Can you give me any advise based on my lab reports?

Question

Hello doctor,

I am a 68-year-old male. I am currently on tablet Gluformin G2 Forte for diabetes, tablet Cinod-N 10/2.5 for blood pressure and tablet Olmezest 20. The below is my laboratory report is from last week.

HbA1c - 6.8.
Uric acid - 7.41 mg/dL.
Fructosamine - 299.7 mmol/L.
eGFR - 83.
APO B / APO A1 Ratio (APO B/A1) - 1.1.
SGOT- 54.6 U/L.
SGPT 59.9 U/L.
Lipoprotein (A) LP (A) - 30.8 mg/dL.
TSH - 6.07 mU/L
Uri albumin/creatinine ratio (UA/C) - 68.5.
25-OH Vitamin D (total) - 20.17 ng/mL.

Can you please advise.

Answer 1

Hello,

Welcome to icliniq.com.

Your HbA1c is in good control and the other parameters are within the normal range. ACR (albumin creatinine ratio) is slightly high. You need to recheck the albumin-creatinine ratio after three months. Please repeat your uric acid levels after two weeks. If it is still high, you may need medication. In the meantime, continue all the medicines as you are taking. There is no need to worry. Do check your blood pressure regularly and fasting blood sugar after two weeks and follow-up, please. As you are 68 years old, you need to take Aspirin tablet 75 mg for cardioprotection. Please add that to your regular medicine. I suggest tablet Ecosprin 75 mg one tablet once daily. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent.

I hope this helps.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

As an alternative, you can take tablet Clopilet (Clopidogrel) 75 mg once daily. You should take tablet Pan (Pantoprazole) 40 mg once daily in the morning before breakfast as long as you are on anti-ischemic therapy, be it Aspirin or Clopidogrel. However, acidity or gastric irritation is much less with Clopidogrel compared to Aspirin.

I hope this helps.

Thank you.