question-icon

whats medical lab tests diagnose me?

default
Posted on Fri, 15 Mar 2019
Question: whats medical lab tests diagnose me?
doctor
Answered by Dr. Aaron Branch (4 hours later)
Brief Answer:
See below

Detailed Answer:
Hello, I'm Dr. Branch, thanks for using Ask a Doctor. On the blood test results you sent, the CBC (listed under "Hematology") is normal, no problems there. On the "Chemistry", you have an elevated HbA1C, which for values greater than or equal to 6.5, diabetes is diagnosed, so you do have diabetes. Your total cholesterol, LDL, and triglycerides are high, and your HDL ("good" cholesterol) is low. Your SGPT is also slightly elevated.

Putting this all together, you have a diagnosis of diabetes, likely type 2. You will need to be started on treatment for this, typically with Metformin, if this is a new diagnosis. Your cholesterol is not good, which puts you at risk for heart disease, so even though you are young, I would probably start you on a statin medications, especially if you have other risk factors such as high blood pressure, smoking history, or if you are overweight. The SGPT is a liver enzyme, and usually for diabetic patients this would indicate you have fatty liver disease, which is fat infiltrating the liver and causing inflammation. You should have a liver ultrasound to also confirm this.

You will need to be started on the above medications, as well as start medications for your blood pressure if it is high. Most importantly, your diet will have to change, and exercise will be important as well. If you are overweight, losing 5-10% of your body weight will make a significant difference in your health.

I hope that helps, please let me know if you have any other questions about any of that and I would be glad to discuss it further with you.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Aaron Branch

General & Family Physician

Practicing since :2011

Answered : 917 Questions

premium_optimized

The User accepted the expert's answer

Share on
whats medical lab tests diagnose me?

Brief Answer: See below Detailed Answer: Hello, I'm Dr. Branch, thanks for using Ask a Doctor. On the blood test results you sent, the CBC (listed under "Hematology") is normal, no problems there. On the "Chemistry", you have an elevated HbA1C, which for values greater than or equal to 6.5, diabetes is diagnosed, so you do have diabetes. Your total cholesterol, LDL, and triglycerides are high, and your HDL ("good" cholesterol) is low. Your SGPT is also slightly elevated. Putting this all together, you have a diagnosis of diabetes, likely type 2. You will need to be started on treatment for this, typically with Metformin, if this is a new diagnosis. Your cholesterol is not good, which puts you at risk for heart disease, so even though you are young, I would probably start you on a statin medications, especially if you have other risk factors such as high blood pressure, smoking history, or if you are overweight. The SGPT is a liver enzyme, and usually for diabetic patients this would indicate you have fatty liver disease, which is fat infiltrating the liver and causing inflammation. You should have a liver ultrasound to also confirm this. You will need to be started on the above medications, as well as start medications for your blood pressure if it is high. Most importantly, your diet will have to change, and exercise will be important as well. If you are overweight, losing 5-10% of your body weight will make a significant difference in your health. I hope that helps, please let me know if you have any other questions about any of that and I would be glad to discuss it further with you.