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09/09/09 07:59 AM

"I just got my first blood test results, my ALT was 48, is this a high enough level to be concerned? My doctor says no, but I am still worried."
Asked By: rockyn2  
Category: Blood Glucose Monitoring

Background Info Hide
A1C at first blood test was 8.7. I am on 500MG of Metformin 2 times a day and 5MG of Prinivil.

Expert Answers (1)

12/28/09 05:01 PM

Hello rockyn2
ALT normal range is 5-60 IU/L and you are in normal range. Your concern right now should be focused on the HgA1c that is elevated. You should strive to get your A1c 7% or less as recommended by the American Diabetes Association, or even tighter control of 6.5% or less as recommended by the American Endocrinology Association.

Since you stated that this was your first blood test, I will assume you are newly diagnosed with Diabetes. Your Physician will probably order labs and make adjustments in your medications about every three months until you stabilize. I do not know how old you are, or if you have any other chronic health problems. Many Diabetics also have hypertension and hyperlipidemia which need treatment. Your doctor will monitor these potential problems through frequent B/P checks and frequent lab studies. Report any side effects you notice and keep all your appointments. Follow a healthy high fiber carbohydrate, low salt, low fat diet and limit your alcohol consumption. Try to walk daily for exercise. Monitoring your labs and reading about normal ranges will help you ask pertinent questions each time you see your doctor.

Try keeping a 3 ring binder and file all your labs in it. You can monitor any changes and discuss with your doctor. Remember, all medications have side effects but you must measure risk VS benefit.

Remember your self-management skills like making sure you see a podiatrist and an ophthalmologist at least once a year and keep up to date with vaccines. You are the most important part of the healthcare team and being organized will help you . Good luck with your management!

Try dLlife blogs and also dLife recipes. This will help you realize the choices that are out there for you!

Answered By: Rita Juray
Accreditations: RN, MLT-ASCP, CCM, CDE
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