Brief Answer:
INVESTIGATION REPORTS INFERENCE

Detailed Answer:
Hi
Welcome to"Ask a Doctor" service.
I am Dr Ajeet XXXXXXX


I have gone through the reports of your mother and here is my opinion.

She is a prediabetic as per HbA1C reports with a borderline raised fasting sugar.
She needs dietary and life style modifications to avert clinically overt Diabetes.
You may need to go for her repeat fasting B Sugar,2 hr PP Sugar and GTT for complete evaluation.

There is a mild increase in TSH indicating thyroid over activity.
Her thyroid management seems optimum
Most of the clinicians do not start thyroxine in such patients and track the levels,every six month.
Some start Levo thyroxine 25 micro gram daily,empty stomach and follow the TSH.
An endocrinologist would be the best to guide about the above mentioned two issues.

She is losing proteins in urine and there are a few RBCs.
Hence there is a possibility of hypertension and early nephropathy involving kidney.
She needs work up in the form of renal function tests like urea and creatinine.

High lipoprotein levels mean an increased risk for heart disease.She is already on Aztor,a lipid lowering drug.
Her doctor may advise her for fat free diet,physical exercise,de stressing and salt restriction.

Elevated levels of the gamma-GT enzyme are a sign that liver is getting compromised by one way or another.
Consumption of coffee. is said to be effective in lowering a raised Gamma GTT.Subject is asked to abstain from fatty meals,alcohol and hepatotoxic drugs like pain killers.

There are decreased levels of Vitamin D3 which is quite common in advancing age and post menopausal females.
This can be replenished by routine exposure to sun light for 20 minutes daily and commercially available supplements(in addition to calcium supplementation)
They are marketed in a dose of 60K International units which needs to be taken at weekly interval.


Hope that I have answered your query.
If you have any doubts,please let me know.

Regards.

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Brief Answer:
INVESTIGATION REPORTS INFERENCE

Detailed Answer:
Sir....
Her thyroid is being optimally managed.

She is already on lipid lowering drugs for dyslipidaemia.

Her other reports of liver like SGOT and SGPT are normal.
Chronic damage to liver impairs albumin production thus decreasing it's blood levels.
Albumin has been found to be normal.
Only Gamma-glutamyl transferase (GGT) is marginally high.
It is a liver enzyme induced by many drugs and also by certain liver diseases.

Calcium is being supplemented and vitamin D can be added to the treatment regime.

I think that exclusion of hypertension,diabetes and a possible impending kidney injury as a result of these co morbidities,should be our utmost priority

Regards.

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