What Do These Lab Reports In A Type 2 Diabetic Patient Indicate?

Posted on Wed, 19 Oct 2016

Question: I am Type-2 Diabetic from 5 year and recently undergone various test.
Results have been very poor and i am looking for a endocrinologist/Diabetologist who can suggest me appropriate medicines

Answered by Dr. Dr. Phanindra Dulipala (35 minutes later)

Brief Answer:
Please attach the reports sir

Detailed Answer:
Sir, I have gone through your query and understood your concerns.

Please attach your reports or mention them in your query. That would help us to advice you accordingly. Also mention any other medication you having. You may need an increase in dosage of medication.

Thank you sir.
Dr Phanindra Dulipala

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. Phanindra Dulipala (12 minutes later)

I have attached the latest report and looking for the appropriate medication which can help me

Answered by Dr. Dr. Phanindra Dulipala (59 minutes later)

Brief Answer:
Welcome back sir

Detailed Answer:
Hi Sir, welcome back.

I have gone through your reports in detail. The report of immediate concern is HbA1c which is high.

So, We advice you to add a tablet of Voglibose 0.3 thrice a day along with your present medication. You need to take the tablet just 1 minute before you eat. Get it prescribed by your local doctor. Again check the values of fasting and post prandial blood sugars and get back to us. If the values are still high, then we should move on to Insulin therapy starting with minimal doses.

Sugar free diet and exercise will also help you

Thank you sir

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar

Follow up: Dr. Dr. Phanindra Dulipala (10 minutes later)

Thanks Doctor.

Can you please seek the other test as well , readings are really poor for lipase,ALANINE TRANSAMINASE (SGPT) ,cholesterol etc.

and for Voglibose .3 - which brand shall i choose like ??

Answered by Dr. Dr. Phanindra Dulipala (4 hours later)

Brief Answer:
Welcome back sir.

Detailed Answer:
Hi Sir, welcome back to HCM. The other readings are of not much concern. Such slight variations do present.

Take low fat diet. get the tests done after 3 months again. If values still poor and any symptoms like abdominal pain exists, then we need to go for further evaluation. As of now nothing much to worry. You may take a tablet of Rosuvastatin 5mg daily one for 3 months. For iron, Take tablets with Iron supplements.

Coming to Voglibose, any brand no problem.

Thank you Sir.

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

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