Please check my reports and tell me if I am diabetic or pre-diabetic?

Hello,

Welcome to icliniq.com.

I have seen your reports (attachment removed to protect patient identity) and understand your concerns. Your SGPT (serum glutamic pyruvic transaminase) is mildly elevated. This could be due to many conditions or increased alcohol intake. You should reduce your weight by following exercise and diet regime. Your ideal BMI (body mass index) is below 24.5. Please send me the other lab test values in the follow-up feedback.

Hope I answered your questions.

Hello,

Welcome back to icliniq.com.

There is no medication proved to protect the liver. Weight reduction has proven benefits. If there is pain in the right upper part of your tummy, a physical examination and abdominal sonography will be required. Please provide me with the other test results you have.

Hello,

Welcome back to icliniq.com.

I have checked all your reports (attachments removed to protect the patient's identity). All values are within normal except ALT (alanine transaminase) and total cholesterol. Both values along with hypertension and pre-diabetic profile indicate that you have a metabolic syndrome (syndrome X).

I suggest:

1. Good blood pressure control with medications.
2. Rosuvastatin 10 mg once per day for the high cholesterol.
3. Good glucose level control by diet and daily exercise.
4. Weight reduction by diet and exercise.
5. Adding olive oil to most of your meals will help reduce the total cholesterol.
6. If there is recurrent pain in the upper part of the tummy, abdominal sonography will be required to exclude gallbladder stones.

Consult a specialist doctor, discuss with them, and take medications with their consent.

Hello,

Welcome back to icliniq.com.

You should not worry. ALT (alanine transaminase) is mildly elevated. All other functions are within normal. Follow up is all it requires.

Thanks for your trust.

Hello,

Welcome to icliniq.com.

I have checked all the data sent by you previously twice.

You have not provided me with your blood glucose test results (attachments removed to protect the patient's identity) and the glycosylated hemoglobin result is pending. I need fasting blood glucose level, post-prandial or glycosylated hemoglobin in order to decide. So, please provide me with the laboratory results in order to answer your query.

Best wishes.

Hello,

Welcome back to icliniq.com.

I am afraid to tell you that fasting 138 needs more investigations. You have to get the pending result of glycosylated hemoglobin (HbA1c). If less than 7, you do not have diabetes.

Also, I need a fasting blood test (not with your home device) and two hours post-prandial to confirm the diagnosis.

The presence of symptoms of diabetes is suggestive, like for example: urinating too many times, drinking too much water, waking up in the middle of the night to urinate, etc.

Wish you all well-being.

Hello,

Welcome back to icliniq.com.

I would like to inform you that your glycosylated hemoglobin is at the pre-diabetic stage. So, you are not diabetic.

To confirm, as I told you, fasting blood test and two hours postprandial will confirm the diagnosis.

I suggest:

1. 30 minutes exercise every day.
2. Low-calorie diet.
3. Regular follow-up.