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Suggest Treatment For Elevated Liver Enzyme Levels

Posted on Tue, 16 May 2017

Question: My blood work has shown high sugars, high triglycerides,slightly abnormal liver ALT of 34, and slightly elevated red blood cell count as well as a slightly elevated lymphocyte count. I want to be prepared for my appointment to discuss the results. Any information would be appreciated

Answered by Dr. Shehzad Topiwala (14 minutes later)

Brief Answer:
Blood test results

Detailed Answer:
You may discuss with your doctor how to

1 lower your triglycerides

2 improve your sugar control

3 address the elevated liver enzymes and lymphocyte count

When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid) 12 hour Fasting Lipid profile
Urine albumin to Creatinine Ratio (early sign of diabetes affecting the kidney)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)

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

Follow up: Dr. Shehzad Topiwala (18 minutes later)

Is it possible all the blood results are in relation to my type 2 diabetes?

Answered by Dr. Shehzad Topiwala (23 hours later)

Brief Answer:
Follow up

Detailed Answer:
Although diabetes can be associated with elevated triglycerides and fatty liver changes (with consequent rise in liver enzymes), the high RBC and lymphocyte count are not directly related to the diabetes.

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

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