HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Do These Blood Sugar Levels And Serum Urea Indicate?

Posted on Thu, 8 May 2014

Question: diabetes was detwected two years back when hba1c was gound already at11.i started with telma h40 ang gluconorm 2g forte twice daily and istavel 50 mg once XXXXXXX day 5 mg once.now hbaic is8.5,now the doctor has increased the dose telma 8oh once istamet 50/1000 once plus one and half tab glizid m80 in the morning and glizid m80 in night XXXXXXX day 5 mg at night.latest reports cholestrol -105,tsg-125 ldl-38,hdl-38(both same),cretanine1.3,serum urea 55,urine albumin 20,ultra sond -ok,thyroid -ok,liver prfile-ok,arth profile ok,pancreatic profile -ok.ultra sound also done no abnormality detected,tmt-i could walk for 7 minutes, and increase spees after that my legs gave away,but no st changes seen upto that stage. so i want to know my endrocrinologist giving me correct medicines.i am 63 years male and active in work.what is your advicemy todays fasting is 98 and pp is 165.

Answered by Dr. Saumya Mittal (28 minutes later)

Brief Answer: Suggestions Detailed Answer: Hi there. I am Dr Mittal. And I have read your query. I think the treatment is on the right track. The sugars you stated are pretty acceptable. Your HbA1C has come down, meaning the therapy was fine. However, I would suggest watching out for kifney funtions. They seem borderline normal I would suggest a test of urine for microalbuminuria, And if found positive, I would consider insulin in my patients rather than tablets. Best of luck Dr Mittal

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

Follow up: Dr. Saumya Mittal (23 minutes later)

WHAT ABOUT SERUM UREA.HOW TO REDUCE IT

Answered by Dr. Saumya Mittal (6 minutes later)

Brief Answer: suggested urine for microalbuminuria Detailed Answer: urea and creatinine go together as i said, they are parts of kidney damage therefore i suggested urine for microalbuminuria they might be an effect of diabetes medicines you are on and therefore i suggested insulin may need to be considered. the urine test may be important cause other normal possibilities also give similar report like heavy exercise non veg diet etc the means to reduce the levels depend on the cause. therefore we need the urine test

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