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Done routine check up. Can any online doctor help me to read this? - Online Doctor Chats

Date : 25-Oct-2013
User rating for this question
Very Good Posted in: X-ray, Lab tests and Scans
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2288 Questions
Doctor:How can I help you today?
User:Hi Dr. ,
User: XXXXXXX here
User:I have gone through routine check up and tests are alarming
User:Just wanted to know the severity
Doctor:Can you send me the reports at YYYY@YYYY
Doctor:Address it to Dr
User:Fasting tests done and HbA1c result at 6.4 as per report it falls in at risk diabetic condition, what is your opinion
Doctor:It is a little outside the range
Doctor:how about the blood sugar levels?
User:Not mentioned on report, will try to upload report
User:Lipid profile as below-
User:Cholesterol total-204
User:Triglycerides 173
User:Hdl chol- 40
User:LDL chol-129.4
User:Veld chol calculated-34.6
Doctor:triglycerides are out of range
User:Glucose, fasting, plasma- 103
Doctor:glucose fasting is in prediabetes range
User:What could be possible action, I have not seen any doctor as yet for this
Doctor:First lets discuss lipid profile
Doctor:Triglycerides are high
Doctor:Mainstay of treatment is low calorie diet and exercise
Doctor:Avoid high calorie foods like milk products - cheese, butter, ghee, cream, etc
Doctor:May try anti-lipidemics after consultation with a physician
Doctor:exercise should be at least 20 min a day
Doctor:It can include walk, yoga, gym, cycling, swimming etc
Doctor:Now coming to HBA1C and high fasting glucose levels
Doctor:It is still in prediabetes range
Doctor:That means that you may become diabetic in future
Doctor:For now you need to reduce the intake of sugary foods
Doctor:medicines not required
Doctor:Keep checking the blood glucose levels regularly
Doctor:Maybe every six months
Doctor:or earlier if you get symptoms of diabetes
Doctor:Symptoms of diabetes may include
Doctor:weight loss or gain
Doctor:eating a lot
Doctor:drinking water a lot
Doctor:urinating a lot
Doctor:these are the main symptoms
User:Weight loss in last three months
User:Basically due to walking exercise
Doctor:Nothing much to worry for now
Doctor:Just stick to lifestyle changes
User:I will have to keep checking on east of the things, have not been keen on this earlier
User:So you suggest to visit a physician for lipid profile mainly
Doctor:For both
Doctor:You can visit an XXXXXXX medicine specialist
Doctor:Do you have any more questions?
User:Thank you so much Dr. ! It's been pleasure talking to you and really helpful
Doctor:Thanks for consulting me
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