Hello,
Thanks for reaching out with your test results and symptoms. Let’s go over them:
1.
Diabetes Status:
• Your
HbA1c is 7.1%, which falls in the diabetic range (≥6.5% confirms diabetes).
• However, your fasting glucose is 94.4 mg/dL, which is within normal limits.
This discrepancy could be due to early diabetes, or a lab variation, especially if you were ill or under stress. But as per current guidelines, HbA1c ≥7.0% is diagnostic, so it is likely you are diabetic or in early stages. A repeat test or Oral Glucose Tolerance Test (OGTT) can help confirm.
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2.
Liver Enzymes (SGPT/SGOT):
• Your SGPT (ALT) is 123 and SGOT (AST) is 343, both significantly elevated.
• This suggests liver inflammation, which could be due to:
• Fatty liver (NAFLD) – common in people with insulin resistance/diabetes.
• Alcohol, medications, or viral hepatitis.
You should get evaluated further with:
• Ultrasound abdomen (USG)
• Hepatitis B & C tests
•
Lipid profile and liver function panel
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3. Gastrointestinal Symptoms:
• The bloating and heaviness after meals may be due to gastritis, acid reflux, or delayed gastric emptying, sometimes worsened by fatty liver or diabetes.
• Avoid fatty, spicy, or late-night meals. Eat smaller portions, and stay upright after meals.
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What You Should Do:
1. Repeat/Confirmatory Blood
Sugar Tests:
• OGTT and/or repeat HbA1c in 2–3 weeks.
2. Get a Liver Workup:
• USG abdomen
• Hepatitis viral markers
• Review medications or alcohol use.
3. Start a Liver-friendly and Diabetic-friendly Diet:
• Low sugar, low fat, high fiber
4. Medication:
• Based on further evaluation, you may need medicine for blood sugar and/or liver protection.