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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diabetes, A1C 10.1, Alk Phos 182, SGPT 54

Hello, I just found out that I am a diabetic & must have been for quite a while. My A1C was 10.1. However that is not what is bothering me, This is: My ALK Phos was 182 & the ALT ( SGPT ) is 54. I do not drink alcohol (THANK GOD) however I am on Methadone 10 Mg 4 X a day for failed back surgery. I have had 4 low back surgeries, starting in 1985 & the last one with titanium brace) in 2000. Can you give me any advice on what is going on & what I can do to lower these Alk Phos & ALT numbers?
Tue, 15 May 2012
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General & Family Physician,  's  Response
Your ALt and alkaline phosphatase will come down when you stop taking methadone.You can shift to a painkiller like T Etorocoxib 90mg once daily for pain.You should worry about your HbA1C which shows your diabetes is out of control.You should start anti-diabetic medicines in consultation with a diabetologist at once to prevent complications like kidney damage(nephropathy),nerve damage(neuropathy) and eye damage(retinopathy).The elevationof your liver function may also be due to fatty liver which can result from diabetes
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Diabetes, A1C 10.1, Alk Phos 182, SGPT 54

Your ALt and alkaline phosphatase will come down when you stop taking methadone.You can shift to a painkiller like T Etorocoxib 90mg once daily for pain.You should worry about your HbA1C which shows your diabetes is out of control.You should start anti-diabetic medicines in consultation with a diabetologist at once to prevent complications like kidney damage(nephropathy),nerve damage(neuropathy) and eye damage(retinopathy).The elevationof your liver function may also be due to fatty liver which can result from diabetes