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What Does My Health Check Up Result Report Indicate?

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Posted on Wed, 17 May 2017
Question: I recently got below reading in yearly checkup

GLYCOSYLATED HEMOGLOBIN (HBA1C) 6.0
MEAN PLASMA GLUCOSE 125.5
FASTING BLOOD GLUCOSE, PLASMA 91

CHOLESTEROL 204
TRIGLYCERIDES 161
HDL CHOLESTEROL 40
DIRECT LDL CHOLESTEROL 151.00
CHOL/HDL RATIO 5.1
LDL/HDL RATIO 3.8
VERY LOW DENSITY LIPOPROTEIN 32.2

I never was diagnosed with this before. What would you suggest?
doctor
Answered by Dr. Saumya Mittal (1 hour later)
Brief Answer:
Needs more information

Detailed Answer:
Hi.
I am Dr Mittal.
I have read your message.
I think I can help you.

First, I would like to ask you what exactly did you mean by DIAGNOSED WITH THIS? Diagnosed with what? Who diagnosed?

As for the reports,
HbA1c at 6 is normal.
Fasting blood glucose at 91 is normal.
Cholesterol above 200 is higher than normal.
HDL 40 is normal.
Triglyceride 164 is normal to moderately high depending on the lab.
LDL 151 is higher than normal.
VLDL 32.21 is also acceptable.

So on the basis of reports you have mildly raised lipids. You can start with exercise regime and control your diet. A small dose of atorvastatin 10 mg once at night for 3 months should suffice.

You will need to repeat the lipid profile test after 3 months.

I have tried to make it as simple as possible.
If you want to know about any other condition that you might have been diagnosed with by a local doctor, please feel free to ask about it in a follow up query. However , be more specific. Attaching the original reports and prescription of the local doctors does help.

Do get your BP checked.

Best of luck.
Dr Mittal.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Saumya Mittal (17 hours later)
Thanks for your reply doctor. Much appreciated.

I used wrong word 'Diagnosed'. I did my yearly health check-up done at SRL Lab and this is the part of report. I am concerned about the HBA1C and Triglyceride readings. My Vitamin D reading is 9.1

I have kidney stone of 4MM for which I am taking Homeopathy medicine.

I have a family history of Diabetes so a bit concerned. My BP reading are at 140/90 range (used home OMRON machine).
doctor
Answered by Dr. Saumya Mittal (13 minutes later)
Brief Answer:
Suggestions

Detailed Answer:
HI.
Thanks for the response.
I will come to the point.

HbA1c , as I said , is normal. Your source of worry , I guess might be the normal range which some lab report as 5.5 on the upper side of normal. Please let me know if this is not the case. However, I would still suggest testing PPBS sugar if you like.

The medicine I suggested for cholesterol will work fine for triglycerides as well. So that is already dealt with.

Vitamin D will need supplement's. Take Calcerol 60000 once a week with milk. Take calcium supplements with it as well for better effects- once a day should be fine.

BP looks fine. Check your weight and diet. Better would be to check a BP manually from some doctor or nurse locally. Machines can be wrong.

For calculi, do meet a urologist. Being an allopathic doctor, I am not sure how well the homeopathy medicines work on it.

Feel free to clear doubts about any related query.
Dr Mittal
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Saumya Mittal

Diabetologist

Practicing since :2004

Answered : 2897 Questions

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What Does My Health Check Up Result Report Indicate?

Brief Answer: Needs more information Detailed Answer: Hi. I am Dr Mittal. I have read your message. I think I can help you. First, I would like to ask you what exactly did you mean by DIAGNOSED WITH THIS? Diagnosed with what? Who diagnosed? As for the reports, HbA1c at 6 is normal. Fasting blood glucose at 91 is normal. Cholesterol above 200 is higher than normal. HDL 40 is normal. Triglyceride 164 is normal to moderately high depending on the lab. LDL 151 is higher than normal. VLDL 32.21 is also acceptable. So on the basis of reports you have mildly raised lipids. You can start with exercise regime and control your diet. A small dose of atorvastatin 10 mg once at night for 3 months should suffice. You will need to repeat the lipid profile test after 3 months. I have tried to make it as simple as possible. If you want to know about any other condition that you might have been diagnosed with by a local doctor, please feel free to ask about it in a follow up query. However , be more specific. Attaching the original reports and prescription of the local doctors does help. Do get your BP checked. Best of luck. Dr Mittal.