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Suggest Medication According To My Below Mentioned Test Reports

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Posted on Fri, 12 Jan 2018
Question: Dear Dr,

Following are the details of my blood test result.

Kindly let me know whether my test result is ok.

Dr gave me medicines only to control the CHOLESTROL.


BLOOD GLUCOSE(FASTING)
Test                :      GLU-F
Result           :      123.1
Unit                :     mgl/dl
Normal Reference Range      :      70.0 - 110.0 mg/dl


SERUM CHOLESTROL
Test                :      CHOLESTROL
Result           :      248
Unit                :     mgl/dl
Normal Reference Range      :      0.0 - 199.0 mg/dl



SERUM TRIGLYCERIDES
Test                :      TRIGLYCERIDE
Result           :      126
Unit                :     mgl/dl
Normal Reference Range      :      0.0 - 149.0 mg/dl



BLOOD GLUCOSE(RANDOM)
Test                :      RBS
Result           :      94.7
Unit                :     mgl/dl
Normal Reference Range      :      80.0 - 140.0 mg/dl




COMPLETE URINE ANALYSIS
COLOR          :     PALE YELLOW
Consistency     :     clear
P.H               :      7
SP.GR               :     1.008
Protein           :     neg
Sugar               :     norm
Ketone          :     neg
Blood               :     neg
Bilirubin          :     neg
Nitrite          :     neg
RBC               :     0-2/hpf
WBC               :     0-2/hbf
Crystal          :     NIl
Epith.Cells          :     Few
Bacteria          :     Nil
Mucus Threads          :     Nil
Amorphous Urate          :     -
Amorphous Phouphate     :     -


GLYCOSYLATED HB
Test                :      HbA1C
Result           :      5.651
Unit                :     %
Normal Reference Range      :      4.0 - 6.0 %


Thanks

doctor
Answered by Dr. Michelle Gibson James (17 minutes later)
Brief Answer:
the HbA1c just entered prediabetes

Detailed Answer:
HI, thanks for using healthcare magic

The fasting blood sugar and the HbA1c are in the prediabetic range. This means that they would not classify you as a diabetic but as a prediabetic--- you are at risk of developing diabetes in the future.

The exact point at which this would occur is not known for any prediabetic, it can be weeks, months or years.

The time from prediabetes to diabetes can be lengthened by diet changes, exercise and a medication called metformin.
The metformin may not be needed now since the HbA1c is just, just into the prediabetic range but it can be considered if it progresses

Now you would focus mainly on diet changes and exercise to prevent the prediabetes and this would work with the medication to help with the cholesterol.

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (1 hour later)
Thanks for the advice.

Kindly let me know what food should I consume to prevent myself from getting diabetes.

I take only breakfast & lunch(sometimes towards evening) and for dinner i take only fruits and veggies.

I don't take anything else other than this.
doctor
Answered by Dr. Michelle Gibson James (14 minutes later)
Brief Answer:
reduce carbohydrates

Detailed Answer:
HI

You can use three main meals if you wish, breakfast, lunch and dinner.

Using a lot of fruits and vegetables is great and should be continued.

Reducing your carbohydrates (you do not need to cut it out completely, just reduce),would help.
This would be bread, rice, pasta, biscuits, potato, carbonated drinks, some juices.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (16 minutes later)
Can I have brown bread, tomatoes, cucumber, watermelon etc for dinner ? Is it ok?

Is it ok to do cycling?

I will completely stop taking rice, pasta, biscuits etc.

Thanks
doctor
Answered by Dr. Michelle Gibson James (10 minutes later)
Brief Answer:
diet and exercise mentioned is fine

Detailed Answer:
HI

You don't have to completely stop the rice/pasta/ biscuits etc, just reduce the amounts

The dinner menu mentioned (tomatoes, cucumber, watermelon, other fruits/vegetables) along with the bread , sounds fine, healthy

Cycling is fine or any other form of exercise that you like

If anything else unclear, can let me know
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (6 minutes later)
Thank you very much.
doctor
Answered by Dr. Michelle Gibson James (37 minutes later)
Brief Answer:
no problem at all

Detailed Answer:
Wish you the very best

If there are any future concerns, can let me know
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (3 days later)
Dr,
Suddenly,I started getting boils on the face

What could be the reason for this??
Thanks
doctor
Answered by Dr. Michelle Gibson James (8 hours later)
Brief Answer:
usually entry of bacteria through a small opening

Detailed Answer:
HI

sorry for the delayed reply

Boils are most commonly due to infection of hair follicles.
Bacteria normally lives on the skin, if the bacteria on the skin should enter into the skin through any small cut or scratch mark or abrasion then an infection can occur.

Clean twice daily with a mild anti septic and apply a topical antibiotic twice daily.

If there is no improvement then you would need to see your doctor for an oral antibiotic
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (13 hours later)
dr,
is it because of cholesterol that I am getting boils on the face?
thanks

doctor
Answered by Dr. Michelle Gibson James (21 minutes later)
Brief Answer:
no, this is not related to cholesterol

Detailed Answer:
HI

Cholesterol is not associated with infections. It causes blood vessels to become blocked and can affect the heart (heart attack etc) or brain (stroke) if it is not controlled, but it does not cause infections

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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Suggest Medication According To My Below Mentioned Test Reports

Brief Answer: the HbA1c just entered prediabetes Detailed Answer: HI, thanks for using healthcare magic The fasting blood sugar and the HbA1c are in the prediabetic range. This means that they would not classify you as a diabetic but as a prediabetic--- you are at risk of developing diabetes in the future. The exact point at which this would occur is not known for any prediabetic, it can be weeks, months or years. The time from prediabetes to diabetes can be lengthened by diet changes, exercise and a medication called metformin. The metformin may not be needed now since the HbA1c is just, just into the prediabetic range but it can be considered if it progresses Now you would focus mainly on diet changes and exercise to prevent the prediabetes and this would work with the medication to help with the cholesterol. I hope this helps, feel free to ask any other questions