I am enclosing annual checkup reports. Please review and provide medical advise.

Hello,

Welcome to icliniq.com.

I have gone through your reports (attachment removed to protect patient identity). I have found few abnormalities.

Deranged HbA1c and blood sugar can be seen in your report. It is in the borderline range and signifies impaired glucose tolerance. Now, you should get your fasting and post lunch sugar levels done to determine whether you need medicine for that or not. Also, you should start dietary restrictions on sugars, fatty, and oily food.

Your triglycerides and cholesterol, both are elevated. You should have a healthy lifestyle like avoiding fatty, oily, and high-calorie diet. Get your BP checked once. Regular exercises like brisk walking, jogging according to your capacity for at least 30 minutes a day and five days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There should not be any abdominal fat deposition or obesity. You should also be started on tablet Rosuvastatin 5 mg at bedtime for your lipids. Need to repeat lipid profile after eight weeks to look for control.

You have low levels of Folic acid. For this, you need to increase the consumption of green leafy vegetables on daily basis. If not feasible then you can have the same in supplements form as tablet Folate 5 mg once a day.

Increase the exposure to the sun in early morning. Also, I suggest you have tablet Uprise (vitamin D3) 60,000 units once a week for eight weeks then once a month for six months to correct vitamin D levels. Consult a specilaist doctor, discuss with them, and take medications with their consent.