Medical Services

Women’s Health Specialist

Dr. Nataliya Dashevsky and Dr. Feroza Hossain, primary care physicians in Princeton, New Jersey, have the experience and expertise to diagnose and manage women’s health concerns, from gynecologic care and cosmetic rejuvenation, to chronic diseases like diabetes and arthritis. Dr. Dashevsky and Dr. Hossain are especially concerned about helping women prevent health problems, so please contact the practice, Medical Associates of Princeton, to schedule an appointment that will put you on the path to wellness.

Women’s Health Q & A

Why is a well woman examination important?

Most women recognize the importance of regular gynecological examinations. But they often don’t realize their checkup can be expanded to become a more comprehensive well woman exam — one that finds potential health issues throughout the body before they turn into major problems.

A well woman exam offers gynecologic care and so much more. It gives Drs Dashevsky and Hossain the opportunity to find early signs of all types of chronic diseases, including thyroid disease, heart disease, high blood pressure, and diabetes.

Another benefit of a well woman exam is that it gives you time to talk with the doctor about whatever concerns are on your mind. No matter what questions you might have, Drs Dashevsky and Hossain, family doctors in Princeton NJ, are there to help during a well woman exam.

What happens during a well woman exam?

A well woman exam begins like most health checkups, with questions about your medical history and current health, recording your weight, and taking your blood pressure. Since your risk for chronic disease will be evaluated, Dr. Dashevsky or Dr. Hossain may also order routine blood tests for cholesterol, blood sugar, and other markers of health.

In addition to a thorough physical examination, the following services are commonly included in a well woman exam:

• Breast exam
• Pelvic exam
• Pap smear to test for cervical cancer
• Birth control
• Preconception planning
• Testing for infections or sexually transmitted disease
• Immunizations — flu shot, vaccination boosters, or other adult immunizations to prevent shingles or pneumonia
• Recommended health screenings — osteoporosis, colorectal cancer

What other specialized women’s health services can you receive at Medical Associates of Princeton?

Primary care physicians who specialize in internal medicine, like Dr. Dashevsky and Dr. Hossain, are qualified to treat women’s diverse health concerns that arise during adulthood. When you come to Medical Associates of Princeton for women’s health services, you’ll also have access to:

• Lactation support
• Menopause treatment, including hormone replacement therapy
• Nutrition counseling
• Weight management (including insurance pre-certification for weight loss medications when appropriate)
• Cosmetic services: Botox®, Restylane®, laser skin rejuvenation
• Management of chronic health conditions such as:
  • Arthritis
  • Asthma
  • Diabetes
  • High blood pressure
  • Chronic obstructive pulmonary disease
  • Cardiovascular disease
  • Chronic pain
  • Gastrointestinal disorders
  • Dementia

Drs Dashevsky and Hossain are dedicated to caring for the whole person, not simply treating an isolated symptom. This means they consider how changes in one part of the body affect other parts, and the impact of stress, diet, and other aspects of the environment on your overall health. Women of all ages, from teens to those who are well past menopause, are welcome at Medical Associates of Princeton.

Internal Medicine Specialist

Doctors who practice internal medicine (primary care physicians) are trained to diagnose and treat any type of health problem that occurs in adults of all ages. Dr. Nataliya Dashevsky and Dr. Feroza Hossain at Medical Associates of Princeton are highly qualified primary care physicians who offer best compassionate and individualized care to residents in the area of Princeton, New Jersey. They’re available to help whether you have a common condition like allergies, need to manage a long-term disease such as diabetes, or you’d like a cosmetic procedure to rejuvenate your appearance.

Internal Medicine Q & A

What is internal medicine?

Internal medicine is the medical specialty that’s dedicated to treating adults, which includes the range of ages from late teens through centenarians. Physicians who specialize in internal medicine, called internists, are trained to deal with whatever problem a patient has, whether it’s a common cold, an emotional struggle, or a complex, long-term disease.

