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What Causes Elevated Triglyceride Levels?
Question: can you have a look at my blood works
Brief Answer:
Labs are generally good except you have diabetes and elevated PSA
Detailed Answer:
Thanks for contacting HCM with your health care concerns.
You submitted you blood work for review.
Your blood work shows that you have diabetes. Your diabetes is related to the fasting blood sugar of 126 and the HgbA1c of 6.4. Together they show you have new onset diabetes. You can control your diabetes by starting a well balanced diet. I recommend finding a book on diabetes and following an 1800 calorie diet. If your are over weight then losing weight will also help.
Your cholesterol levels are actually good. The triglyceride elevation is due to the diabetes. Once you control your diabetes a little better the triglyceride levels will drop.
Of also big note is your TPSA level is elevated. For this I recommend that you see a urologist to do a prostate exam, ultrasound and possibly prostate biopsies. The elevation is concerning for possible prostate cancer and needs to be addressed by the urologist. The elevation maybe just an enlarged prostate but could also indicate prostate cancer. Since you are a young 73 year old male I would discuss this fully with your urologist as to the best course of action. Come urologist may recommend wait and see before doing anything but I believe you need to be fully informed by your urologist before you make that decision.
in summary
1. New onset diabetes
2. Good general diet low in carbohydrates at about 1800 calories daily
3. Elevated PSA. Discuss with urologist as to your options and to make an informed decision
4. Normal cholesterol levels.
5. Normal blood counts
I hope I answered your question. Please contact HCM again with your health care concerns or questions. You may contact me again if you have any additional questions or comments
Labs are generally good except you have diabetes and elevated PSA
Detailed Answer:
Thanks for contacting HCM with your health care concerns.
You submitted you blood work for review.
Your blood work shows that you have diabetes. Your diabetes is related to the fasting blood sugar of 126 and the HgbA1c of 6.4. Together they show you have new onset diabetes. You can control your diabetes by starting a well balanced diet. I recommend finding a book on diabetes and following an 1800 calorie diet. If your are over weight then losing weight will also help.
Your cholesterol levels are actually good. The triglyceride elevation is due to the diabetes. Once you control your diabetes a little better the triglyceride levels will drop.
Of also big note is your TPSA level is elevated. For this I recommend that you see a urologist to do a prostate exam, ultrasound and possibly prostate biopsies. The elevation is concerning for possible prostate cancer and needs to be addressed by the urologist. The elevation maybe just an enlarged prostate but could also indicate prostate cancer. Since you are a young 73 year old male I would discuss this fully with your urologist as to the best course of action. Come urologist may recommend wait and see before doing anything but I believe you need to be fully informed by your urologist before you make that decision.
in summary
1. New onset diabetes
2. Good general diet low in carbohydrates at about 1800 calories daily
3. Elevated PSA. Discuss with urologist as to your options and to make an informed decision
4. Normal cholesterol levels.
5. Normal blood counts
I hope I answered your question. Please contact HCM again with your health care concerns or questions. You may contact me again if you have any additional questions or comments
Above answer was peer-reviewed by :
Dr. Prasad
Doing a PSA screen is deeply personal as there are no clear benefits from screening and treating for prostate cancer in elderly men. If I were you, I will not follow up on this as it may not provide any huge added advantage over doing nothing. At times, it rather makes live more terrible. There are also several other causes of increased levels of PSA that have nothing to do with prostate disease.
Most persons with cancer of the prostate die with it than die from it.?
Brief Answer:
I agree with waiting and watching
Detailed Answer:
I agree that the PSA is a personal matter to be discussed with you and your physician. Most doctors are no longer doing PSA screening because of this issue that you have before you now. If elevated do we proceed with biopsy or wait? The current thinking is that you should probably repeat your PSA every 3 months to see if it continues to elevate. If the PSA elevates then there is more indication to have a biopsy and possible treatment. If it remains stable then the elevated PSA is due to BPH or prostatitis. If the PSA increases then there is more likelihood of prostate cancer. Even if the PSA is elevated due to possible Prostate cancer the cancer maybe slow growing and you would probably die from other causes as opposed to the prostate cancer. These are all issues you need to think about and consider before proceeding with biopsy or treatment. I do recommend that you at least see your urologist and together map out a plan of action.
In summary
1. Elevated PSA possible BPH, Prostatitis or Prostate cancer
2. Recommend discussion with urologist to formulate plan of action
3. Options are wait and see
4. Repeat PSA every 3 months looking for up trending
5. If stable continue to monitor
6. If elevating then possible biopsy
7. Most prostate cancers are slow growing and will not cause death.
I am not pressuring you to make any decisions I am only giving you the advice I would give anyone else that has elevated PSA. The option is always yours. I just recommend that you make an informed decision
I agree with waiting and watching
Detailed Answer:
I agree that the PSA is a personal matter to be discussed with you and your physician. Most doctors are no longer doing PSA screening because of this issue that you have before you now. If elevated do we proceed with biopsy or wait? The current thinking is that you should probably repeat your PSA every 3 months to see if it continues to elevate. If the PSA elevates then there is more indication to have a biopsy and possible treatment. If it remains stable then the elevated PSA is due to BPH or prostatitis. If the PSA increases then there is more likelihood of prostate cancer. Even if the PSA is elevated due to possible Prostate cancer the cancer maybe slow growing and you would probably die from other causes as opposed to the prostate cancer. These are all issues you need to think about and consider before proceeding with biopsy or treatment. I do recommend that you at least see your urologist and together map out a plan of action.
In summary
1. Elevated PSA possible BPH, Prostatitis or Prostate cancer
2. Recommend discussion with urologist to formulate plan of action
3. Options are wait and see
4. Repeat PSA every 3 months looking for up trending
5. If stable continue to monitor
6. If elevating then possible biopsy
7. Most prostate cancers are slow growing and will not cause death.
I am not pressuring you to make any decisions I am only giving you the advice I would give anyone else that has elevated PSA. The option is always yours. I just recommend that you make an informed decision
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now
Above answer was peer-reviewed by :
Dr. Yogesh D
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