Dear Dr Nidhi,
ESR of 32 mm is just not a matter to worry. pay attention if her thyroid
is normal, one because total and bad cholesterol- LDL are very high for a person with diabetes
and if her TSH
is higher that might be the reason for the same. And if the TSH is normal then she immediately needs to be put on antilipidemics without delay. Sugars- the fasting one prima facie looks slightly high but please get HbA1c
done as that will certainly give idea if her overall control is fine or she needs titration and/ or changes in anti diabetes medications. Also because she has diabetes, get urine micro albumin
and dilated fundoscopy to rule out other complications of diabetes. I hope this will guide you for the further course of action to be taken. Revert back for any further query. All the very best.
- Dr Madhuri