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Hyoglycemia, liver desease - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Blood Disorders
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   Hi
User :   pls go thru my history
Doctor :  
How can i help u
Doctor :  
yes will do that, give me few min
Doctor :  
Please proceed
User :   one of my doctor friend suggested me that liver disease may cause hypoglycemia, weight gain and other symptoms that i have pls advice
Doctor :  
i will help in this
Doctor :   can i ask few Q ?
User :   yes
Doctor :  
wat was your last sugar levels ?
User :   51 fasting 72 pp
Doctor :   ok
Doctor :  
did you check the insulin levels in the fasting state
User :   yes they were normal
Doctor :  
ok
Doctor :  
was your ultrasound normal ?
User :   insulinoma has been ruled out by ctscan
Doctor :   ok
Doctor :  
thats great
Doctor :  
as insuinoma is ruled out and the insulin levels are normal
Doctor :  
so risk of pancreas involvement is ruled out
Doctor :   so next comes the liver disorders
Doctor :  
did you liver function test
User :   what are those
Doctor :  
i will explain you
Doctor :   liver function test is to assess the function of liver
Doctor :  
includes the enzymes and bilirubin levels
User :   what is the test called
Doctor :   the name of the test is Liver function test or LFT
Doctor :  
do you consume alcohol ?
User :   i used to but that was in 2004 after that not a single drop has been consumed
Doctor :   ok

Doctor :  
here 2 pointed to be noted
Doctor :  
1. liver disorders produce both fasting and pp hypoglycemia
Doctor :   2. past history of alcohol consumption
Doctor :  
these make a significant histroy
User :   i have had jaundice in 1993 which was quite severe billirubin was 10.5 at the max
Doctor :  
so ideal for you would be liver function test
User :   what can be other symptoms for liver dysfunction
Doctor :  
ok
Doctor :   one of the main symptom is hypoglycemia which is both before and after food
Doctor :   Nausea

Doctor :  
Vomiting
Doctor :  
stomach ache
Doctor :  
tiredness
Doctor :  
Giddiness
Doctor :  
loss of consciousness
Doctor :  
head ache
Doctor :  
itching in the body
User :   i've few of these symptoms
Doctor :   ok
Doctor :   how is the color of urine
Doctor :  
and passage of stools
User :   passage of stools is normal the
User :   color of urine if gathered is yellowish
Doctor :  
ok
User :   i have this purple spotted skin near left ankle
Doctor :  
ok
Doctor :  
does it ithch
Doctor :  
is there any pain or swelling
User :   no swelling is there in the left ankle
Doctor :  
ok
User :   i mean no itching but swelling is present
Doctor :  
as per your history
Doctor :  
let me explain few things
Doctor :  
Liver is the main production for glucose
Doctor :  
and metabolism of glucose
Doctor :  
so any disturbance in liver can cause reduced glucose levels
Doctor :   as you have already mentioned, you had high degree jaundice at that time
Doctor :  
so this also adds as a risk factor'
Doctor :  
so i want to get following investigations done
User :   yes
Doctor :  
1. Liver function test
Doctor :   which includes all types of bilirubin
Doctor :  
do asses the damage of liver
Doctor :  
you should go for liver enzymes
Doctor :   AST
Doctor :  
ALT
Doctor :  
gamma glutamyl transferase
Doctor :  
along with it
Doctor :  
you also need
Doctor :  
2. Coagulation profile study
Doctor :  
PT and APTT levels
User :   are these tests conducted in local laboratories
Doctor :  
yes all these tests are conducted in local labs
User :   is fasting necessary for these tests
Doctor :  
no need of fasting for these test
Doctor :  
its random blood sample levels
User :   how may this cost
Doctor :  
it cost around 750- 800 rs
User :   ok
Doctor :  
so be relaxed AAAAAAA
Doctor :  
i understand you worry and concern
Doctor :  
after doing so many tests, still your problem is not solved
Doctor :  
but these tests will really help us to give clue to your diagnosis
User :   i'd done sgpt and sgot in mar 09 the results were normal any relations with above mentioned tests
Doctor :  
but gamma glutamyl transpeptidase has not be done
Doctor :  
SGOT and SGPT are one and the same tests
User :   no it hasn't been done and my sugar levels at that time were 65 and 72
Doctor :  
ok
Doctor :  
its better to go for these tests
User :   yeah i'll do that thanks will get back to you with results
Doctor :  
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