What are the ways to manage high blood glucose, triglycerides, and fatty liver?

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

I have read your reports (attachments removed to protect the patient's identity), and unfortunately, you have uncontrolled blood sugar levels. You would need to work on a lot of things to get back on track. Issues that you have at present from the test results are uncontrolled blood sugar, high triglycerides, and fatty liver. The triglycerides are very high which can cause problems with your pancreas. So if you ever feel pain in your stomach, I suggest getting an abdominal abdomen done and follow-up with a gut doctor called a gastroenterologist.

I suggest you follow the treatment plan mentioned below.

1. Increase Novomix (insulin aspart) to 30 to 20 units in the morning and night dose to 22 units.

2. You might have to keep a close watch on your blood sugar, perhaps by using a glucometer (explain) at home.

3. Monitor fasting blood sugar in the morning, before lunch, two hours post lunch, evening around 4 pm, pre-dinner, 2 hours post-dinner, and bedtime blood sugar levels in a chart and do it for seven days.

4. Get back for a follow-up on this blood sugar level.

5. If you are too out of range, then injection Novomix 30 might be switched to three times short-acting insulin and once-a-day long-acting insulin, meaning four insulin doses per day based on your 7-day records.

6. Please increase the dosage of the tablet Rozat (Rosuvastatin) to 20 mg per day at night.

7. If triglycerides remain high, you will need another lipid-lowering medication.

8. The alkaline phosphatase suggests a fatty liver, so you need a gastroenterologist referral for fatty liver, liver management, and pancreas checking.

9. You need to have an official dietitian follow up regularly to deal with your dietary carbohydrates.

10. Increasing your oral intake of water may help.

11. Your high blood sugar is starting to affect your kidneys.

12. A strict low-carb and low-fat diet is recommended, and therefore you need a dietitian review.

13. I would also suggest taking a tablet. Dapagliflozin 10 mg once a day in the morning to prevent kidney failure and heart failure due to diabetes. It is a prevention medication only. It has sick day rules, meaning if you have any kind of infection, it should be stopped temporarily and resumed when the infection settles.

14. I suggest taking a tablet Perindopril (angiotensin-converting enzyme (ACE) inhibitor) 4 mg once a day in the morning to protect kidney function. It is a preventive medication but it can help with mild blood pressure control. Remember if you develop any allergy, I suggest you stop it and see a doctor, although it is not commonly seen as a problem.

Kindly consult a specialist, talk to them, and take medications with their consent.

Thanks for using icliniq, and have a nice day.

I hope this information will help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I hope this helps.

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Thank you.