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What Does The Following Blood Test Report Indicate?

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Posted on Tue, 11 Nov 2014
Question: Hi
My abnormality in medical report as follows;
Blood Haemoglobin 13.7 g/dl
Blood Haematocrit (PCV) 41.1 %
ESR 42 / first hour

Plasma Glucose- Fasting ( Hexokinase) 133 mg/ dl
Plasma Glucose- PP ( Hexokinase) 154 mg/ dl

HDL- Cholestrol ( Direct ) 26 mg/ dl
VLDL- Cholestrol ( Calculated) 27 mg/ dl
LDL- Cholestrol ( Direct ) 67 mg/ dl

B.P : 140/ 90

No other abnormality found

Medicine prescribed;
Tab.Acarbose 25 mg 1-0-1 with meal- 30 days
Tab. Losar 25 mg 1-0-0- 30 days
Tab. Ecosprin AV 75/10 0-0-1- 30 days

My query;

1.Please let me know my health status as per avove medical report,
2. The use and side effect of medicine, presently I do not have any side effect,
3. However medicine is prescribed for 30 days, how long the medicine can continued.
doctor
Answered by Dr. Indu Kumar (56 minutes later)
Brief Answer:
Generally it require life long treatment.

Detailed Answer:
Hello XXXX

I have gone through your reports in detail.
Findings suggest diabetes mellitus with hypertension.
It is important to know about duration of medicines you are taking.
If you have started taking medicines recently then you should wait for next follow up report.
Try to lower down fasting blood sugar level and blood pressure level from present values.

It is good that you have modified your diet and life style.you should continue it.

Your lipid profile,hemoglobin and PCV levels are fine.Underlying cause of increased ESR should be investigated.
Generally medicines for hypertension and diabetes mellitus need life long treatment.

Acarbose may cause flatulence and diarrhea to some patients.It is an anti-diabetic drug.
Losar may cause cough to some patients.It is an anti-hypertensive.
Ecospirin acts as an anti-platelet aggregation.It may cause bleeding in high dose.

Get well soon.
Hope i have answered your query.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indu Kumar (18 minutes later)
Doctor,
are Pre diabetes/ diabetes are reversible. At age 55 Y 90/140 is hypertension. Do you think medicine prescribed for the medical reasons are OK, or you suggest different medicine.
In case glucose level / BP reduces to normal level still you suggest , i should continue with the medicine.
Also I am taking medicine since 5-6 months. Even I checked without medication my glucose level remain almost same, however I use to take sweets randomly.Also I am taking medicine since 5-6 months. Even I checked without medication my glucose level remain almost same, however I use to take sweets randomly.
doctor
Answered by Dr. Indu Kumar (2 hours later)
Brief Answer:
Please find detail answer below.

Detailed Answer:
Hello XXXX

Generally this condition require life long treatment.
In your condition,tablet metformin once daily can be added if fasting blood sugar level is persistently raised.You need to take medicines continuously because it will again shoot-up after stopping the medicines.

Since you have diabetes mellitus,blood pressure need further reduction.You need regular checkup.It can be further lowered by limiting salt intake,exercise,reducing stress etc.

Get well soon.
Hope i have answered your query.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indu Kumar (1 hour later)
Thanks doctor for prompt reply.

What will be the doze of Metformin. I understand, once in Night after meal or twice daily etc.

What will be strength of Doze e.g Metformin 500 mg etc.

Presently I do not have any side effect from the above prescribed medicine.

Regards,
Sorry if it is disturbing,

However, this will be great if you suggest food habit in the morning, Lunch and dinner etc.
doctor
Answered by Dr. Indu Kumar (3 hours later)
Brief Answer:
Please find detail answer below.

Detailed Answer:
Hello XXXX

In your condition,tablet metformin 500 mg once daily just before breakfast can be taken.It can be increased to twice daily depending upon follow up reports.

Regarding diet,during breakfast you can take two chapati,vegetables and salad.
In lunch,you can take three chapati,small cup of rice,dal,vegetables and curd.
In dinner,you can take two chapati and vegetables.

Get well soon.
Hope i have answered your query.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6729 Questions

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What Does The Following Blood Test Report Indicate?

Brief Answer: Generally it require life long treatment. Detailed Answer: Hello XXXX I have gone through your reports in detail. Findings suggest diabetes mellitus with hypertension. It is important to know about duration of medicines you are taking. If you have started taking medicines recently then you should wait for next follow up report. Try to lower down fasting blood sugar level and blood pressure level from present values. It is good that you have modified your diet and life style.you should continue it. Your lipid profile,hemoglobin and PCV levels are fine.Underlying cause of increased ESR should be investigated. Generally medicines for hypertension and diabetes mellitus need life long treatment. Acarbose may cause flatulence and diarrhea to some patients.It is an anti-diabetic drug. Losar may cause cough to some patients.It is an anti-hypertensive. Ecospirin acts as an anti-platelet aggregation.It may cause bleeding in high dose. Get well soon. Hope i have answered your query. Further queries are most welcome. Take Care Dr.Indu XXXXXXX