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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

You are taking 2 blood thiners (antiplatelet medications) - As car and clopidogrel. After stunting you had to take both of them together for just a year, after 1 year just one of them is left in treatment plan-As car or clopidogrel. So, take just As car (75 mg after meal, x1 times a day) and cancel clopidogrel! It seems that your muscle pain and increased ALT, AST (SGPT) is the result of rozuvastatin therapy, you should decrease the dose-take 5-10 mg a day and after 3 months check your liver en ...

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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

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 th ...

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