While internists receive extensive training in the full range of medical conditions, they’re also experienced in the diagnosis and treatment of internal medicine subspecialties. This includes endocrinology, rheumatology, infectious diseases, geriatrics, and psychiatry, to name just a few of the specialties that are part of internal medicine.

What services do Drs Dashevsky and Hossain provide?

As an internist, Drs Dashevsky and Hossain also focus on preventing disease. They encourages patients to schedule regular wellness exams, so that they can identify risk factors known to lead to chronic diseases, like high blood sugar and high blood pressure. If a risk factor is found, they work with the patient to treat the issue before it develops into a serious health problem.

In addition to helping adults manage their overall physical health, Dr. Dashevsky also offers diverse cosmetic procedures that rejuvenate skin and restore a more youthful appearance.

This is a partial list of the services offeres, so contact Medical Associates of Princeton to learn how we can support all of your individual health needs including:

Cosmetic services:

• Botox treatment
• Women’s hair restoration
• Non-invasive body contouring
• Laser hair removal
• Laser facial

Health and wellness services:

• Women’s health
• Hypothyroidism
• Arthritis
• Diabetes
• High blood pressure
• Cardiovascular health
• Annual wellness exams
• Adult immunizations
• Cancer screening
• Nutrition counseling
• Weight management (including insurance pre-certification for weight loss medications when appropriate)

Internal medicine physicians serve as your primary care doctor, so you can rely on Drs Dashevsky and Hossain to provide long-term, continuous care. Many patients don’t realize that internists — and the entire team at Medical Associates of Princeton — are dedicated to treating the whole person. We consider how stress, diet, exercise, and all aspects of everyday life impact your health, and we’ll help you find the balance that provides optimal wellness and quality of life.

Can I get an immigration exam at Medical Associates of Princeton?

Yes. Drs Dashevsky and Hossain offer their medical expertise to those who want to become residents of the United States. They are authorized to provide immigration examinations, which are the medical exams required to show you don’t have health problems that would prevent you from obtaining a U.S. green card.

If you have any questions about the immigration exam, the documents you should bring to the exam, or what the process involves, please contact Medical Associates of Princeton.

Immunizations General Information

Immunizations needed for immigration exams

Immunizations for adults 18 years and up

Immunizations Q & A

Arthritis Specialist

Arthritis interferes with daily life by making it hard to walk, grasp items, and climb stairs. Dr. Nataliya Dashevsky and Dr. Feroza Hossain, primary care physicians in Princeton, New Jersey, identify patients at risk for arthritis, make an early diagnosis, and develop a best treatment plan that will keep them active and help prevent the disease from progressing. Don’t hesitate to contact Medical Associates of Princeton if you experience joint pain or stiffness because early treatment can make a difference, waiting time for rheumatologist could be up to 6 months, so call our office to get a referral .

Arthritis Q & A

What is arthritis?

Arthritis is a general term that refers to joint disease. There are more than 100 different types of arthritis, and each one has its own symptoms and treatment, but they all have one thing in common — joint pain. In 44% of cases, the pain and stiffness from arthritis is severe enough to limit everyday activities.

What are the two most common forms of arthritis?

Osteoarthritis is the most common type of arthritis, followed by rheumatoid arthritis. In addition to being the most prevalent, they’re also good examples of the differences between types of arthritis.

Osteoarthritis: It’s also called degenerative arthritis because it causes joint degeneration. It’s caused by long-term wear and tear on the joints, which gradually breaks down cartilage. As cartilage disappears, bones in the joint can come into contact, which is painful and makes it hard to use the joint. Osteoarthritis is associated with pain during activity and stiffness after periods of inactivity, like when you wake in the morning.

Rheumatoid arthritis: This is an inflammatory disease where the body’s own immune system harms the joints. Osteoarthritis may ultimately cause joint inflammation, but rheumatoid arthritis is caused by inflammation that develops in tissues surrounding the joint. Swelling and inflammation cause pain and joint dysfunction, and may lead to deformed joints. The inflammation associated with rheumatoid arthritis can cause widespread symptoms like fatigue and fever. This form of arthritis often goes through cycles in which patients have flare-ups followed by remission, then another flare-up.

