Brief Answer:
Prediabetic, and other blood work detailed as following...

Detailed Answer:
Hi dear,

Seems Dr.Ditah is not online for the moment.
This is Dr.Albana assisting this time.

I have gone through blood work and can say as following:
- very mild anemia (not problematic to me)
- blood sugar level is slightly increased, the same is HbA1C level; prediabetes if not diagnosed before with diabetes: lifestyle and diet changes highly recommended
- total cholesterol is fine; your triglycerides are a bit higher than normal (lifestyle and diet changes recommended)
- thyroid is ok
- vit.D is a bit low, should take vit. Dsupplement
- Your BUN and creatinine a bit higher than normal but I do not see any urine analysis; so get an urine analysis done and abdominal ultrasound for further evaluation.

Meanwhile, start changes in diet and lifestyle regimen.

Let me know if you have other queries.
Dr.Albana

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Brief Answer:
Explained below....

Detailed Answer:
Hi back my dear,

To explain you better:
- Can you please tell me if you've been diagnosed as prediabetic so far?
- Are you taking any medication on regular basis?


For the moment, I can only suggest you to start changing your diet and lifestyle habits implementing new healthy habits.

Vit.D. is a bit lower than normal range, that's why I recommended to start taking vit.D supplements.

Let me know if you have further questions.
Dr.Albana

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Brief Answer:
Seems you are taking good control of diabetes so far

Detailed Answer:
Hi back,

Thank you for providing the requested details.

I see that you take Metformin as hypoglycemic medication. So, with this treatment blood sugar was 122 slightly increased as well some borderline increase in HbA1C level. It means you are taking good control of diabetes.

You are also taking multivitamin supplements. Already everything.

Feel free to discuss more. Let me know your current health problems apart from the lab reports?

Dr.Albana

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Brief Answer:
Following specific advice I give for every diabetic patient....

Detailed Answer:
Hi back my dear,

Yes, I would suggest as following:
- keep monitoring your blood pressure (bp) and sugar levels, and record the results as reference. This is to understand how well you are taking control and perhaps might need changes in dosage of the respective drugs.

- I always recommend my patients to implement healthy diet and lifestyle regimen.
- have your meals regularly, do not skip them
- have frequent meals with small portions
- physical activity is very important, especially walking after each main meal

Other changes should be made depending on your current health problems (what symptoms you might feel: fatigue? pain?)
But I see that you are taking all the meds and vitamins and minerals that will help not to have such symptoms.

Let me know if you have further queries.
Dr.Albana

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