Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that the fact that your blood pressure values are higher at the doctor office, could be related to White Coat Syndrome, which is related a common disorder related to the anxiety or fear at the doctor office.

But, if your blood pressure values are normal most of the time, you do not need any treatment.

I carefully reviewed your uploaded test reports and would explain as follows:

1. Your resting ECG is in general normal. The transitional QRS zone is slightly right shifted, but without any clinical significance. Anyway, I would recommend performing a cardiac ultrasound to examine your heart function and structure.

2- Your blood lab tests are normal ( no signs of anemia, diabetes, kidney or renal dysfunction, no signs of infection)

3- You have a normal urinary tract ultrasound and a normal urine analysis.

This means that all your performed tests are within the normal ranges, and there is nothing to worry about.

Anxiety seems to play an important role in all this clinical scenario.

Coming to this point, I would recommend you to closely monitor your blood pressure at home, frequently during the day and take note of all these measurements. You should refer them to your doctor. If all these blood pressure values are within the normal ranges most of the time (below 140/90 mm Hg), despite the high blood pressure values at the doctor office, there is no need for any treatment.

I would also advice checking your thyroid hormone levels to exclude a possible thyroid dysfunction, which could trigger this symptomatology.

Avoiding caffeine intake and reduce salt intake will help maintain normal blood pressure values naturally.

Being active, performing a lot of physical activity, Yoga, recreational sports will help manage your anxiety and also help maintain normal blood pressure values.

Hope to have clarified some of your uncertainties!

Wishing good health,

Dr. Iliri

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Brief Answer:
My answer as follows:

Detailed Answer:
Hello!

Yes, blood fasting glucose are normal (normal ranges 60-110).

While this slight elevation in SGPT has no clinical significance. It can be related even to the food or any painkillers. As SGOT and bilirubin levels are normal, there is nothing to worry about.

Hope to have been helpful!

Kind regards,

Dr. Iliri

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Brief Answer:
My answer as follows:

Detailed Answer:
Hello again!

Maybe your doctor have advised performing those tests because, your fasting glucose levels have been near the upper normal limits.

But, as your fasting glucose levels and post-prandial glucose levels are within the normal ranges, it is less likely for you to suffer from diabetes.

So, in my opinion these tests will result normal.

But, they will help reassure you that you do not have diabetes and that there is nothing to worry about.

Hope to have clarified some of your uncertainties!

Wishing all the best,

Dr. Iliri

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Brief Answer:
My opinion as follows:

Detailed Answer:
Hello again!

I understand your concern, and would explain that your fasting glucose levels have resulted again with the normal ranges in this test.

For this reason, I think that you don't have diabetes!

In my opinion your next test with result normal and this will help reassure you that you don't have diabetes.

Hope to have been helpful!

Wishing all the best,

Dr. Iliri

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Brief Answer:
My answer as follows:

Detailed Answer:

Regarding your concern, you should know that HbA1C levels are helpful to monitor your fasting glucose levels during the latest three months.

In your case, this level of HbA1C is normal. This means that your fasting glucose levels and post-prandial glucose levels in the latest three months have been within the normal ranges.

So, there is nothing to worry about!

This test excludes diabetes.

Hope to have clarified some of your uncertainties!

Wishing good health,

Dr. Iliri

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