What causes arthritis?

The experts are still exploring the precise causes, but they believe that genes may predispose people to arthritis, then something in the environment triggers the disease. As one example, people with osteoarthritis may have a genetic tendency for weak cartilage, and then joint injury may trigger the start of arthritis. Risk factors that increase the chance of developing arthritis include:

Age: While there are some forms of juvenile arthritis, the risk for most forms increases with age.

Sex: Women are more likely to get rheumatoid arthritis than men.

Weight: Excess weight puts stress on joints, which increases the chance of developing arthritis.

How is arthritis treated?

Arthritis treatment is individualized to match the type of arthritis and the severity of symptoms, but two key treatments are physical activity and medications. Regular, gentle exercise balanced with rest maintains joint mobility, helps relieve pain, and keeps muscles strong.

Patients with rheumatoid arthritis often use medications to slow the disease progression, prevent further joint damage, and to keep it in remission as long as possible. Drs Dashevsky and Hossain will also help patients find safe ways to alleviate pain.

Primary Care Doctor Specialist

Internal medicine practitioners and pediatricians qualify to be primary care doctors because they take responsibility for providing continuous and comprehensive health care. That means you can rely on Dr. Nataliya Dashevsky and Dr. Feroza Hossain, primary care doctors near and in Princeton, to proudly serve as your primary care physicians. At Medical Associates of Princeton, in Princeton, New Jersey, both doctors offer a full range of medical and preventive health care services to patients of all ages.

Primary Care Doctor Q & A

What is a primary care doctor?

A primary care doctor is your main health care provider, the first person you contact for undiagnosed concerns and continuing care of chronic health conditions that affect any part of your body. Primary care doctors, or primary care physicians (PCPs), are trained to treat the full range of health conditions, so you can rely on their expertise for all your health care needs.

While your primary care doctor is the person you visit when you’re sick or need an annual checkup, they do more than diagnose and treat health conditions. They also oversee or coordinate all of the health care services you might need. Primary care doctors can help you get access to specialty care, educational services, and community services.

Think of your primary care doctor as being the heart of your medical home. This is where you can form a long-term relationship with a physician you trust.

Why do you need a primary care doctor?

One reason for having a primary care doctor is that it gives you a person you can call and a place where you can go when you have a health problem. Without a primary care doctor, you may end up visiting the emergency department for a common health issue that’s easily treated by a primary care physician. Additionally, health insurance providers require you to choose a primary care doctor.

Here’s another reason you need a primary care doctor: It will help keep you healthier as you get older. Primary care doctors focus on preventive medicine, helping you recognize risk factors so you can avoid chronic diseases like high blood pressure and diabetes. Having a primary care doctor increases the chance that you’ll get preventive checkups, receive an early and accurate diagnosis, and get appropriate treatment.

Are the physicians at Medical Associates of Princeton primary care doctors?

Yes, they are primary care doctors. As internists and pediatricians, they provide the full range of primary care medical services, from acute and chronic medical care to wellness exams, health screenings, immunizations, psychological care, and patient education about nutrition, exercise, and parenting. The physicians of Doctors at Princeton are your partners for the long run. Our team focuses on the family, believes in treating the whole person, and helps each patient maintain health and wellness over the years.

Family Doctor Specialist

Choosing a group of doctors who treat all members of the family offers more than the convenience of one-stop medical care. It also means you have physicians who honor the whole person, know the detailed family medical history, and who are dedicated to developing a long-term relationship with each patient. With specialties in pediatrics and internal medicine, the team of physicians at Medical Associates of Princeton offer the benefits of family practice to residents living in and around Princeton, New Jersey.

Family Doctor Q & A

What are the benefits of seeing family doctors?

Family doctors are uniquely trained to prevent and treat the many different health problems that develop in people of all ages. Since family practice doctors treat the same person over the years, and multiple members of the same family, they have the advantage of being deeply familiar with the family’s medical history, which can be invaluable for best diagnosing and preventing health problems.

