Good Afternoon Doctor !!! I am Ranjan - Male/53 yrs, 5'7" tall with 67 kg weight. I was detected with T2D in July 2019. Since then with my own effort I lost weight, controlled diet, did regular exercise and managed sound sleep and stress. I took Metformin 500 mg also once daily after dinner. Since July 2022, I am off Metformin 500 mg ( own decision ) as my sugar level used to fall drastically. I have been going for lab tests every quarter & for last one year my results are perfect except that of Fasting Sugar levels which is between the range to 101 & 109 mg/dl. I am still comfortable on restricted diet. I know that I am suffering from Dawn Phenomena. I seek your expert advice to achieve my Fasting Sugar Level between 80 to 90 mg/dl. Kindly advice.

Ans: Some PRACTICAL strategies / steps / tips you should follow: (1) Whenever you study at home, study for 45-minutes. Then take a break of 10-minutes when you can move away from your study table, walk, have some water & relax. If you continue studying beyond 45-minutes, your concentration power will go down, resulting to low output. Most students commit this mistake. (2) On daily basis (morning or evening whichever will be convenient to you), do yoga or meditation or physical exercises or play any games / sports for at least 30-45 minutes. This will further reduce your stress / distractions. (3) Study tough topics / tough subjects (applicable to you) early morning with your fresh mind. (4) Eat a lot of green vegetables / fruits which you can afford for & Avoid soft drinks (5) Every day night, before going to bed, revise whatever you have studied during the day. (6) Also, revise every week whatever you have covered till date (here your short-notes which you should prepare will be helpful). (7) Keep practising questions on topics which you have covered either offline or online (8) Give utmost importance to wrongly answered / difficult / complicated / tough questions and have a separate note-book specially for this for each subject (PCM) (8) You might be aware that JEE rank is allotted on the basis of highest score in Maths, followed by Physics & Chemistry. Practice more and more in Maths, till you reach Speed & Accuracy (9) By the end of 9th/10th/11th/12th standard (December-January), attempt fully syllabus online test series, evaluate and analyse your performance such as, (a) which topic / unit / concept you are weak which needs your revision and improvement as this will disturb you when you appear in actual JEE exam (b) abnormal time taken to attempt any question which you can come to know from Online Test Series which you should reduce (c) which questions you skipped and why? (10) Please AVOID studying under pressure that you should get admission only into IITs/ NITs. Never advisable. Any one can be successful, even if he / she studies in NON-IIT / NON-NIT Colleges also. (11) Have Plan B & Plan C for other Colleges Entrance Exams / Disciplines-Streams. (11) Avoid comparing yourself with other students. (12) Also, it is highly ideal to appear in / attempt minimum 5-Entrance Exams (for both Govt & Private Engineering Colleges). You will have a lot of options (easiest method) to choose the best and most suitable one, keeping in view a lot of factors such as, College | Location | Your Interest | Stream Preference | Placement Records | College Culture | Your Short & Long Term Goals | Pressure You Can Go Through | Your AIR & Job Market Condition when you apply for your BTech & Even after. I hope I have answered to your question with value additions.

All the BEST for your Bright Future.

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