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Lipid profile check. High cholesterol, VLDL, average blood glucose, hemoglobin, HDL. Meaning?

Hello Doc,
I am a 40 year old male.
Recently I went for a lipid profile check and found follwoing problems:
HSCRP 0.47 mg/dl
Homocysteine 62.72 mu-mol/L
Total Cholesterol 205 mg%
HDL 25 mg%
LDL 112 mg%
Triglycerides 306 mg%
VLDL 61.2 mg%
Vitamin B-12 167 pg/ml
25-OH Vitamin D total 12,57ng/ml
Average blood glucose (ABG) 200mg/dl
Glycosylated Hemoglobin (HBA1C) 8,6 %
blood pressure 140-90
Weight 77.5 kg
Advice me for my better and healthy living.
Asked On : Sun, 21 Apr 2013
Answers:  2 Views:  40
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Diseases and Conditions
General & Family Physician 's  Response
High blood pressure with high blood sugar with dyslipidemia with low VIT D and low VIT B 12 with very high homocysteine levels suggest you are a very high risk candidate for cardio and cerebrovasular accidents.
You must consult your doctor urgently and start treatment along with lifestyle modifications.
Treatment includes...
Medicines for BP,diabetes and high lipids
VIT D and VIT B 12 supplements
FOLIC ACID for high homocysteine.
Avoiding sugar and deep fried foods.
Avoiding junk foods like pizza,burger,noodle etc and colas.
Regular aerobic exercises for 45 minutes a day.
Reduction of calories and reduction of weight.( try to be in your required range of BMI ).
Goal of treatment...
Blood sugar in tight normal range
BP below 120/80
LDL cholesterol below 80
Homocysteine below 15
VIT D to be around 50
VIT B 12 to be around 400 to 500.
Answered: Sun, 21 Apr 2013
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Internal Medicine Specialist Dr. Akhilesh Dubey's  Response
Welcome to HCM,
If you got these test for just medical check up then make sure you visit Physician and take proper treatment.
Your reports are abnormal your blood sugar level is high with HBA1C high which suggests diabetes so take care, your BP is 140/90 mm of hg which is prehypertension so take less salt and lifestyle modifications like reducing weight, avoid smoking, drinking and stress. if BP is still high then start therapy with antihypertensive medicines.
Your Lipid profile shows slightly raised Cholesterol and high triglycerides level where you need to modify diet with less fats and carbohydrates that is caloric restriction.
Your vitamin B12 and D are low which can be corrected by taking supplementation as given by your Physician. High homocysteine is independent risk factor can be controlled with vitamin supplementation.
Take care of diet,BP, Blood sugar level and exercise and these lifestyle modifications will control your health issues and prevent complications.
Consult a Internal medicine specialist as soon as possible.
wish you healthy life.
Take care
Good Luck.

Answered: Sun, 21 Apr 2013
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