Hi
Last month on routine checkup of urine acr the result comes 60 mg/dl
My egfr was 88 and creatinine is 1 , Liver function test and lipid profile was normal, urine re was normal. Hb1ac was 5.9 and fasting was 110 and pp was 141
I am taking jalra m 50/850 , Shelcal M, OXCQ 200 AND THYRONOM 50mcg
Today I tested my sugar is 97 and pp is 115 and urine acr is 5mg/dl
Shall I test again after 2 month or wait to go to my doc afterwards or now .
After every meal around after 3 hours my eye gets heavy and I feel low energy and sleepy, my eye gets heavy and slight burning feel and lethargy
29M, 98kg, 178cm (BMI 31). Fasting labs 22/06/2026.
Fasting Glucose: 93 (normal)
HbA1c: 5.7% (borderline)
Fasting Insulin: 54 mIU/L (high, ref 2.6-24.9)
HOMA-IR: 6.4 (high, ref 0.7-2.0)
ALT 64, GGT 98 ( fatty liver), Vit D 16 (deficient). Hypertension on Cilnidipine. No diabetes.
Endocrinologist advised only weight loss and vitamin D. But my HOMA-IR is 3x the upper limit. Should I be on metformin at this stage to address insulin resistance and protect against diabetes, or is weight loss alone the right approach? Also open to GLP-1 if appropriate given BMI 31.
My prolactins level were high and doctor suggested MRI
These are the findings
"There is an ovoid nodule measuring 6.6 x 8.8 x 5.7 mm (AP x TR x CC) seen in
pituitary gland on left side, which appears isointense on T1, heterogeneously
hyperintense on T2, hypoenhancing on early phase of dynamic contrast images
and intense homogeneous contrast enhancement on delayed images of dynamic
study. Pituitary stalk is deviated towards right side. Imaging findings are
suggestive of pituitary microadenoma. Serum prolactin estimation is suggested."
I am very worried, what does it mean ?
I was getting throat infections often, so I went and saw an ENT specialist. He immediately asked me to do a CT scan for sinus - PNS CT scan. He gave medicines too. The next day I went to the scan center, there were many warning signs. Even the nurse said it has radiation. Even ChatGPT said CT scan has radiation and shouldn't be done unnecessarily. I should have said, I will think about it and come tomorrow. But I paid the money then they asked to sign a paper that they are not responsible for any side effects. Then the report came back and the doctor said no sinus problem. But I feel extremely anxious about the side effects. I read so many articles online and they said even one CT scan can increase the cancer risk in future especially in women who are younger. I am around 25 years old, female. I asked the doctor and he gave me an anti-depressant but I am still not convinced. I am still feeling extremely lost. I feel like I spoiled my future. Please someone help me from this mental pain