Dr. Anshul Varshney
Internal Medicine
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hello doctor,
I am 43 years old. I do not smoke or drink, but my food habits are not very good. Recently, I got my blood checked for Apo B/Apo A and the ratio was really bad at 1.6. The triglyceride is around 474 mg/dL and this rose from 270 mg/dL around three months back. My HDL is 26 mg/dL, LDL 116 mg/dL and TC 237 cells/mm3. Let me explain that my last 60 days diet which was really high on rice and oil. I also had a lot of cashew nuts in the last 30 days before this checkup. Fasting sugar is 114 mg/dL and postprandial 170 mg/dL. May I know whether I need to start taking any medication or this can be taken care of by exercise? My last three years blood report has been showing elevated reports of LDL around 180 mg/dL and my TC has been around 270 cells/mm3. I have always maintained my blood glucose level within the normal range, but this time it has overshot (114). My BP has always been bang on 120/80 mmHg. Please advice.
Hi,
Welcome to icliniq.com.
We are here to help you. You definitely need treatment for high cholesterol along with dietary modifications. You need to be started on a combination of Atorvastatin and Fenofibrate. Start regular exercise and avoid oil, rice and potatoes. For blood sugars, you can wait for some time and try to control it with lifestyle changes only. After one month, you should get a repeat lipid profile as well as a test known as HbA1c (glycated hemoglobin), which will give you an average of three months blood sugar value.
Patient's Query
Hi doctor,
My HbA1c is 6 %as per the last blood test. But, I remember having eaten a lot of sweets in that period and it is only reflective of that. Otherwise it was always hovering around 5.6 %. Are there any harmful effects of the drugs you have mentioned? Please confirm.
Hi,
Welcome back to icliniq.com.
Every medicine has its side effects, but it is not essential that everyone gets that. We need to compare the harmful effects of the disease versus the drug. In your case, the disease is going to harm you more. Commonly seen side effects of the medicine discussed above are myalgia, myopathy and liver dysfunction.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Internal Medicine
Related Questions
My cholesterol level is low with high triglycerides. Is there a need to increase my statin dosage?
Total cholesterol 229, HDL 53 and LDL 150. Do I have heart disease?
I have attached my ultrasound reports. Please advice on it.
My husband had Losar Beta H twice by mistake. Will it cause any side effect?
What are the measures to get the blood values in control?
How to normalize my high triglycerides?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
