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What Does My Blood Test Report Indicate?

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Posted on Mon, 10 Aug 2015
Question: type 2 diabetic for the last 10 years. current HbAiC-5.8 //HsCRP-1.75 //BUN 22.09// LDL 158// HDL 37//SGPT 12.9// ALKALINE PHOSPHATASE 40.1. please suggest
doctor
Answered by Dr. Shehzad Topiwala (5 hours later)
Brief Answer:
Diabetes

Detailed Answer:
Your HbA1c is excellent. If you are not on any medication, it is likely you have cured your diabetes.

The LDL is high so aim for a level closer to below 100 if you are still considered to be diabetic. If you have heart disease then it ought to be lower than 70.

The HDL needs to be raised to above 40 or even 45. The best way to achieve this is through exercise and weight loss. A dietitian can help you improve the cholesterol readings. The other labs look fine.
HsCRP requires a more detailed analysis that is typically accomplished only after a comprehensive evaluation that will include a thorough physical examination.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shehzad Topiwala (6 hours later)
taking the following tablets
1) TRIMETRIDE 1X0X1
2) LIPAGLYN 4 MG 0 X 1 X 0
3) ALA 300MG 1 X 0 X 0
4) SUPRADIN 0 x 1 x 1
please suggest if any alteration is required.
doctor
Answered by Dr. Shehzad Topiwala (11 hours later)
Brief Answer:
Follow up

Detailed Answer:
I see.

The medications section of your query post still shows 'N/A' suggesting you are on no medications at all.

The purpose of this forum is not to specifically guide on medication choices and doses. Even the moderators of this portal discourage this practice.

However I will give you broad guidance which you use to initiate a discussion with your endocrinologist in-person.

Your A1c suggests you are too tightly controlled. If the A1c is reliable in your case, then treatment changes are worth considering. When I see someone like you in my practice I either reduce the number of medications or lower the doses or sometimes do both of these things.

When I say ' If the A1c is reliable in your case' I mean there are several complex ways to analyse this. A thorough examination is required to make such determinations in addition to many others.



Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What Does My Blood Test Report Indicate?

Brief Answer: Diabetes Detailed Answer: Your HbA1c is excellent. If you are not on any medication, it is likely you have cured your diabetes. The LDL is high so aim for a level closer to below 100 if you are still considered to be diabetic. If you have heart disease then it ought to be lower than 70. The HDL needs to be raised to above 40 or even 45. The best way to achieve this is through exercise and weight loss. A dietitian can help you improve the cholesterol readings. The other labs look fine. HsCRP requires a more detailed analysis that is typically accomplished only after a comprehensive evaluation that will include a thorough physical examination.