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My BP, sugar, LDL, VLDL, urine pH and all other parameters are normal. Taking glyciphase 500 SR. Any advice?

BP 140/90: Sugar( Fasting ) 127: HDL 37: LDL 74.60 VLDL 17.40 =129 Urine pH 8.0 all other parameters within normal Liver & Kidney SGOT (AST) 19.00: SGPT ( ALT ) 43.0 Bilirubin ,Total 2.20 Direct 0.30: Indirect 1.90 all othher parameters within normal Already taking Glyciphase 500 SR 7.00am & 7.00pm Concor 2.5 7.00am Telista-H 40mg 7.00am Cap.Phytomega 7.00pm Matilda ER 7.00pm
Asked On : Tue, 20 Nov 2012
Answers:  2 Views:  42
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Cardiologist 's  Response
your fasting sugar level little beat high and HDL is lower side and medicine which you are taking at present is good and please continue it .
i would like to advice you few life style modification which will help in maintaing your health in more batter way ,
Take good quantity of fresh fruits , fresh green leafy vegetables , pulses, legumes , dry fruits like almond , wall nut ,
take whole grain food like brown bread , brown rice , whole wheat ,sea food like sea fish salmon , tuna , sardine , meat like chicken without skin , lean poultry ,
restrict salt intake
avoid saturated food item like fried food ,ghee , butter , red meat , organ meat like liver , kidney and sea food like prawns , crabs, egg yellow if you are non vegetarian
avoid bakery items , fried food , sweets, ice cream .
Do regular brisk walking and yoga's
say NO to any form of addiction .
take care
Answered: Tue, 20 Nov 2012
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Internal Medicine Specialist Dr. Akhilesh Dubey's  Response

Welcome to HCM

You have Diabetes type II and Hypertension , you have not mentioned your age ,your medication for blood pressure is concor and Telista H , and Metformin SR your FBS is 127 mg/dl. What is your PPBS .

Your HDL is on lower side it should be > 45 mg% advise to take up regular walking raise HDL. Take care of diet avoid butter, ghee,fried items.polyunsaturated oil like sufola and wal nut and almonds in limited quantity helps .

Your liver function shows high bilirubin level,indirect bilirubin indicate hemolysis.

You should check urine for urobilinogen and cause of hemolysis which could be auto immune or drug induced. A Coomb's test direct and in direct would be helpful.

A abdominal sonography to see size of liver and spleen.

Once cause of hemolysis is detected it can be treated accordingly.

Take care.

Good Luck

Answered: Wed, 21 Nov 2012
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