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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Fasting Plasma Glucose : 272 And Epithelial Cells : 3-5 Indicate?

Hi doctors, I'm Eshwar from India (state:Tamilnadu). My mother aged 72, weigh about 58 kgs and height about 152 cms. My mother is a Type II Diabetic and follows regular medication has good control over Diabetic state and blood pressure level is 130/80.

For the past 4 days, the urine which my mother urinated is red in color, pink in color or cloudy in colorand differed from time to time. Today i took my mother from consulation with a Diabetologist and told us to do Urine Culture test and blood test.

The results are as follows an request you to provide your advice in this regard for my mother's treatment:

1) Fasting Plasma Glucose : 272

2) Post Prandial Plasma Glucose : 367

3) Serum Cholesterol : 99

4) Serum TriGlycerides : 114

5) HDL Cholesterol : 40

6) LDL Cholesterol : 36

7) VLDL Cholesterol : 23

8) Blood Urea : 15

9) Serum Creatinine : 0.9

Urine P/C Ratio

10) Urine Creatinine : 258.9

11) Urine Protein : 197.3

12) Urine P/C Ratio : 0.76

13) Estimated Protein Excretion Per Day : 559

Urine Complete Examination

14) Color : Pale Yellow

15) Appearance : Cloudy

16) Reaction : Acidic

17) Specific Gravity : 1.025

18) Sugar, Urine, Bile Salts, Bile Pigments : NIL

19) Urobilinogen : Normal

20) PUS Cells : Plenty

21) Epithelial Cells : 3-5

22) RBC'S : Plenty

23) CASTS : NIL

24) Crystals : NIL

25) Others : Plenty of bacteria present.

26) HbA1c : 8.2%

27) Estimated Average Glucose : 189 mg/dl

Due to Urinal infection, my mother was asked to take Urispas tablet, Citralka syrup, Pantocid-D tablet and Zanocin 200mg along with diabetic medicines like Tribet 2mg, Repase 50mg, Astor10mg and Becosules capsules.

The coming Thursday, I expect the Urine Culture Test to be ready.

Please give me your kind opinion as is there any critical issues with regard to my mother's health and though the Doctors say it is urinal infection but they doubt any Kidney problem.

Note : The urine color has chaged to white in color after the medication after the 11am today.
Tue, 16 Sep 2014
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Pathologist and Microbiologist 's  Response
Hi,
Thanks for asking.
Based on your query, my opinion is as follows.
1. Its urinary tract infection with uncontrolled diabetes mellitus.
2. Ultrasound of abdomen will show possible kidney involvement.
3. High grade fever would be present in kidney involvement along with flank pains.
Hope it helps.
Any further queries, happy to help again.
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What Does Fasting Plasma Glucose : 272 And Epithelial Cells : 3-5 Indicate?

Hi, Thanks for asking. Based on your query, my opinion is as follows. 1. Its urinary tract infection with uncontrolled diabetes mellitus. 2. Ultrasound of abdomen will show possible kidney involvement. 3. High grade fever would be present in kidney involvement along with flank pains. Hope it helps. Any further queries, happy to help again.