prospect in bits ,please guide us for good prospect for my son
Ans: Your son’s admission options include Electrical Engineering at NIT Silchar through JoSAA, Mechanical Engineering at NIT Kurukshetra via CSAB Round 1, and Manufacturing Engineering at BITS Pilani. NIT Silchar’s Electrical branch shows consistent placement rates around 80% with top recruiters like Amazon, offering average packages near Rs 12 LPA. NIT Kurukshetra’s Mechanical branch has an approximate 80% placement rate, with major industrial recruiters and average packages in the Rs 7.5-8.2 LPA range. BITS Pilani, known for its exceptional academic environment and strong industry connections, particularly excels in placements with nearly 90-100% of students placed, offering average packages in the range of Rs 18-20 LPA. Its manufacturing engineering branch benefits from this robust ecosystem despite lack of specific branch-wise data. Considering academic reputation, faculty quality, infrastructure, placement opportunities, and alumni network, BITS Pilani provides the most promising overall prospects. NIT Silchar and NIT Kurukshetra have good regional standing and opportunities but comparatively moderate placement outcomes.

The recommendation is to prioritize admission at BITS Pilani for Manufacturing Engineering due to superior placement outcomes, institutional prestige, and strong industry ties. If BITS is not preferred or feasible, NIT Silchar (Electrical) is a better option than NIT Kurukshetra (Mechanical). Waiting for further CSAB rounds is only advisable if aiming for significantly better branches or colleges aligned with your son’s rank. All the BEST for a Prosperous Future!

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