Your Health Check Results: Key Concerns and Recommendations - Family Medicine

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Health check results


At the beginning of the school year, a health check-up was conducted, and it has been two years since the last examination.
This time, some results were abnormal, specifically: Complete Blood Count: Platelet count (PLT) - 403 (normal range 150-400 x 10^3/ml), Diabetes screening: Fasting blood glucose (AC) - 111 (normal range 60-110 mg/dl), Liver function test: SGPT (Alanine aminotransferase) - 46 (normal range 0-40 U/L), Lipid profile screening: Total Cholesterol (T.CHOL) - 255 (normal range 120-220 mg/dl).
Two years ago, only the total cholesterol was elevated (257 mg/dl), while all other items were normal.
This examination indicates a decline in health.
The health check report suggests that the physician recommends paying attention to diet, engaging in appropriate exercise, and avoiding staying up late and drinking alcohol.

I would like to ask the physician if the above abnormal results will have serious effects on my health, what I should pay attention to in my daily life, and whether I need to undergo regular check-ups.
I kindly request the physician to provide me with sincere advice!

Hasi, 20~29 year old female. Ask Date: 2005/10/14

Dr. Huang Jianling reply Family Medicine


Hasi: Platelet count and fasting blood glucose are slightly elevated, but this has minimal impact; regular annual monitoring is sufficient.
SGPT is elevated, and further testing is recommended, such as for hepatitis B, hepatitis C, and fatty liver disease.
Total cholesterol is high: dietary control is essential, and follow-up should be done in three to six months.
Sincerely, Dr.
Huang Jianling.

Reply Date: 2005/10/14

More Info


Based on your recent health check results, several key concerns have emerged that warrant attention. Let's break down the abnormal findings and their potential implications for your health, as well as recommendations for managing these issues.

1. Platelet Count (PLT): Your platelet count is at 403 (standard range: 150-400 x 10^3/ml). While this is slightly elevated, it is still within the upper limit of normal. Elevated platelet counts can sometimes indicate inflammation, infection, or other underlying conditions. It would be prudent to monitor this in future tests, especially if you notice any symptoms such as unusual bruising or bleeding.

2. Fasting Blood Sugar (AC): Your fasting blood sugar level is 111 mg/dl (standard range: 60-110 mg/dl), which indicates that you are in the prediabetic range. This is a significant finding as it suggests that your body is beginning to have difficulty managing glucose levels. Prediabetes increases your risk of developing type 2 diabetes, cardiovascular disease, and other metabolic disorders. It is crucial to adopt lifestyle changes, including a balanced diet low in refined sugars and carbohydrates, regular physical activity, and weight management. Regular monitoring of your blood sugar levels is also recommended.

3. Liver Function Test (SGPT): Your SGPT (ALT) level is 46 U/L (standard range: 0-40 U/L), which indicates mild liver enzyme elevation. Elevated liver enzymes can be a sign of liver inflammation or damage, which could be due to various factors such as alcohol consumption, obesity, or viral hepatitis. It is advisable to limit alcohol intake, maintain a healthy weight, and consider further evaluation by a healthcare provider, especially if you have risk factors for liver disease.

4. Total Cholesterol (T.CHOL): Your total cholesterol level is 255 mg/dl (standard range: 120-220 mg/dl), which is elevated. High cholesterol levels can lead to an increased risk of heart disease and stroke. It is essential to focus on dietary changes, such as reducing saturated fats and increasing fiber intake, as well as incorporating regular exercise into your routine. Depending on your overall cardiovascular risk profile, your doctor may also discuss the possibility of medication to help manage your cholesterol levels.


Recommendations:
- Dietary Changes: Focus on a heart-healthy diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats. Limit processed foods, sugars, and saturated fats.

- Regular Exercise: Aim for at least 150 minutes of moderate-intensity aerobic activity each week, along with strength training exercises at least twice a week.

- Weight Management: If you are overweight, losing even a small percentage of your body weight can significantly improve your blood sugar and cholesterol levels.

- Regular Monitoring: Schedule follow-up appointments with your healthcare provider to monitor your blood sugar, liver enzymes, and cholesterol levels regularly. This will help track any changes and allow for timely interventions if necessary.

- Avoid Alcohol and Smoking: Reducing or eliminating alcohol consumption and avoiding smoking can significantly benefit your liver health and overall well-being.


Conclusion:
While your health check results indicate some areas of concern, they also provide an opportunity for you to make positive lifestyle changes that can improve your health outcomes. It is essential to take these findings seriously and work closely with your healthcare provider to develop a personalized plan that addresses these issues. Regular check-ups and being proactive about your health can lead to better long-term outcomes.

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