I am diabetic for last 3 years but with a better control over the parameter with the help of medication. In my recent preventive blood check up I could see my CRP and SGPT counts at higher range. SGPT & SGOT variation I have been seeing for a quiet a long time but CRP variation noticed recent only. Last December 26th night I had an atrial fibrillation, which was first in my life and all this basically scare whether my diabetes progressing further hinting towards cardiac vascular or is it after effect of my smoking and improper diet. Is there anything to be taken seriously here. Kindly let me know your guidance.

Dr. Prabhakar Laxman JatharEndocrinologist46yrs exp

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Mr. lybrate-user Kumar, Thanks for the query. You have mentioned that diabetes is in control, but no actual values given. Ideally when DM is in control, then FBG should be <100 mg, PP 150 to 160 mg & HbA1c%<6.8. If your DM parameters are in this range then it is very good. As C reactive protein rise, this condition id usally high when there is a chronic disease like diabetes is present. It just suggests there is some inflammatory process is on in the body. As regards rise in SGOT & SGPT, these enzymes going up suggests there is some problem with liver. It is also seen in persons indulging in alcoholic drinks regularly. Diabetes alone is unlikely to lead to any increase. Smoking is a definite risk factor for coronary blood vessels. Uncontrolled diabetes also affects coronary vessels too. So my suggestion is 1) Achieve a strict blood glucose control as mentioned above, 2) Adapt a modified lifestyle, exercise regularly for 1 hour a day, 3) Take a restricted diet that provides exact calories based on ideal body weight 4) Refrain from alcohol and smoking totally, 5) Increase the intake of green leafy vegetables and salads. If you have any doubts please do wright back. Thanks.  

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