Question 1

I'm just a bit concerned about my vitamin D levels. I checked them last month and they were really low. I'm curious, can I improve my vitamin D levels if I get some sunlight in the evening? Or is it only effective in the morning?

Accepted Answer

Elevated SGOT (AST) and SGPT (ALT) Levels

_Interpretation_

1. _Mild elevation_: Your SGOT (53) and SGPT (67) levels are mildly elevated.
2. _Possible causes_: Elevated liver enzymes can be caused by various factors, including:
    - Fatty liver disease
    - Viral hepatitis (A, B, C, or E)
    - Medication side effects
    - Muscle damage or exercise
    - Other medical conditions (e.g., thyroid disorders, celiac disease)

_Next Steps_

1. _Consult a doctor_: Schedule an appointment with your primary care physician or a gastroenterologist to discuss your elevated liver enzymes.
2. _Additional tests_: Your doctor may order further tests, such as:
    - Liver function tests (LFTs) to monitor enzyme levels
    - Hepatitis A, B, and C screenings
    - Ultrasound or other imaging tests to evaluate liver health
    - Blood tests to rule out other medical conditions
3. _Lifestyle modifications_: Maintain a healthy lifestyle, including:
    - A balanced diet
    - Regular exercise
    - Adequate sleep
    - Stress management

_Reassurance_

1. _Hepatitis and cirrhosis are unlikely_: Given your age, lifestyle, and absence of symptoms, hepatitis and cirrhosis are less likely.
2. _Further evaluation is necessary_: A thorough medical evaluation will help determine the cause of your elevated liver enzymes.

Question 2

I'm really worried about my mom. She's been on Human Mixtard insulin with 20 units in the morning and 15 at night, but she's been having these really scary hypoglycemic episodes. Recently, her kidney issues were also pointed out by a distant doctor. ...

Accepted Answer

Ryzodeg and Human Mixtard are both insulin therapies, but they have different properties:

Ryzodeg

1. Fast-acting and long-acting insulin analogue: Ryzodeg contains insulin degludec and insulin aspart.
2. Faster onset and longer duration: Ryzodeg starts working within 30 minutes and lasts for up to 24 hours.
3. More flexible dosing: Ryzodeg can be administered at any time of day, regardless of meals.

Human Mixtard

1. Intermediate-acting human insulin: Human Mixtard contains human insulin suspension.
2. Slower onset and shorter duration: Human Mixtard starts working within 1-2 hours and lasts for up to 12 hours.
3. More rigid dosing schedule: Human Mixtard typically requires a more structured dosing schedule, tied to meals.

Considering your mother's:

1. Concurrent hypoglycemia: Ryzodeg's faster onset and longer duration may help reduce hypoglycemic episodes.
2. Kidney failure: Ryzodeg may be a better option, as it has a lower risk of accumulation and toxicity in patients with renal impairment.

However, the recent blood sugar readings (480 at night and 280 fasting) indicate that the current Ryzodeg dosage (10-0-10 units) may not be effective.

Recommendations

1. Consult her doctor: Discuss the recent blood sugar readings and adjust the Ryzodeg dosage accordingly.
2. Monitor blood sugar levels: Regularly track her blood sugar levels to ensure the new dosage is effective.
3. Consider additional therapies: If blood sugar levels remain uncontrolled, her doctor may recommend additional therapies, such as oral medications or other insulin types.

Question 3

I'm really worried because my blood sugar is higher than it's ever been. I'm already on BP meds and I'm overweight. Should I think about starting medication for my sugar levels now? Is it even possible to get my levels back to normal at this point?

Accepted Answer

It's most likely diabetes and you should start medicines for the same. Better to confirm the sugar levels once again before starting medicines.

Question 4

I'm looking at my daughter's diagnostic report, and her TSH level is 8.7. From what I understand, it should be under 5.5. She's only 11 years old, so I'm just wondering if this is normal for her age or if there's something we need to address. Any adv...

Accepted Answer

visit your Physician for evaluation and appropriate management

Question 5

I'm really concerned about my mother's health. She's 57 and we just found out she has diabetes about a week ago. We've been monitoring her levels and today her sugar level hit 340 randomly. She's been on medication for three days now. Do you think we...

Accepted Answer

yes

Question 6

I'm really worried because I've got a nodule in the left lobe of my thyroid that's about 4x4 cm, and my T3, T4, and TSH levels are normal. There's also a smaller 1x1 cm nodule in the right lobe. The FNAC results advised a papillary cluster with chewi...

Accepted Answer

only surgery is the option. it is a benign cancer

I'm just a bit concerned about my vitamin D levels. I checked them last month and they were really low. I'm curious, can I improve my vitamin D levels if I get some sunlight in the evening? Or is it only effective in the morning?

I'm just a bit concerned about my vitamin D levels. I checked them last month and they were really low. I'm curious, can I improve my vitamin D levels if I get some sunlight in the evening? Or is it only effective in the morning?

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I'm really worried about my mom. She's been on Human Mixtard insulin with 20 units in the morning and 15 at night, but she's been having these really scary hypoglycemic episodes. Recently, her kidney issues were also pointed out by a distant doctor. ...

I'm really worried because my blood sugar is higher than it's ever been. I'm already on BP meds and I'm overweight. Should I think about starting medication for my sugar levels now? Is it even possible to get my levels back to normal at this point?

I'm looking at my daughter's diagnostic report, and her TSH level is 8.7. From what I understand, it should be under 5.5. She's only 11 years old, so I'm just wondering if this is normal for her age or if there's something we need to address. Any adv...

I'm really concerned about my mother's health. She's 57 and we just found out she has diabetes about a week ago. We've been monitoring her levels and today her sugar level hit 340 randomly. She's been on medication for three days now. Do you think we...

I'm really worried because I've got a nodule in the left lobe of my thyroid that's about 4x4 cm, and my T3, T4, and TSH levels are normal. There's also a smaller 1x1 cm nodule in the right lobe. The FNAC results advised a papillary cluster with chewi...

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