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I am diabetic since 1993 at 37 years of age. In 2008, I have been attacked by CHD with occlusion of LAD artery which has stunted at that time. I am taking the following medicines from that time: 1- Tab. Metformin 500 mg since 1993 as thrice a day between meals. 2- Insulin Levemir ( Long acting) since 2012 3- Insulin Novo Rapid since 2012 After CHD the following are included: 1- Tab. As car 75 mg at breakfast. 2- Tab. Bisoprolol Hemifuramate 2.5 mg at breakfast. 3- Tab. Clopidogeral 75 mg at night. 4- Tab. Ramipril 5.0 mg at night. 5- Tab. Rusuvastatine 10-20 mg T night. Tab. Vit. B12 1+1+1 off & on. Now my; @ S.Cholesterol 146 mg/dl @ S. Triglyceride 120 mg/dl @ HDL 40 mg/dl @ LDL 167 mg/dl @ SGPT/ALT 110 u/l @ S. Creatinine 1.8 mg/dl @ Hb 12 gm/dl @ ESR 70 mm/1st. Hour @ TLC/WBCs 7100 /Cu.mm @ RBCs 2.97 Mill/Cu.mm @ Platelets 124000 /Cu.mm @ PCV 25.6 % @ Neutrophils 75% @ Lymphocyte 20% @ Monocytes 3% @ Eosinophils 2% I have no any symptom except minor muscle pain. I am taking sugar free diet only vegetables & chicken. I am taking abou 10-glass water since 2008. Now what should I do to lower SGPT, to lower LDL, to increase Platelets etc Dr. Ijaz Sandhu

PAST HISTORY : I am poor, So I can't pay your fee.

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Dr. Lianush Mkrtchyan answered : 7 years ago

Hi, actually you have not only low platellet count but also anemia. Try to remember do you have sites of chronic blood loss ( bleeding gums or hemorroidal bleedind, etc), if not, its reasonable to do fecal occult blood test ( to reveal hidden blood in stool). Also perform abdominal echosonography. Liver enzym elevation is marginal for decision to decrease Rosuvastatine dose, I would advice not to decrease dose, but try to increase your physical activity and keep fasting glucose levels no more than 7,5 mmol/L, recheck lipid profile and ALT after a month. Also check blood creatine kinaze ( CK), elevated levels mean the reason of your muscule pain can be Rosuvastatin. In this case it's reasonable to decrease the dose of your statin.

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