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What do my lab test reports indicate?

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Posted on Thu, 21 Jul 2016
Question: I am male 53 years old . I am hypertensive since last about 10 years ( on medication ) and also dignoised for diabetese about a year before .I have also started knee discomfort .
Recently I goe all my test done ( copy enclosed ) .
I need help / guidence onn my medication and what medicine I should add for better health .
I also need help on how is condition on my liver / kidney profile .
Currently I am taking following medication :
1. TeleAct 40 mg ( for BP)- daily
2. Nebicard 2.5 mg ( for BP) - daily
3.Citapil 500 mg ( I have been taken 500 mg - but aftre this test report I have increased it to 1000mg )
4.Bio -D3 XXXXXXX ( for general knee helath ) - alternate days
5.Ativan 2 mg ( for sleep ) daily at bed time
I know my colostrol are bit high but whatever medicine I started it gave me severe stomach ache .
Look forward to your advise on above .
regards
doctor
Answered by Dr. Pavan Kumar Gupta (3 hours later)
Brief answer....please upload your reports 
Detailed answer....
Hello,
Thanks for the query.
I have read your query and understand your concern but since there is no report attached with your query,I am not able to comment on anything.
Please upload your reports and then we would discuss the matter.
Thanks
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Pavan Kumar Gupta (19 hours later)
Sorry . Now I have uploaded the report . Pl advise .

regards XXXX
doctor
Answered by Dr. Pavan Kumar Gupta (3 hours later)
Brief answer...you need aggressive management to control your sugar as well as high lipid levels and blood pressure levels.
Detailed answer...
Hello,
Thanks for the query.
I have read your query and understand your concern.
I have seen your reports and they suggest that your cholesterol,triglycerides and blood sugar levels are uncontrolled.Rest of reports are normal.
While uncontrolled diabetes leads to microvascular complications,uncontrolled lipids contribute to various macrovascular complications.
80% of fatalities in diabetics is because of macrovascular complications.
So now you can understand the importance of controlling sugar as well as cholesterol levels.
There are various anti cholesterol medicines which can be used along with necessary diet restriction and regular aerobic exercise regime to control your cholesterol levels.
In fact diet restriction and regular exercises play an equal important role as of medicines.
You can use two different anti cholesterol medicines in lower dose to avoid your stomach ache. 
Do's....
Dietary and caloric control
Regular aerobic exercises for 45 minutes
Shedding your weight
Keep a tight control of blood sugar levels as well as lipid levels.
Keep checking these values at regular intervals
Keep date with your treating doctor 
Keep a watch on your blood pressure and must ensure that it is well controlled by keeping a target of around 120/80.
Target of your triglycerides should be below 150
Target of your LDL cholesterol to be below 80
I hope it helps,however you are most welcome to revert to me for any further query.
Best of luck
Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Pavan Kumar Gupta (44 hours later)
PLease suggest me the medicines also for controlling TGL / Lipid

Also suggest some good supplement for vitamis / Calcium in my condition
regards
doctor
Answered by Dr. Pavan Kumar Gupta (2 hours later)
Hello,
There are plenty of medications for cholesterol like statins,fibrates and drugs like EZETIMIBE. Most popular statins used are ATORVASTATIN,rosuvastatin,SIMVASTATIN etc. either of them can be used either alone or in combination with a FENOFIBRATE or EZETIMIBE.
You should ask your treating doctor for the prescription of these.
As far as vitamins and calcium is concerned,there are plenty of them available.
You can take a multivitamin like A to Z and calcium like SHELcAL.
Thanks
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
Answered by
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Dr. Pavan Kumar Gupta

General & Family Physician

Practicing since :1978

Answered : 6704 Questions

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What do my lab test reports indicate?

Brief answer....please upload your reports  Detailed answer.... Hello, Thanks for the query. I have read your query and understand your concern but since there is no report attached with your query,I am not able to comment on anything. Please upload your reports and then we would discuss the matter. Thanks