Patient :Am 60 male. Married. Sinus venosus ASD closure Dec 2007. Regular 2D echo every year. Ok. Except Gr I LV diastolic dysfunction. Have been getting blood tested every year for last 4years. Always all results within normal limits. But blood test on 29th Dec 2013, Hb 13.9 Lipid profile serum cholesterol 220, serum triglycerides 135, HDL 54, LDL 129, VLDL 37, Cholesterol/HDL 4, LDL/HDL 2.3.Netrophils 63%, Lymphocytes 33%, WBC 8920Serum calcium 8.1ESR 18Fasting sugar 105, PP Sugar 148.Sugar in urine nil. HbA1C not doneRepeated blood test on 28th April 2014, Hb 14.4Lipid profile serum cholesterol 228, serum triglycerides 137, HDL 55, LDL 133, VLDL 40, Cholesterol/HDL 4.1, LDL/HDL 2.4. Netrophils 50%, Lymphocytes 48%, WBC 10350Serum calcium 8.7ESR 28Fasting sugar 105, PP Sugar 165.Sugar in urine present. HbA1C 6.7, average eAG 168.37Routine get up 630am, have 2 glasses of lukewarm water, light exercise 5min, half cup tea with little sugar, bath, breakfast around 9am subji roti glass of milk, lunch 130pm subji roti, 6pm fruit snack tea, dinner 930pm leafy green subji roti little rice little curd salad fruit or dry fruits. Being from north Maharashtra food contains groundnuts normally roasted put in vegetables while cooking, average handful per day per person. Good Sleep 1130pm -630am. Walk 10-20 min during office hours. No illness. Height 163cm weight 58kg BMI 22.Blood pressure normal. Sometimes lower. Please advise if everything ok. Am I diabetic. Am I at risk of heart attack. And any diet suggestion. Which fruits are ok in what quantities. Which food banned. When to do next blood test. Any other tests recommended.
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