There are two key principles that guide family doctors. They want to:

Focus on the whole person: Family doctors are dedicated to considering all aspects of your health, including the interaction between different body systems and how your environment affects your health and wellness.

Develop a relationship: A family physician places a high priority on developing a long-term personal relationship with each patient.

Why is preventive health care so important?

Family doctors near me spend a lot of time treating sick patients, but they also encourage everyone to schedule regular “well checkups” so that they can keep you healthy. The Medical Associates of Princeton use preventive checkups to identify any changes in your physical and emotional health that may put you at risk for developing chronic disease. Then they work with you to create a plan to maintain wellness and prevent risk factors from turning into a serious health threat.

Preventive health care is so important because chronic diseases that occur over time, such as diabetes, high blood pressure, and heart disease, can be prevented with lifestyle changes — if they’re caught early. But after a disease is diagnosed, there’s no cure. Then it becomes an illness that must be constantly managed to avoid serious consequences.

What family services are available at Medical Associates of Princeton?

At Medical Associates of Princeton, comprehensive health care is offered to all patients. As a group, the doctors are trained in diverse fields, and they diagnose and treat diverse health-related concerns that may arise. A partial list of the health services available includes:

• Nutrition counseling
• Allergy testing
• Weight management
• Sports physicals
• Preventive checkups
• Newborn care
• Senior care
• Immunizations/vaccinations
• Developmental screening

You can also count on the team at Medical Associates of Princeton to be sure you’re up to date with the recommended routine health screenings. This includes screening for high cholesterol, diabetes, hypertension, and specific types of cancer such as breast, prostate, and colorectal cancers.

High Blood Pressure Specialist

One in five adults who have high blood pressure don’t know they have it, which means they’re at risk for serious complications like heart disease and kidney failure. Dr. Nataliya Dashevsky and Dr. Feroza Hossain in and near Princeton, New Jersey, encourage you to contact Medical Associates of Princeton to schedule a preventive checkup and routine blood pressure screening. Getting an early diagnosis is essential for protecting your health by lowering blood pressure to a normal level.

High Blood Pressure Q & A

Why is high blood pressure so dangerous?

High blood pressure, or hypertension, is dangerous because it doesn’t cause symptoms. If you don’t check your own blood pressure, or schedule regular preventive checkups with Dr. Dashevsky or Dr. Hossain, you can have hypertension for years without knowing it.

As time goes by, blood vessel walls are damaged as the high force of blood rushing through pushes against the walls. Then cholesterol that’s circulating in the bloodstream gets caught on the damaged area. As more cholesterol sticks to the same spot, it develops into plaque.

Now you have another reason high blood pressure is so dangerous — it leads to plaque — and plaque hardens the artery and restricts blood flow. This increases your risk for a heart attack, stroke, and heart failure.

High blood pressure also leads to kidney damage when hypertension harms blood vessels in the kidneys. In fact, hypertension is the second leading cause of kidney failure.

What causes high blood pressure?

Some of the factors that increase your chance for developing high blood pressure are beyond your control. For example, if you have a family history of hypertension, you’re at a higher risk for developing the same problem.

Age is also an important variable, because blood pressure tends to increase gradually over time. Additionally, your heart and blood vessels naturally change as you get older, adding to the problems caused by high blood pressure.

Most of the things that cause high blood pressure can be changed by following a healthy lifestyle, which means many people can prevent or delay hypertension. These are the factors that increase your risk for high blood pressure:

• Overweight or obesity
• Lack of exercise
• Too much salt in the diet
• Too little potassium in the diet
• Smoking cigarettes
• Consuming too much alcohol

In rare cases, high blood pressure is the result of other health conditions. Diabetes, thyroid disorder, kidney disease, and obstructive sleep apnea are examples of problems that can cause hypertension.

How is high blood pressure treated?

Dr. Dashevsky or Dr. Hossain will work with you to develop an individualized treatment plan. Treatment usually begins by making changes in diet and losing weight, if necessary. The doctor offers nutrition counseling and can help you plan a healthy diet that includes less salt and more potassium-rich foods.

