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Second opinion for blood work analy
Namaskar,
I'm a male 76 years old with history of diabetes mellitus of approximately 30 years more or less. And I take 1 tab of Glyciphage SR 1 gm daily.
My question is related to my recent blood work
The reported levels, briefly , are as follows:
*Glucose - Fasting
(Hexokinase) level is 144
*Glycosylated Hemoglobin (HbA1c) 6.3%
*TSH.-Ultra Sensitive (CLIA) is 8.214 (0.55 to 4.78 green range.
*Normal levels of both T3 and T4.
*All CBC tests are normal.
*Vitamin D (25-OH) CLIA 21.76 ng/ml (very low)
It's a comprehensive full body test and all others are satisfactory
Generally my blood sugar levels are quite normal.
I take great pains to keep them under control.
My regular physician dismissed it as Subclinical hypothyroidism because of age and asked me not to worry.
But I'd appreciate a second opinion before another consultation.
Thank you and God bless you all.
Answers (9)
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Your HBA1C at 6.3 is absolutely fine .For a diabetic on treatment the goal is 7 or less . FBS 144 is a bit high on this day, ideally it should be 130 or less.monitor your fasting glucose level twice a week .continue with your present medicine and lifestyle management and diet.
Raised TSH level with normal T3 AND T4 is subclinical hypothyroidism.Treatment is indicated if TSH level is above 10 and if you are symptomatic related to thyroid.monitor thyroid levels periodically.
Vitamin d level at 21ng is insufficiency.You need to take 60000 iu vitamin d sachet once a week for 10 weeks.
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Dr. Bijli Nanda
General Practitioner
7 yrs exp
Noida
Need not worry about TSH yet.monitor levels in 3 months.
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Dr. Vinod Kumar Verma
General Physician
9 yrs exp
Gurgaon
According to your query and sign and symptom you want to know about the disease and cause and it's best Treatment of hypothyroidism and other as Vitamin D and HBA1C.
Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
• keep positive attitude to fight any disease and any problem of your life .
Next Steps
Please take consultation for the better evaluation of that.
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Thresia Pereira
General Physician
40 yrs exp
Mumbai
Please consult
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Dr. Dashrath Ganwani
General Physician
6 yrs exp
Jaipur
Need more details for better evaluation and best treatment.
Kindly Connect.
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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