Test reports of three consecutive tests!

[alwaysoptimistic]

Patient details:Age-44 years,Gender-Male,Height-188 cm,Weight-90 kg

Diabetic since 2009 (approx 6 years)

Today's blood pressure readings:110/70

Please go through these reports and clarify the following:

1)How is the overall health condition?

2)Is there improvement in overall health?

3)Is there need of further attention?

*Test date:18.05.2015

HbA1c-6.98

Serum Cholesterol-106,HDL-48,LDL-40,VLDL-18,Triglycerides-138,Blood Urea-27.8,Creatinine-1.2,Urine specific gravity-1.03,pH-6+

**Test date:26.08.2015

HbA1c-7.65

Serum Cholesterol-136,HDL-50,LDL-65,VLDL-21,Triglycerides-140,Blood Urea-24.6,Creatinine-1.1,Urine specific gravity-1.02,pH-6

***Test date:16.11.2015

HbA1c-6.56

Serum Cholesterol-168,HDL-48,LDL-96,VLDL-24,Triglycerides-116,Blood Urea-19.2,Creatinine-1.0,Urine specific gravity-1.02,pH-6+

[shrisamarth Volunteer]

All parameters are improving. Hba1c is still higher. Rise in LDL can not be a negative factor until we don't know about apo B.

[alwaysoptimistic in reply to shrisamarth]

Thanks for your reply!

I am still working for lowering my HbA1c.

Is there any suggestion regarding this issue?

What can cause rise in LDL?

How to lower it?

Any other suggestion for further improvement in overall health condition?

[shrisamarth Volunteer in reply to alwaysoptimistic]

To check status of lipids do the tests suggested by anup. For LDL, 96 is not a bad figure. Only apo B can tell the true picture about LDL.

[alwaysoptimistic in reply to shrisamarth]

Thank you.I have got it!

[alwaysoptimistic in reply to shrisamarth]

How can I improve my HDL?

[shrisamarth Volunteer in reply to alwaysoptimistic]

Your HDL is steady throughout all the tests and is not low.

Mere increasing HDL mass is not necessarily will improve its functionality.

If you are already on right track of diabetes management then your lipids will definitely improve further.

Your TG/HDL ratio has improved, means your IR is improving.

[alwaysoptimistic in reply to shrisamarth]

What should be target for TG/HDL ratio?

[shrisamarth Volunteer in reply to alwaysoptimistic]

It has to be < 3.5. Best if < 2.

[alwaysoptimistic in reply to shrisamarth]

OK!

[alwaysoptimistic in reply to shrisamarth]

In your own view,what is summary of my all three tests?

Is there any thing for which I must be worried and I must take further action?

[shrisamarth Volunteer in reply to alwaysoptimistic]

"Is there any thing for which I must be worried and I must take further action?"

No

[alwaysoptimistic in reply to shrisamarth]

Thank you very much for all your guidance!

[alwaysoptimistic]

Thanks for your reply!

Is there any suggestion for further improvement in overall health condition?

[alwaysoptimistic]

OK!Have you noticed my BP readings?

[alwaysoptimistic]

Another good is-my eye sight has also improved!Now,power of my glasses is -0.5D instead of -0.75D.

These all good is due to guidelines that I have received from helping hands like you!

[cpkumar]

Hi,

Can you tell me how you are able to stabilize BP being diabetic.What does lower insulin in blood mean?Please suggest me

[alwaysoptimistic in reply to cpkumar]

Please ask Anup Ji for answers to your these questions!He can answer you in a better way.

[Gary805]

From what I understand, A1C levels should be near 5.5 levels

[cpkumar]

Hi anupji

Can you tell me how you are able to stabilize BP being diabetic.What does lower insulin in blood mean?Please suggest me

[gangadharan_nair]

According to your height of 1.88 meter and weight of 90 kilograms your body mass index is 25.5.

This calculation is solely based on your height and weight.

The recommended weight range for your height is between 69 and 88 kilograms. In this range, your BMI will be between 19.5 and 24.9, which is recommended by health professionals.

Blood urea is above normal.

Conduct Kidney function tests in consultation with your doctor.

Sources:--

en.wikipedia.org/wiki/Body_...

medlineplus.gov/ency/articl...

en.wikipedia.org/wiki/Blood...

medlineplus.gov/ency/articl...

en.wikipedia.org/wiki/Renal...

medlineplus.gov/ency/articl...

[alwaysoptimistic in reply to gangadharan_nair]

Thanks a lot for your reply!

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