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Suggest treatment and lifestyle changes for fatty liver and pre-diabetic test results

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Posted on Mon, 8 Jun 2020
Question: Request your inputs on the health checkup reports attached of my FIL.

Major Findings:
1. High Fasting Glucose 118 mg/dl (Pre-diabetic?)
2. High Triglycerides (244 mg/dL)
3. Low Vitamin D (14.00 ng/mL)
4. Hepatomegaly with increased hepatic echo-pattern suggestive of fatty infiltration. (Ultrasound)

2D Echo of heart was normal.

General physician who saw the report was not much worried of the above findings and suggested below medication.

1. Fenolip 145 for 3 months
2. D-Rise cap once a week for 6 months.

He consumes alcohol moderately. His height is 171 cm and weight is 69 kg.
Kindly provide your inputs.
doctor
Answered by Dr. Anshul Varshney (10 hours later)
Brief Answer:
Life style changes are required.

Detailed Answer:

Hi, I am Dr Anshul Varshney , I have read your query in detail , I understand your concern.
You are in to a pre diabetic state. So you need to do regular exercise and weight reduction and follow low fat and diabetic diet.
Moreover, fatty liver is also related to this.

If you are overweight, you need to take care of that.

Your Physician is not worried, because at present nothing is worrisome, but in future, all these things if not taken care may cause various complications.

His medicines are absolutely good. Start with them.

So, in all i would say:

1.Reduce your weight.
2.Avoid Fatty food in diet.
3.To consume potato, rice, oil, ghee, sweets, carbonated beverages in moderated amount only.
4. Avoid alcohol and smoking in case you do.
5. Continue medicines prescribed by your doctor.

Get your lipid profile repeated after 3 months and write back to me with reports.

This is my personal opinion based on details available here. If you still have any other query, you may please ask me.
Stay Healthy.
Dr Anshul Varshney , MD

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

Internal Medicine Specialist

Practicing since :2009

Answered : 3072 Questions

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Suggest treatment and lifestyle changes for fatty liver and pre-diabetic test results

Brief Answer: Life style changes are required. Detailed Answer: Hi, I am Dr Anshul Varshney , I have read your query in detail , I understand your concern. You are in to a pre diabetic state. So you need to do regular exercise and weight reduction and follow low fat and diabetic diet. Moreover, fatty liver is also related to this. If you are overweight, you need to take care of that. Your Physician is not worried, because at present nothing is worrisome, but in future, all these things if not taken care may cause various complications. His medicines are absolutely good. Start with them. So, in all i would say: 1.Reduce your weight. 2.Avoid Fatty food in diet. 3.To consume potato, rice, oil, ghee, sweets, carbonated beverages in moderated amount only. 4. Avoid alcohol and smoking in case you do. 5. Continue medicines prescribed by your doctor. Get your lipid profile repeated after 3 months and write back to me with reports. This is my personal opinion based on details available here. If you still have any other query, you may please ask me. Stay Healthy. Dr Anshul Varshney , MD