My wife aged 53 yrs and having weight approx. 80 kgs., swelling the legs and pain have blood test reports as on 27.10. 15 as under; 1. Hba1c-7.6. Average blood glucose (abg)-171, lymphocytes-3.66, monocytes-0.17, basophils-0.01 tptal rbc-4.98, hemoglobin-11.2, mean corpuscular-22.5, mean corp. Hemo. Conc (mchc)-24.4, red cell distribution width-sd (rdw-sd)-55.3, red cell distribution width (rdw-cv)-16.5, platelet distribution width (pdw)-19, platelet to large cell ratio (plcr)-52.7, plateletcrit (pct)-0.42, phosphorous>15, 25-oh-vitamin d (total)-21.92, high sensitivity c -reactive protein9hscrp)-8.02, total cholesterol-205, triglycerides-205, vldl cholesterol-41.02, alkaline phosphatase-142.7. In view of the above reports, please advise proper medicine and precautions to be taken in future.

Dr. Amit VermaGeneral Physician18yrs exp

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based on ur reports following things are inferred: -HbA1c is a bit high(should be around 7 in a diabetic to qualify for a good control). fasting and pp sugar levels are required before any medicines could be prescribed for that.And also u have not mentioned whether she is taking any oral antidiabetics -Her weight is 80 kg which is approx.20-25 kg higher for her height..she needs to get her weight reduced by following a strict exercise schedule..Also certain anti diabetic drugs like metformin helps in weight reduction. -vitamin D levels are severely reduced..Give her tablet D rise (60,000 IU) daily for 6 days then weekly for 6 weeks thereafter once monthly. -total cholesterol is raised.U have not mentioned about the LDL levels of cholesterol ,which is more important.For that drugs like statins have to be started in dose of 10 mg once a day -U have not mentioned about her BP.Probably certain antihypertensives would be required to lower her bp if found raised.. 

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