If lifestyle changes don’t lower your blood pressure, or if your blood pressure is dangerously high, then Dr. Dashevsky or Dr. Hossain can prescribe antihypertensive medications to get your health back on track.

Hypothyroidism Specialist

It’s easy for adults to ignore the symptoms of hypothyroidism because they often mimic changes commonly associated with aging. Dr. Nataliya Dashevsky and Dr. Feroza Hossain in Princeton, New Jersey, are concerned about undiagnosed hypothyroidism because it seriously affects your health and can cause complications like high cholesterol. Contact Medical Associates of Princeton to schedule a checkup and rule out hypothyroidism if you feel fatigued, gain weight, have a change in memory, or experience muscle and joint pain.

Hypothyroidism Q & A

What is hypothyroidism?

Hypothyroidism occurs when your thyroid gland is underactive, which means it isn’t producing a sufficient amount of thyroid hormones. Thyroid hormones have a big impact on your overall health and energy because they regulate your metabolism and influence systems throughout your body, including your heart, body weight, muscle strength, and cholesterol levels. Lack of thyroid hormones generally slows your body down.

What causes hypothyroidism?

Hypothyroidism often develops when the body’s immune system attacks the thyroid gland, causing inflammation that eventually damages the thyroid’s ability to produce hormones. If you have another type of autoimmune disorder, such as type 1 diabetes or rheumatoid arthritis, you may be at a higher risk for developing hypothyroidism.

There are other causes of hypothyroidism. A deficiency in iodine can cause hypothyroidism because thyroid hormones are made from iodine. It’s also possible for the thyroid to become inflamed from other causes, and some medications interfere with thyroid function. Radiation treatment for head and neck cancers or abnormal tissue growth can also lead to hypothyroidism.

What are the symptoms of an underactive thyroid?

Hypothyroidism commonly develops in middle-aged and older women. While it rarely occurs in infants and children in the United States, it can interfere with normal growth and cause developmental delays. If your infant frequently chokes, has a large, protruding tongue, a puffy face, or seems excessively sleepy, contact Drs Dashevsky and Hossain, primary care physicians near me at Medical Associates of Princeton because these may be signs of hypothyroidism.

Common symptoms of hypothyroidism in include:

• Tiredness and fatigue
• Weight gain
• Dry skin and hair
• Impaired memory
• Trouble sleeping
• Sensitivity to cold temperatures
• Puffy face
• Hoarseness
• Joint and muscle pain
• Muscle aches and weakness
• Constipation
• Elevated cholesterol

How is hypothyroidism treated?

There’s one treatment for hypothyroidism — taking thyroid hormones to bring blood levels back to normal. The most important thing about treatment for hypothyroidism is taking your medication exactly as prescribed, because you’ll need a steady supply of medication to keep thyroid hormone levels steady. If you have any problems with your medication, talk to Dr. Dashevsky or Dr. Hossain to see if any changes can be made in the prescription. It’s essential to keep your thyroid hormone levels stable to avoid other health problems.

Wellness Exams Specialist

Dr. Nataliya Dashevsky and Dr. Feroza Hossain, in Princeton, New Jersey, offer wellness exams so that they can help patients prevent chronic diseases such as high blood pressure and diabetes. Contact Medical Associates of Princeton to schedule an appointment and learn how the health screening provided during a wellness exam can identify your risk factors for disease.

Wellness Exams Q & A

What is a wellness exam?

Wellness examinations have one goal: preventive health care. During a wellness exam, you’re screened for signs of potential health problems so they can be prevented or properly managed with early treatment instead of getting worse.

Separating a wellness exam from a sick visit is important for a variety of reasons, but one of the most important is time. When you’re sick, you’ll need a quick same-day appointment, and you’ll want treatment as soon as possible so you can get relief.

By comparison, during a wellness exam, you’ll spend time talking with the doctor because it’s important to get into depth about family medical history, your lifestyle habits, and any changes in your health since the last visit.

