What Do These HbA1C And Lipid Profile Tests Indicate?

Posted on Wed, 25 Feb 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 25 Feb 2015 Answered on

Tue, 24 Mar 2015 Last reviewed on

Question : Hello Doctor ,

I have done the following tests on my own :
1) HbA1C
2) TSH
3) Lipid Profile

All tests were done with a 12 hour fasting.

The report is attached herewith.

Kindly advise with your analysis ,if I need to make any modifications to my medicines.
medicines presently been taken :
1) Losar A
2) Lorvas
3) Betalock 25
4) Fish Oil

Answered by Dr. Anantharamakrishnan (4 hours later)

Brief Answer:
Need better Diabetic control with Metformin or voglibose for 3 months. Read below.

Detailed Answer:
Dear friend
Welcome to Health Care Magic

The Lipids are reasonable. However, the LDL-C could be lower to 70…
HDL is good cholesterol – higher, the better.
LDL is bad cholesterol – lower, the better. In the absence of any other risk factor 100 is ideal for LDL-C. In the presence of several risk factors or heart disease, 70 should be the aim.
     Keep your weight to normal - Your BMI is > 35 = in OBESE range
     Quit smoking, if you are a smoker
     Do regular EXERCISE – say walking or jogging - 30 minutes a day / at least 5 days in a week. Isometric exercise (like bull worker) is bad.
     Healthy FOOD is a must. Avoid saturated fats – coconut oil, palm oil, butter, ghee, full cream milk...Avoid junk foods in particular – French fries have palm oil / Pizza has cheese / XXXXXXX sweets are made in ghee.../ Change to Poly-un-saturated oil – like sun flower oil. / Include Mono-un-saturated oil – Olive oil.
Repeat after 3 months / If still above 70, a small dose of statin (like atorvastatin) may be added by your doctor.

     HbA1c is glycosylated haemoglobin - average concentration / not affected by daily fluctuations but by the average glucose levels over the past six to eight weeks. Therefore, HbA1c is a useful indicator of how well the blood glucose level has been controlled in the last 2 to 3 months / reflecting the effects of diet, exercise, and drug . You can control your diabetes better - probably by starting a drug like Metformin and/ or Voglibose to start with / repeat the level in 3 months. Your doctor will give appropriate prescription and follow up advice.

Good luck
God bless you

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Anantharamakrishnan (1 hour later)

Dear Doc ,I have attached my reports .Please review and suggest

Thanks

Answered by Dr. Anantharamakrishnan (37 minutes later)

Brief Answer:
No new attachment seen

Detailed Answer:
Hi

I have already seen the initial reports, attached by you

No new management strategy - other than that already suggested - is warranted... > Life style changes for weight reduction / better diabetic management

Regards

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Pradeep Vitta