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What Causes Elevated Liver Enzymes And Glucose Levels?
Question: 37 year old female 5' 4 " 325 lbs XXXXXXX labs fasting ALT 76 Insulin 46
July labs not fasting ALT 106 AST 76 Glucose 150
these are the out of range results
I take metforemin 500 mg for pcos (no finding on pelvic ultrasound) Lexapro 20 mg for anxiety Claritan for sinus issues Flonaise for sinuses
gnc women's ultra mega vitamins fish oil vitamin D vitamin C cranberry supplement just started milk thistle. Can you explain cause of results? elevated alt?
July labs not fasting ALT 106 AST 76 Glucose 150
these are the out of range results
I take metforemin 500 mg for pcos (no finding on pelvic ultrasound) Lexapro 20 mg for anxiety Claritan for sinus issues Flonaise for sinuses
gnc women's ultra mega vitamins fish oil vitamin D vitamin C cranberry supplement just started milk thistle. Can you explain cause of results? elevated alt?
Brief Answer:
Fatty liver likely
Detailed Answer:
The is a moderate increase in the liver enzymes along with the glucose levels.
The commonest condition I come across in this realm is called NAFLD (Non Alcoholic Fatty Liver Disease) or XXXXXXX (Non Alcoholic Steato Hepatitis).
The first pre requisite to make this diagnosis is that the individual is not a heavy consumer of alcohol.
Further when I see someone who comes to me with a presentation like yours, I order 2 things:
1 Hepatitis profile
2 Ultrasound of the liver
The first eliminates the possibility of chronic hepatitides like hepatitis B and C that can cause ALT and AST to be elevated like this.
This is a blood test that can be done at anytime of the day and does not require fasting
The ultrasound examination then looks for the presence of fat in the liver, in addition to other potential causes.
I also recommend
CBC
CMP
HbA1c
TSH
Free T4
Checking the thyroid is important too (TSH, Free T4) and the HbA1c will give an average of the previous 3 months glucoses. Your random glucose reading of 150 alone gives little information.
I would suggest seeing an Endocrinologist in person with the results of these tests so (s)he can interpret them for you and make a management plan.
Fatty liver likely
Detailed Answer:
The is a moderate increase in the liver enzymes along with the glucose levels.
The commonest condition I come across in this realm is called NAFLD (Non Alcoholic Fatty Liver Disease) or XXXXXXX (Non Alcoholic Steato Hepatitis).
The first pre requisite to make this diagnosis is that the individual is not a heavy consumer of alcohol.
Further when I see someone who comes to me with a presentation like yours, I order 2 things:
1 Hepatitis profile
2 Ultrasound of the liver
The first eliminates the possibility of chronic hepatitides like hepatitis B and C that can cause ALT and AST to be elevated like this.
This is a blood test that can be done at anytime of the day and does not require fasting
The ultrasound examination then looks for the presence of fat in the liver, in addition to other potential causes.
I also recommend
CBC
CMP
HbA1c
TSH
Free T4
Checking the thyroid is important too (TSH, Free T4) and the HbA1c will give an average of the previous 3 months glucoses. Your random glucose reading of 150 alone gives little information.
I would suggest seeing an Endocrinologist in person with the results of these tests so (s)he can interpret them for you and make a management plan.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
thyroid panel done and is fine. hep a b & c negative. a1c was 5 or 6 I believe. no I don't drink.
Brief Answer:
Follow up
Detailed Answer:
I have noted the results.
A1c 5 is normal and 6 is not. An A1c of 6 % is defined as pre diabetes
Follow up
Detailed Answer:
I have noted the results.
A1c 5 is normal and 6 is not. An A1c of 6 % is defined as pre diabetes
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
what would the cause of alt ast? same fatty liver?
Brief Answer:
Second follow up
Detailed Answer:
If the hepatitis profile is negative and USG liver shows only fatty liver , and no medications are deemed responsible then the most common cause of such AST ALT elevations is Fatty liver
Second follow up
Detailed Answer:
If the hepatitis profile is negative and USG liver shows only fatty liver , and no medications are deemed responsible then the most common cause of such AST ALT elevations is Fatty liver
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
usg?
Brief Answer:
Third follow up
Detailed Answer:
USG means Ultrasonography. I meant, if Ultrasonography of the liver shows only fatty liver then no medications are deemed responsible.
Third follow up
Detailed Answer:
USG means Ultrasonography. I meant, if Ultrasonography of the liver shows only fatty liver then no medications are deemed responsible.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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