What can you expect during a wellness exam?

A wellness exam includes a physical exam, screenings for various health conditions, and other tests like diagnostic bloodwork, hearing, and vision. Dr. Dashevsky or Dr. Hossain will discuss your medical history and talk about lifestyle factors that have a big impact on your health, such as diet, exercise, stress, and the use of tobacco or alcohol.

The goal of a wellness exam is to prevent chronic diseases such as heart disease, kidney disease, diabetes, and lung disease, so the doctor will look for any factors that may increase your chance for developing chronic health conditions.

While health screenings generally follow a recommended schedule based on age, Drs Dashevsky and Hossain will consider your current health and family history when deciding which tests you may need. Some screening tests you may receive include:

• Blood pressure
• Cholesterol
• Diabetes
• Nutritional deficiency
• Skin cancer check
• Breast cancer
• Cervical cancer
• Prostate cancer
• Colorectal cancer
• Osteoporosis
• Sexually transmitted diseases
• Abdominal aortic aneurysm

What is a Medicare wellness visit?

Medicare Part B pays for yearly wellness visits, but the exact services covered depend on your risk factors for disease. These are the basic services included in Medicare wellness visits:

“Welcome to Medicare” visit: You can get this wellness visit in the first 12 months after you have Part B. It includes certain health screenings, shots, a vision test, review of risk for depression, and a safety assessment.

Yearly wellness visit: If you’ve had Part B longer than 12 months, you’re still entitled to a yearly wellness visit, which includes a Health Risk Assessment, a personalized prevention plan, routine measurements such as blood pressure, and a cognitive assessment.

Immigration Exams Specialist

Dr. Nataliya Dashevsky and Dr. Feroza Hossain in Princeton, New Jersey, are authorized to provide the required medical examination for immigrants who are applying for a green card. Please contact their office at Medical Associates of Princeton to schedule an appointment for your immigration exam. Dr. Dashevsky and Dr. Hossain have years of experience performing immigration exams with compassion and understanding.

Immigration Exams Q & A

Who is required to get an immigration medical exam?

Any person who is applying for a green card to become a permanent resident of the United States must get a medical examination. This immigration examination is required to ensure you don’t have one of the few health conditions that would make you ineligible for a green card. When you come in for your examination, Dr. Dashevsky or Dr. Hossain will explain what health problems may affect your application.

What information do you need to bring to the medical exam?

Please bring the following information when you come to Medical Associates of Princeton for your medical examination:

Vaccination records: Bring a list of all the vaccinations you’ve received.

Medications: Dr. Dashevsky and Dr. Hossain will need to know what medications you take on a regular basis.

Tuberculosis: If you’ve had a positive skin test for tuberculosis in the past, bring a certificate from your doctor describing the treatment you received.

Chest X-rays: If you’ve had an abnormal chest X-ray, please bring the X-rays to the exam, if possible.

Syphilis: If you’ve had syphilis, bring a written report from your doctor describing your treatment.

Psychiatric conditions: If you’ve been treated or hospitalized for a psychiatric disorder, or for alcohol or drug abuse, bring a report from the doctor describing your diagnosis and treatment.

Disabilities: If anyone applying for a green card has been diagnosed with an intellectual or learning disability, bring a report of their condition and any information you have about their special educational requirements.

What is included in the immigration exam?

You can relax and feel confident knowing that Dr. Dashevsky and Dr. Hossain understand the importance of a green card medical exam. They take the time to talk with you, answer questions, and explain what you can expect from the examination. This is a brief summary of what’s required during the exam.

Dr. Dashevsky or Dr. Hossain will review your medical and vaccination history, then give you a physical examination. During the physical exam, the doctor will look at your eyes, ears, nose, throat, and extremities.

You’ll also need a blood test and may need a chest X-ray. However, children under the age of 15 do not usually get an X-ray, and some women who are pregnant may be able to get the X-ray done at a later time.

Dr. Dashevsky or Dr. Hossain will give you any vaccinations you may need, based on the list of required vaccinations that prevent diseases such as hepatitis, mumps, flu, measles, pneumonia, and polio.

