Dr. Kamal Kant Sahu
Hematology
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Answered by
Education:
DM Hemato-Oncology
Professional Bio:
Dr.Kamal Kant Sahu is an expert in the field of InternalMedicine. He is experienced and well-versed in all the treatment modalities in Internal Medicine.
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Dr. Kamal Kant Sahu
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Patient's Query
Hello doctor,
My MPV has been high with a range of 12.1 to 13.9 and my platelets have ranged from 128 to 173 for the past four years. The most recent is MPV of 13.9 and platelets of 157. I also had a high fasting blood glucose this time of 109. This is the first time that I have had a fasting glucose. My fasting glucose level was 91 a few months back. Any ideas or suggestions would be appreciated. I would also like you to note that I contracted Lyme disease from a tick bite in 15 years back. The antibodies were still active from four years at the level of 2.09. Currently, I am taking Zyrtec 10 mg daily and Clobetasol for skin dermatitis.
Hi,
Welcome to icliniq.com.
I must compliment you for the excellent spreadsheet of your laboratory results.
Regarding your CBC, we look at all three lines, Hb, WBC, and platelet count. A little variation from individual to individual basis and with age is common. I can see that you are pretty young. At this moment I can see that Hb 13.1, WBC is 3.71, and platelet count is 165. I agree with few past reports of variation on platelet count and others cells in your case which happens to all of us (attachment removed to protect patient identity). To me, it is still not clear why you required two units of blood transfusion in the past. However, at this moment there is nothing major concern which I can point out at this moment. In future, if you go anemic, then please get your iron profile, vitamin B12 level, and folic acid level checked (not now).
Fasting sugar of 109 is known as pre-diabetes, but that needs recheck. Make sure what is your HbA1c level is because greater than 6.5 is required to make a diagnosis of type 2 diabetes. Lyme is not of any issue for you.
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Dr. Kamal Kant Sahu
Hematology
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