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SUGAR AND LFT REPORTING
I am 34 yrs old active man, playing badminton and Gym on daily basis. Yesterday I did my routine blood test and report was - sugar random - 47 ( I gave sample after 6 hrs of breakfast) bilirubin total - 1.44, Bilirubin D- 0.2, trygleceride - 242 , SGOT- 62, SGPT-97, creat-0.78, BUN, -17, HDL-36, LDL-92, total cholesterol -146, Hb-16, platelets -1.50. I am a active person having beer occasionally, currently I am feeling low and bloating is lao there. Rest all okay. Plz let me the things to do. These symptoms are on and off since last 6-7 yrs. I have sore throat also.
Also I had given complete sample after 5-6 hrs of fasting)
Answers (22)
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U have liver issue
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Your blood sugar of 47 is LOW (normal is 70-100). This hypoglycemia after 6 hours fasting could be causing your low energy, bloating and weakness. Your liver enzymes (SGOT-62, SGPT-97) are mildly elevated, suggesting fatty liver which is common in people who exercise regularly and have dietary issues.
The good news: Your bilirubin, cholesterol, and other tests are normal. The low sugar combined with liver issues and bloating suggests you may have insulin resistance or reactive hypoglycemia. The sore throat for 6-7 years needs separate attention - could be chronic acid reflux or allergies.
This needs proper management with diet changes and possibly medications.
Next Steps
1. See an endocrinologist (hormone doctor) urgently - Your low blood sugar needs investigation 2. Get HbA1c test and Insulin levels (fasting & post meal) to check for insulin resistance 3. Get ultrasound abdomen to confirm fatty liver 4. For immediate low sugar symptoms: Keep glucose tablets or candy with you. Eat every 2-3 hours - don't skip meals 5. Diet changes: Eat complex carbs (brown rice, whole wheat), protein with every meal, avoid refined sugar 6. For sore throat: Try Pantoprazole 40mg before breakfast for 2 weeks (for acid reflux) 7. Stop alcohol completely - it's damaging your liver and causing low sugar 8. Continue gym but eat properly before and after workout
Health Tips
â ï¸ WARNING SIGNS - Go to ER if: - Blood sugar drops below 40 or you feel very dizzy/confused - Severe abdominal pain - Yellowing of eyes (jaundice) â
Good news: - This is fixable with proper diet and treatment - Your other organs are functioning normally ð« MUST AVOID: - Skipping meals (eat every 2-3 hours) - Alcohol and beer - STOP completely - Long fasting periods - Strenuous exercise on empty stomach ð¡ Important points: - Carry glucose tablets always when going to gym - Low sugar (47) is dangerous - can cause fainting - Fatty liver is reversible with diet changes - Get ENT check for chronic sore throat
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Random sugar 47???
Your SGOT and PT are on higher side rest all are normal.
Get your HbA1c , USG abdomen and revert back with reports
Next Steps
avoid fatty and fried foods. fresh fruits should be added but avoid juices
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Avoid fired and spicy food
Water intake more
Green leafy vegetables more
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Take fibre rich diet... And take medications for bloating... avoid alcohol
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Hello, I am Dr. Romain Rajan, General Physician.
Your case has been allotted to me.
I understand your concern. You are an active person, but your report shows mild liver enzyme elevation (SGOT 62, SGPT 97) and high triglycerides (242), which suggest fatty liver changes or mild liver stressâcommon in those who consume alcohol occasionally or have irregular meal timing. The low random sugar (47 mg/dL) taken after 6 hours of fasting indicates reactive hypoglycemia, not diabetes, and usually results from prolonged fasting or heavy workouts without proper meals.
â
Advices
Eat small frequent meals every 3â4 hours, especially before and after workouts; donât skip breakfast.
Avoid alcohol, fried food, sugary drinks, and late-night meals for at least 4â6 weeks.
Include regular fruits (apple, papaya), salads, oats, eggs, fish, paneer, and curd in your diet.
What to Monitor
Energy levels, bloating, and fatigue after meals.
Repeat LFT, lipid profile, and fasting sugar after 6â8 weeks of dietary correction.
Management
Start a Liver supplement such as Silymarin 140 mg once daily after lunch for 1 month.
Add a B-complex supplement daily to support metabolism.
For triglycerides, take Omega-3 fish oil 1000 mg twice daily after meals.
Maintain hydration and get 7â8 hours of sleep.
When to Consult a Doctor Immediately
If yellow eyes, nausea, or right upper abdominal pain develops.
If fatigue, low sugar symptoms, or sore throat worsen.
If liver enzymes or triglycerides remain elevated despite lifestyle correction.
Every patientâs case is unique. For accurate diagnosis, itâs important to discuss your meal timing, alcohol intake, and supplement history in detail.
ð You can reach out to me directly for this case, and also connect with me in future for any medical consultation.
I am available on Practo or on WhatsApp at 85271646 seven seven for a one-on-one consultation, where youâll receive:
A personalized diet and liver recovery plan
Safe supplement guidance
Quick follow-ups to track your improvement
Take care, wishing you good health.
Best regards,
Dr. Romain Rajan
General Physician
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Take a glass of milk daily.
Thanks.
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Triglycerides, liver enzymes are high.
Get abdominal ultrasound done.
Take fat free, low sugar diet, do regular physical exercise. Take frequent small meals with more of fresh vegetables, fruits, whole grains, nuts, fish.
Avoid alcohol.
Tab pantaprazole 40mg one daily before breakfast for 10 days.
Cap multibay one daily for 30 days.
For sore throat, take tab azithromycin 500mg one daily for 3 days.Do hot saline gargles.
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Need more investigation
These investigations are normal
Need Vitamin levels
Book consultation for details
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Dr. Dongari Swetha
Consult Now
Ayurvedic Endocrinologist & Internal Medicine Specialist
6 yrs exp
Hyderabad
Detailed history,few more investigations are needed for proper diagnosis and management
Please consult
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Hey, the medical history is incomplete. Need complete reports too. Kindly consult with me on 94 two six 86 seven eight 96.
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Detailed investigation should be done to reach to a diagnosis..you can consult
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Bilirubin in a lil bit raised.
Sugar ok.
Lipid profile normal.
Usg whole abdomen advisable to know the status of liver n gallbladder. As Bilirubin is a bit high.
Assessment of vitamin d3 b12 mg advisable.as your complaint of low Mey be related to deficiency.
It's always better to attach report as different lab have different instrument so range is also different.
Other symptoms may be due to bilirubin. Or gastritis or acidity.
Nexpro RD40 ONE IN EMPTY STOMACH FOR 5 to 7 days.
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Reports are still fine
Pls don’t worry
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Hiba Hameed
General Physician
3 yrs exp
Malappuram
Your need proper diet planning for your abdominal issues and also lowering your triglycerides
Next Steps
Take tablets to control bloating, consult for this
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Dr. Sachin Bhiwaji Sanap
General Practitioner
7 yrs exp
Hingoli
need more information
kindly consult
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Dr. Shaikh Huzaif
General Physician
18 yrs exp
Aurangabad
Please consult
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Consult online will guide you take a proper consultation
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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