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Interpretation of lab results and diabetes mellitus - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   Hi
User :   hello
Doctor :   I am Dr. xxxx
User :   i was suffered by jaundice 3 years back..billirubin 31
User :   can i talk in bengalixxx
Doctor :   I am sorry I cannot speak or comprehend Bengali
Doctor :   You can talk in English
User :   ok just before 15 day i checked sugar and found 239
Doctor :   Ok
User :   and bellurubin normal
User :   but alkaline phosphate 457
User :   U/L
Doctor :   Ok
Doctor :   Was it fasting blood sugar?
User :   yes
User :   sgpt/alt 38 iu/l
User :   sgot 31.0
User :   other all are normal
Doctor :   Ok I am more concerned aboiut your fasting Blood sugar
Doctor :   I have few relevant questions for you today
User :   aemoglobin a1c 7.9%
Doctor :   What is your age, occupation, height and weight?
User :   ok
User :   33 yrs,service,5.7 ft .89
Doctor :   Do you smoke or take alcohol?
User :   yes smoke heavy
User :   alkohol only once in a week
Doctor :   That is the reason for high alk phosphatase
Doctor :   Now the next step for you are thus
User :   some infection i have taken antibiotic last month
Doctor :   yes antibiotics can raise the LFT's but it is been more than one month so I do not think they have affected the labs
Doctor :   Do you have more questions before I suggest my recommendations/
User :   how can i reduce alk p
User :   sugar 1s time found and i am taking madicine for sugar
Doctor :   Alkaline phosphatase increase can be of two reasons
User :   please give me your valuable advice
Doctor :   one is liver disease and bone disease
User :   ok
Doctor :   Here we could see you have risk factors for liver disease
Doctor :   and more over Diabetes can also increase asymptomatical liver function tests
User :   ok
Doctor :   If the blood sugar is controlled and the smoking is quit the Alk phosphatase can start regressing
Doctor :   Do you have a value of GGT in Liver function tests?
User :   no
Doctor :   You can ask you doctor to order that
Doctor :   Keep your blood sugar under control
Doctor :   HbA1C should be less than 6.5%
Doctor :   Get this done once every 3 months
Doctor :   Weight reduction can help you acheive desired blood sugar levels
Doctor :   Now to summarise all my recommendations
Doctor :   1) Get GGT levels tested
Doctor :   2) Quit smoking and moderate consumption of alcohol
User :   ok
Doctor :   I would suggest to quit it too
Doctor :   3) Testing HbA1C and LFT after 3 months
User :   can i reduce
Doctor :   4) Weight loss
User :   ok
Doctor :   Did you follow?
Doctor :   Do you have any questions?
User :   no thanks 1st i will test
User :   and reduce smoke
Doctor :   Yes
Doctor :   Perfect
User :   but want to take alcohol only once a week...can i?
Doctor :   Alcohol can aggravate the liver damage
Doctor :   Once the Alkaline phosphatase comes to normal
Doctor :   then you can have once a week
User :   ok
Doctor :   Thank you for consulting me
Doctor :   Bye for now
User :   thanks
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