More Information:

• Immunizations needed for immigration exams
• Immunizations for children 0-6 years old
• Immunizations for children 7-18 years old
• Immunizations for adults 18 years and up

Diabetes Specialist

Diabetes is the seventh leading cause of death and the top cause of kidney failure and adult-onset blindness. Dr. Nataliya Dashevsky and Dr. Feroza Hossain, primary care physicians near me in Princeton, New Jersey, offer comprehensive diabetes screening and management for patients of all ages. Please don’t wait to contact Medical Associates of Princeton to schedule a checkup, because type 2 diabetes can be prevented or delayed when it’s caught early.

Diabetes Q & A

What health complications can develop from diabetes?

There are two types of diabetes. Type 1 occurs when the body doesn’t produce enough insulin. Type 2, which accounts for 90-95% of all cases of diabetes, occurs because the body can’t use the insulin being made. In both types, blood sugar levels increase. High blood sugar can cause serious health problems such as:

• Heart disease
• Kidney disease
• Blindness due to damaged nerves in eyes
• Foot amputation due to complications from damaged nerves and poor blood flow
• Skin infections
• Alzheimer’s disease

How do you know if you have diabetes?

Some patients don’t experience symptoms when diabetes is in the early stage, which is why getting a regular preventive health checkup is so important. When they develop, symptoms include:

• Excessive thirst
• Frequent urination
• Excessive hunger
• Unexplained weight loss
• Fatigue
• Irritability
• Blurred vision
• Slow wound healing
• Frequent infections

Are you at risk for developing type 2 diabetes?

A risk factor is anything that increases the chance that you’ll develop a disease, such as diabetes. Some risk factors can’t be changed, like age and a genetic predisposition. However, there are many factors you can control to lower the chance that you’ll develop type 2 diabetes.

The following conditions all raise the chance of getting diabetes, but many of them can be avoided by making lifestyle changes:

• Overweight or obesity
• High blood pressure
• High blood triglycerides
• Low level of the good high-density lipoprotein cholesterol
• History of heart disease or stroke
• Inactivity
• Polycystic ovary syndrome
• History of gestational diabetes

How is type 2 diabetes prevented or treated?

Type 1 diabetes can’t be prevented because it’s an autoimmune disorder that often develops at a young age. But type 2 diabetes and its complications can develop over time. This means you have time to prevent diabetes if you take action early and keep blood sugar under control. After diabetes develops, treatment revolves around keeping blood sugar levels normal. Whether you need to prevent or treat diabetes, these are the primary steps:

Healthy diet: The physicians of Doctors at Princeton will help you develop a meal plan designed to minimize spikes in blood sugar and help you lose weight, if necessary.

Exercise: In addition to being good for your overall health and helping you lose weight, regular exercise also lowers blood sugar.

Medications: Insulin is one possible medication for treating diabetes, but a variety of other prescription medications are available to help lower blood sugar, if it’s not controlled by diet and exercise.

Blood sugar testing: Depending on the severity of your type 2 diabetes, you may need to test your blood sugar levels regularly to be sure they’re within normal limits.

We offer the following services to our patients:

• Preventive Maintenance Examinations
• Prostate screening and exam
• Gynecological exam and screening
• Sick visits
• Breast examination
• Emergency care – 24 hour availability
• Inpatient hospital care
• Hearing and vision testing
• Cholesterol screening and treatment
• Behavior assessment and counseling
• Nutrition counseling
• Weight management (including insurance pre-certification for weight loss medications when appropriate)
• Pulmonary testing and therapy
• Sex education counseling
• Treatment of multiple chronic condition such as diabetes, hypertension, thyroid dysfunction etc.
• Laboratory services done on premises and submitted to the lab your insurance participates with
• General guidance and coordination of care with different specialists
• Allergy shots
• Age appropriate vaccinations and Seasonal flu vaccines
• Remote Patient Monitoring
• Chronic Care Management
• CDC recommended immunizations