Hi Komal ji. I am 61 years and diabetic for the past 12 years. My HbA1C today is 6.4 and it was 5.1 in November 2022. Fasting and PP is 90 and 84 respectively. I am on medication with Janumet 50/500 twice a day morning and night and Cardace 2.5 mg in the morning for BP. My weight is 60 kgs and height is 167cm. My diet includes millets, vegetables, fruits, dry fruits, chese, butter, ghee and cold pressed oils. Fully stopped eating maida, white rice and sugar. Please advice (1) how to bring HbA1c within 4.6 to 5.5. (2) If HbA1c is brought within 4.6 to 5.5, can I stop taking diabetes medicines ?. Thanks & Regards.

Ans: It would be advisable to consult your family physician for medical advise. However, dietary changes can be followed by consuming a high fiber diet including vegetables, whole grains, beans, etc. Avoid sugary and refined foods. Include healthy fats like avocados, nuts, and olive oil and lean proteins like fish, poultry, tofu, and beans. Have regular meals and remain physically active.

Ans: For such out of range blood sugar levels, it is advisable to take medication or insulin as advised by your family physician. Monitor her diet with low carbohydrate and high fiber foods like whole grains, vegetables, beans, etc. Avoid refined foods, fruit juices, sugary foods, etc. Lean protein foods like beans, low fat dairy products, egg whites will blunt the glycemic index. Make sure she remains physically active.

Ans: The dietary recommendations to help stabilize blood sugar levels and promote overall health include high fiber vegetables like green leafy and other vegetables, brussels sprouts etc are excellent choices. They provide fiber, vitamins, and minerals while helping control blood sugar. Fruits that are rich in nutrients and fiber are oranges, grapefruits, guava, apples, clementines, etc are high in vitamin C, folate, and potassium. To monitor blood sugar levels, have a high fiber, low carbohydrate, low fat and moderate protein diet. Avoid refined foods, alcohol, sugary foods, etc. Adopt a regular exercise regimen.

Ans: Chyawanprash is a powerful herbal remedy known for its immune-boosting properties. However, jaggery contains equivalent amount of carbohydrates like sugar which will increase the glycemic index. Thus it is advisable to have sugar-free chyawanprash variants .

Ans: As your blood sugar levels are out of range, medication needs to be continued. Abnormal blood sugar levels can be lowered gradually with dietary modifications. A balanced Diet will be focused on whole, nutrient-dense foods, complex carbohydrates like whole grains (brown rice, quinoa, oats), legumes, and vegetables. Include healthy fats like avocados, nuts, and olive oil in your diet .Lean Proteins like fish, poultry, tofu, and beans will blunt your glycemic index. Limit sugary foods, refined carbs, and saturated fats. Stay physically active which improves insulin sensitivity and helps manage blood sugar levels.

Ans: To control diabetes, adopt a balanced diet by focusing on whole, nutrient-dense foods, complex carbohydrates like whole grains (brown rice, quinoa, oats), legumes, and vegetables. Use healthy fats like avocados, nuts, and olive oil. Include lean proteins like fish, poultry, tofu, and beans. Limit sugary foods, refined carbs, and saturated fats and stay physically active. Have a regular exercise schedule with focus on weight training which will help gain lean mass. This will help gain muscle and thus overall weight.

Ans: The lipid profile results are indicative of abnormal ranges. To lower these levels, you will need to consult your family physician for the need of medication. Dietary modifications are necessary by following a balanced diet with high fiber, low fat, moderate protein and low carbohydrate foods like whole grains, fruits, vegetables, nuts, egg whites, lean meat, etc. Opt for unsaturated fats, such as those found in olive oil, avocados, nuts, and seeds. Limit added sugars and refined carbs and stay active.

Ans: It sounds like you're facing a lot of pressure and frustration regarding your career and future direction. It's understandable to feel overwhelmed when dealing with family expectations, job dissatisfaction, and uncertainty about your career path. Here are some suggestions to help you navigate this challenging situation in the future. Have open and honest conversations with your family about your feelings, aspirations, and concerns regarding your career. Express your need for support and understanding as you navigate your career journey. Explain your reasons for considering government job preparation or entrepreneurship, and discuss how your family can support you in pursuing your goals. Once you've clarified your goals and explored your options, take proactive steps to move forward. This may involve updating your resume, researching government job requirements, or developing a business plan for your entrepreneurial venture. Break down your goals into smaller, manageable steps and take consistent action towards achieving them. Remember that progress takes time, and setbacks are a natural part of the journey. It's essential to prioritize your well-being and mental health during this challenging time. Take time for self-care activities that help you relax, recharge, and maintain balance in your life. Seek support from friends, family, or mental health professionals if you're feeling overwhelmed or struggling to cope with stress. Research different career paths, including government job opportunities, entrepreneurship, and other alternatives. Consider the pros and cons of each option, as well as the potential challenges and opportunities they present.

Remember that your career journey is unique to you, and it's okay to explore different paths and make changes along the way. Trust yourself to make decisions that align with your values, aspirations, and well-being. With persistence, self-reflection, and support from others, you can navigate through this challenging period and find fulfillment in your career and life.

Ans: Studying a B.Sc. in Physician Assistant from a government medical college in West Bengal can lead you to various career opportunities in the healthcare sector. Physician assistants (PAs) play a crucial role in providing medical care under the supervision of licensed physicians. You can work as a clinical research coordinator, healthcare technology consultant, regenerative medicine specialist, genomic medicine practitioner, health informatics specialist, or telemedicine specialist to diagnose and treat patients virtually, providing consultations, prescribing medications, and managing chronic conditions through online platforms. physician assistant (PA); primary care provider; hospitalist; specialty practitioner in orthopedics; dermatology; oncology; obstetrics and gynecology; neurology; or gastroenterology. Academic and Research Roles in Teaching and Mentoring Students, Conducting Clinical Research, Contributing to Scholarly Publications, and Participating in Continuing Education Programs for Healthcare Professionals, Global Health, and Humanitarian Experts for Organizations such as Non-Governmental Organizations (NGOs), International Aid Agencies, and Medical Mission Groups to Address Healthcare Disparities Worldwide. 

As you consider these career options, it's essential to stay informed about emerging trends, advancements in healthcare technology, and changes in healthcare policies and regulations. Pursuing additional education, certifications, or specialized training in these areas can further enhance your qualifications and prepare you for future career opportunities in the dynamic field of healthcare.