HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Does This Blood Sugar Levels And Elevated AST And ALT Levels Indicate?

Posted on Mon, 21 Jul 2014

Question: I went to ER yesterday for a gastric stomach issue and blood and urine was tested.Blood was 194 mg and urine sugar was marked as 500* and Ketones - traces.About me 50 yrs old male , fatty liver known since 2002 , have hiatal hernia and acidity problems.Always have fast blood sugar less than 100 mg but with a glucose too test 6 months before it was 160 mg after 2 hrs.Dr said I am pre diabetic.These days I started taking Coke or Pepsi daily.No symptoms ob diabetes, no weight loss , no frequent urination etc etc.
I do have elevated AST and ALT with slight bilrubin due to fatty liver since 2002.Please let me know your diagnosis.

Answered by Dr. Hardik Thakker (4 hours later)

Brief Answer:
Hba1c and glucose tolerance test

Detailed Answer:
Dear XXXXXXX,

Greetings from health care magic!!! I am Dr Thakker and shall be answering your question.

I will try my best to answer your question and help you out.

Your random blood sugar is 194 with glucose in the urine. Your fasting sugar level is normal but the post lunch is impaired. Since you are consuming colas, they contain a good amount of sugar leading to glucosuria.

I would advice you the following:

HbA1c levels.

Glucose tolerance test.

Since you are in the borderline grey zone, these 2 tests will help us to clarify if you have diabetes. We can then start you on a low dose metformin if these reports are abnormal.

I would like to know the exact values of the AST, ALT, Bilirubin levels and latest sonography reports in view of the fatty liver.

Please let me know if you consume alcohol? Do you fast for religious or health reason?

Please get back to me with the above information.

I hope this helps you out. If you have any more questions, please do not hesitate to write back to me.

Yours sincerely,
Dr Thakker.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Hardik Thakker (6 hours later)

HB1AC level in DEc 2013 was 5.2 . GTT test done in DEc 2013 said 160 mg after 2 hrs of drinking 75 mg of glucose. Current report on AST/ALt attached.I need to search my last ultrasound , but image was always Fatty liver since 2002.
I do not fast. I did take Pepsi after food , just about 60 ml , I did drink many Pepsi/Coke these days .
Metmorphin I was advised , but felt there were side effects which may affect my Liver.
LDL is aroung 129 and HDL 75. Overall Cholestrol 220 around and Triglycerides normal.

Answered by Dr. Hardik Thakker (16 hours later)

Brief Answer:
impaired glucose tolerance test

Detailed Answer:
Dear XXXXXXX,

Thank you for providing me the detailed information and blood report.

In view of the impaired glucose tolerance test I would recommend you to restart metformin 500 mg twice a day. It is also useful in treatment of the fatty liver because this can be non alcoholic steato hepatitis. I would also recommend you to have vitamin E 400 mg capsules once every day.

We need to work on your diet and introduce exercise in your everyday routine. I would recommend you to take rosuvastatin given your total cholesterol is a little high and LDL ( bad cholesterol ) is 129. your LDL target us below 100mg/dl. It is advisable to avoid colas all together.

I hope this helps you out. If you have any more questions, please do not hesitate to write back to me.

Yours sincerely,
Dr Thakker.

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Prasad