What Do These Following Lab Reports Indicate?
I recently checked my glucose, creatinine and cholesterol levels are these are the levels :
Sugar (Biochemical Test) Humastar200
BG Fasting - 121
BG PP Plasma - 165
Urine glucose Absent in both the case
Creatinine - 1.34* mg/dl
Alkaline Phosphatase, Serum - 53.0 U/L
Total Cholesterol - 280
HDL - 46.8
LDL - 157.69
Triglycerides - 378
VLDL - 75.60
CBC everything is normal except :
Lymphocytes - 41 %
Platelets ( PCT ) - 0.138 %
Recent ECG & 2D were normal.
Kindly advice
investigation HBA1C for diabetes ,consider medication for lipidstemporarily
Detailed Answer:
Hello, I am Dr. Mody and I would be addressing your concern.
As I start I would presume that the tests were done as part of routine check up , and you don't have Diabetes, Hypertension or any heart issues .
Some of my observation for the tests results are
1) The sugars are not in the range of diabetes , however I would suggest that you get a furthur test done called HbA1c, which is an 3 months average because the results are borderline and if there any evidence Of impaired glucose tolerance ( which is called pre diabetes ) we can start lifestyle medication.
2) The lipid profile is deranged and the triglycerides and cholesterol is really high .
On this front I would strongly suggest that you start with lifestyle changes like decreasing all form of oils from food , avoid preserved food , more fresh vegetables and oils in diet and 30 mins of aerobic exercise daily.
Also on a personal recommendation I would suggest you start with a small dose of medication , rosuvastatin 10 mg , ( Rozavel / Rosuvas ) and repeat the lipid profile after 3 months .
3) The creatinine report depends on the normal range of the lab ,in some labs it's till 1.5 as normal , otherwise in standard ones more than 1.2 is considered as high . The reason for same I can't forsee and you are young and no risk factors for the same . I'm urine examination just look out if there is any protein loss in the urine
4) The CBC is pretty much ok , lymphocytes in this range in not a problem, platelets ,there seems to a be a typing error .
Rule out any acute infection if there any re any symptoms.
If you drink , moderation in the same is recommended.
For heart no Treadmill stress test in suggested during next follow up.
Let me know if any clarification needed.
Do rate for others reference.
Regards Dr Priyank Mody