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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Lipid Profile Test With Total Bilirubin 1.1mg/dl Indicate?

Total bilirubin 1.1mg/dl; conjugated (D. Bilirubin) 0.3 mg; Unconjugated 0.8 mg; S.g.o.t 72 u/l; s.g.p.t 102 u/l; alkaline phophatase 182 u/l; total protein 8.2 gm/dl; albumin 3.7 gm/dl; globulin 4.5 gm/dl; a/g ratio 0.82; g.g.t.p 86 u/l Plasma glucose fasting 424 mg/dl; total cholesterol 131 mg/dl. Pt ratio INR 1.11 Tsh 19.27 Please advice what will I do.
Mon, 27 Apr 2015
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General & Family Physician,  's  Response
Welcome to Healthcare Magic. Thank you for posting your query.
I can understand your query.

Let me analyse your report.
1. Total bilirubin - raised
2. SGOT - raised
3. SGPT - raised
4. Albumin - low normal
5. Plasma fasting glucose - alarmingly raised
6. INR - normal
7. TSH - raised
8. Cholesterol - normal

The reports are suggestive of hepatitis . At the same time what is alarming is the fasting glucose. It is very high. You need immediate intervention through insulin or other medications. You also have hypothyroidism.

I would suggest you to immediately visit a clinician. He/she can examine you , recheck the blood glucose and correlate clinically.

Get an ultrasound of the abdomen done to look at the liver and gallbladder .
Get a postprandial blood glucose and HBA1C done to look at the blood sugar control .
Avoid oily, spicy food. Avoid sweets.
Regularly exercise for 30 minutes a day.
I would start tablet Thyronorm . Your doctor can guide on the exact dosage.


Hope this helps.
Write back to us.
Regards.
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What Does The Lipid Profile Test With Total Bilirubin 1.1mg/dl Indicate?

Welcome to Healthcare Magic. Thank you for posting your query. I can understand your query. Let me analyse your report. 1. Total bilirubin - raised 2. SGOT - raised 3. SGPT - raised 4. Albumin - low normal 5. Plasma fasting glucose - alarmingly raised 6. INR - normal 7. TSH - raised 8. Cholesterol - normal The reports are suggestive of hepatitis . At the same time what is alarming is the fasting glucose. It is very high. You need immediate intervention through insulin or other medications. You also have hypothyroidism. I would suggest you to immediately visit a clinician. He/she can examine you , recheck the blood glucose and correlate clinically. Get an ultrasound of the abdomen done to look at the liver and gallbladder . Get a postprandial blood glucose and HBA1C done to look at the blood sugar control . Avoid oily, spicy food. Avoid sweets. Regularly exercise for 30 minutes a day. I would start tablet Thyronorm . Your doctor can guide on the exact dosage. Hope this helps. Write back to us. Regards.