What Do These Following Lab Reports Indicate?

Posted on Mon, 18 Jan 2016

Question: Hello Doctor, My wife is suffering from diabetes from last more than ten years.She is now 60 and weighs 75 kg,height 5"3". She is irregular in her diet and day today activities but regular in medicines.Her last report on 30/12/2014 was very alarming and my doctor advised me to increase the dose.She was taking Gemer PL2 BD and Istamet 50/500 OD.After 30.12.2014,doctor made istamet 50/500 bd. He had also prescribed Shelcal 500 and ferrum fol tablets.Her reports after three months of unchanged treatment showed improvement.The two reports are given below

      07/04/15       30/12/14

Blood Glucose Fasting     106.82      201
Blood Urea      20.58      NA
HB A1c      7.7      13.2
Serum Creatinine      0.72      0.7

CBC

Haemoglobin      9.6      9.3
PVC/Haematocrit      32      32.2
MCV 69 66
MCH      21      18.9
MCHC      30      28.8
Platelet Count      2.93      3.35
RBC      4.62      4.62
Total Leucocyte Count 10330      10500



LIPID PROFILE

HDL     30.71     39
LDL     115.49     115
Total Cholesetrol      164.07     145
I have yet to consult my doctor with latest report as we are out of town but want to take your valuable opinion in the matter.

Thanks and regards.

XXXX

Answered by Dr. Niranjan G (31 minutes later)

Brief Answer:
There is improvemt and do continue the same

Detailed Answer:
Dear sir, greetings from HCM . I have read your query. There is lot of improvment. Iron levels as reflected by hb% still not improved. But it takes time . LDL must come below 80. So better idea to add a statin drug if it is not being advised. All other parameters are OK. Please consult your doctor for final judgement. Please do remember that lifestyle changes are the mainstay for diabetic patients. Regularly advise her to take nutritious food. And physical activities.
More of green leafy vegetables, fruits, nuts, sprouts, oats, milets and other fiber rich diet.
Avoid carbohydrates and take more of proteins.
Please meet a dietician and get a proper diet chart for her based on the local availability of veggies and her taste too.
Ykank you for contacting me and do write us for more
Thank you and wish you good health

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Niranjan G (1 hour later)

Thanks a lot doctor.

I suppose this treatment be continue for next three months when we go for another tests.I only fear for after effects of medicines specially istamet.I will follow all things you mentioned for her lifestyle.

One thing I forgot to mention. She has also gastric trouble for which she is advised Veloz D.

Pl advise dose for stanin.

Thanks and regards.

XXXX

Answered by Dr. Niranjan G (23 minutes later)

Brief Answer:
Good to take 20 mg of avas at night.

Detailed Answer:
Dear sir thanks for appreciation. Yes she can start with atorvastatin 20 mg after dinner.
Regarding the gastritis don't take too much of rabiprazole
Only when she has symptoms she can take half an hour before breakfast
Thanks and do get final opinion from your treating doctor
Please rate this answer before you close

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

Above answer was peer-reviewed by : Dr. Pradeep Vitta