Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Increased Glycosylated Hemoglobin Level
Question: Dear Doctor,
Please find attched Mr Isifan examination he is diabetes patient and he has high blood pressure, and he had a stint also
Please find attched Mr Isifan examination he is diabetes patient and he has high blood pressure, and he had a stint also
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome back on HCM!
I carefully review the uploaded medical tests results and would explain as follows:
The lab tests are within normal range, except for abnormally increased glycosylated hemoglobin level. It is necessary to review the current anti-diabetic therapy as well as to adjust the dietary intake, because the actual ones seem to not be balanced.
Also, there is a decrease of 25 Hydroxy Vitamin D, which shows an insufficiency. In such case, vitamin supplements should be taken until the normal range is achieved.
Regarding immunologic tests, there are elevated levels of EBV IgG and Cytomegalovirus IgG, which denote a previous infection with Epstein-Barr virus and Cytomegalovirus somewhere in the past. It is necessary to perform additional tests (IgM, IgG avidity test, etc.) to conclude the time of body contact with the viruses. Both of these viruses once entered the human body may remain latent for the rest of life or may reactivate expressing as active infection. They may also be responsible for certain human malignancy disorders.
Also, Toxoplasma antibodies titer shows a suspicious rise and needs to be confirmed by further tests.
The complete blood count shows a rise in leukocytes count and a slight boundary increase of lymphocytes, which seems to be explainable in the light of the above immunological tests.
The above laboratory background may be explained with an impaired overall immune response.
Coming to this point, I recommend consulting with an infectious disease specialist for investigating possible co-infections and guiding the most appropriate management strategy.
Hope to have been helpful to you!
In case of any further uncertainties, feel free to ask me again.
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome back on HCM!
I carefully review the uploaded medical tests results and would explain as follows:
The lab tests are within normal range, except for abnormally increased glycosylated hemoglobin level. It is necessary to review the current anti-diabetic therapy as well as to adjust the dietary intake, because the actual ones seem to not be balanced.
Also, there is a decrease of 25 Hydroxy Vitamin D, which shows an insufficiency. In such case, vitamin supplements should be taken until the normal range is achieved.
Regarding immunologic tests, there are elevated levels of EBV IgG and Cytomegalovirus IgG, which denote a previous infection with Epstein-Barr virus and Cytomegalovirus somewhere in the past. It is necessary to perform additional tests (IgM, IgG avidity test, etc.) to conclude the time of body contact with the viruses. Both of these viruses once entered the human body may remain latent for the rest of life or may reactivate expressing as active infection. They may also be responsible for certain human malignancy disorders.
Also, Toxoplasma antibodies titer shows a suspicious rise and needs to be confirmed by further tests.
The complete blood count shows a rise in leukocytes count and a slight boundary increase of lymphocytes, which seems to be explainable in the light of the above immunological tests.
The above laboratory background may be explained with an impaired overall immune response.
Coming to this point, I recommend consulting with an infectious disease specialist for investigating possible co-infections and guiding the most appropriate management strategy.
Hope to have been helpful to you!
In case of any further uncertainties, feel free to ask me again.
Kind regards,
Dr. Iliri
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
