As an aftermath of India's nuclear tests in 1998, General Karamat acted as principal military adviser to the government, aiding the Prime Minister Nawaz Sharif on military platform. At the telephonic meeting with the Prime Minister Nawaz Sharif, President Bill Clinton offered lucrative aid to Pakistan for not testing its devices; Prime Minister Sharif's response was inconclusive. President Bill Clinton described the meeting with the Prime Minister Nawaz Sharif to Strobe Talbott: "You can almost hear the guy wringing his hands and sweating."