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What prognosis can be expected while having high fasting blood sugar level, high triglycerides, low vitamin D and hepatomegaly?

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Posted on Wed, 3 Jun 2020
Question: He consume alcohol moderately. His height is 171 cm and weight is 69 kg.

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.

Kindly provide your inputs
doctor
Answered by Dr. Bhanu Partap (25 minutes later)
Brief Answer:
Just Need Lifestyle Modifications

Detailed Answer:
Hello Sir

After going through the medical details provided by you of you FIL I understand your concern for his health and I would like to tell you that the reports are just alarming and there is nothing to be afraid of, as all these reports can very well be improved just with the help of lifestyle modifications and the medication which your doctor has prescribed.

Lifestyle modification includes

1. High fibre diet

2. Avoid Junk food

3. Avoid drinking and smoking

4. Daily Physical activity for 40 min

5. Eat fresh fruits

6. Avoid added sugars

7. Drink plenty of water

Continue these along with medicines for 3 months and repeat your Lipid profile.

Hopefully this information will answer your query.

Kind Regards
Dr Bhanu Partap


Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Bhanu Partap (21 minutes later)
Thanks for the response.

I just forgot to mention that he is a BP patient and taking a tablet daily for it.

Also, is it safe to take Fenolip 145 while taking alchohol? As mentioned earlier he drinks alcohol moderately which we have told him to stop.

Also, I hope you have seen the findings on the liver and any comments on this please?
doctor
Answered by Dr. Bhanu Partap (8 hours later)
Brief Answer:
Hello Again

Detailed Answer:
No its not advisable to take fenolip in fact any medicine with alcohol intake.

Yes I have seen the report about liver and it's all because of his alcohol intake as alcohol damages liver cells.

He should be encouraged to stop taking alcohol.

Hope to have been helpful.

Kind regards
Dr Bhanu partap
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Bhanu Partap

Cardiologist

Practicing since :2010

Answered : 3836 Questions

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What prognosis can be expected while having high fasting blood sugar level, high triglycerides, low vitamin D and hepatomegaly?

Brief Answer: Just Need Lifestyle Modifications Detailed Answer: Hello Sir After going through the medical details provided by you of you FIL I understand your concern for his health and I would like to tell you that the reports are just alarming and there is nothing to be afraid of, as all these reports can very well be improved just with the help of lifestyle modifications and the medication which your doctor has prescribed. Lifestyle modification includes 1. High fibre diet 2. Avoid Junk food 3. Avoid drinking and smoking 4. Daily Physical activity for 40 min 5. Eat fresh fruits 6. Avoid added sugars 7. Drink plenty of water Continue these along with medicines for 3 months and repeat your Lipid profile. Hopefully this information will answer your query. Kind Regards Dr Bhanu Partap