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What Do The Following Blood Test Reports Indicate?

Posted on Sat, 18 Feb 2017

Question: Hello Doctor,
I just did a full body checkup report from Thyrocare. While I see problems with Vitamin D deficiency, my cholesterol levels and the sugar control being fair and not excellent, can you please review the report and advise me further course of action. I do not see an option to attach my report on this page.

Regards,
Abhay

Regards,
XXXX

Answered by Dr. Dr. Abhay A Mali (1 hour later)

Brief Answer:
Take help of customer support to upload reports.

Detailed Answer:
Hi Mr XXXXX,

Thanks for your question.
Noted your concern.

For Vitamin D deficiency I may suggest Tablet or XXXXXXX containing Cholecalciferol 60K units once per week for 8 weeks.

For blood sugar control I want to know your current medicine prescription, blood sugar levels & HbA1c.

For cholesterol control I want to know Lipid Profile values and dose of Tab Rozavel.

You can take help of customer care support from Healthcare magic.

Hope this helps you.

Regards,
Dr Abhay Mali.
Diabetologist.

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Dr. Abhay A Mali (28 minutes later)

Hello Doctor,

Thanks for your response. I have attached the report as per guidance from customer care. However, if you are still not able to see it, below is the response to your queries.

1. Current medication dose - Gemer P2 tablet - 1 before lunch and 1/2 before dinner
2. My HBA1C score is 7.2 and ABG is 160
3. Lipid profile values are in the attached report
4. Dose of Rozavel is 1 tablet of 5mg per day after dinner

Regards,
XXXX

Answered by Dr. Dr. Abhay A Mali (3 hours later)

Brief Answer:
HbA1c of 7.2 denote good blood sugar control.

Detailed Answer:
HbA1c of 7.2 denote good blood sugar control.
But duration of diabetes and fasting and post prandial blood sugar levels should also be considered along with HbA1c level for estimation of blood sugar control.

I cannot see your reports.
Lipid profile:
LDL cholesterol in diabetic patient should be below 100 (as low as possible) and HDL cholesterol should be above 35 (as high as possible).
Depending upon cholesterol values appropriate dose of rosuvastatin (content of Rosavel) may be suggested.

Hope this helps you.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Abhay A Mali (13 hours later)

Hello Doctor,

As you cannot see the report, I am listing the lipid profile results below:
Total Cholesterol - 247
HDL Cholesterol - 40
Triglycerides - 208
LDL Cholesterol - 144
TC/HDL cholesterol ratio - 6.1
LDL/HDL ratio - 3.6
VLDL Cholesterol - 41.6
Non HDL Cholesterol - 206.7

Regards,
Abhay

Answered by Dr. Dr. Abhay A Mali (12 hours later)

Brief Answer:
Need to increase dose of Tab Rozavel.

Detailed Answer:
Hello again,

After going through your Lipid Profile reports, I may suggest to increase dose of Rosuvastatin.
I may suggest Tablet Rozavel 10mg per day (at bedtime).

Hope this helps.

Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Dr. Abhay A Mali (11 hours later)

Hello Doctor

Thanks for your response. Just had 1 query about Gemer 2 tablet which I take for sugar. Each strip comes with a contraindication warning regarding the pioglitazone element of the medicine. Is there any other tablet which I can take as the contraindications are pretty scary.

Regards,
XXXX

Answered by Dr. Dr. Abhay A Mali (10 hours later)

Brief Answer:
Pioglitazone is a very effective antidiabetic medicine.

Detailed Answer:
Leave decision regarding continuation of Pioglitazone on your treating diabetologist.
In my practise I usually suggest Pioglitazone in young male patients with Type 2 diabetes with near normal weight (BMI).

There are certain issues with use of Pioglitazone
-     Weight gain.
-     Swelling over lower legs.
-     Osteoporotic bone fracture more common in postmenopausal women.
-     Some case reports Urinary bladder cancer in patients using pioglitazone. Though occurrence of urinary bladder cancer in patients using pioglitazone is same as that in general population.
Pioglitazone is a very effective antidaibetic medicine.

So discuss all these issues with your treating diaabetologist.

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Prasad