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Diagnosed with hypertension, tests showed high SGPT, elevated blood sugar, urinalysis with protein, fatty liver. Treatment advise?

Hi my husband is 39 years of age.recently diagnosed with hypertension. he is 90 kg .His Liver function tests indicate elevated levels of SGPT - 65IU/L as agianst (0-45). Glucose fasting indicates 113.35mg/DL and glucose post prandial indicates 136.98 mg/dL. Urine alaysis showed 1+ protein. Renal function tests are normal. The ultrasound scan shoed a fatty liver with no focal lesions and the size being normal. Kidneys and other abdomen scan was normal. I am a bit advise
Asked On : Sat, 11 Aug 2012
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Cardiologist 's  Response
Dear patient,

Your husband is suffering from a condition called metabolic syndrome, in which overweight or obesity drive an inflammatory response, that includes fatty liver infiltration and impaired fasting glucose as a consequence of insulin resistance. The most important thing for him is to lose weight, at least 8-10% of his current weight gradually, with diet and a strict regimen of aerobic exercise of at least 150 minutes weekly. If not paid attention to, metabolic syndrome can progress to diabetes and hypertension.

Yours truly,

Dr Brenes-Salazar MD
Mayo Clinic MN
Answered: Tue, 2 Jul 2013
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