Conversation: The conversation between human and AI assistant.
[|Human|] I am 48 years old with the weight of 88 kg. I have lost 8 kg of weight in 1 month. My height is 5 feet 9 inches . I am suffering from diabetes for 1 year. For 15 days i have a severe lower back pain. I had a laboratory test of ESR 85mm/Ist hrs, Triglycerides 385mg/dl , HDL 140mg/dl ... What could be the reason for this? And what measures should i take?
[|AI|]  HiT hanks for choosing Chat Doctor, gland to answer your query. I have gone through the findings described in your case. Elevated ESR with significant weight loss of about 8 kg in one month duration are highly suggestive of a chronic infection. The possibility of Tuberculosis has to be ruled out. You are advised to visit an orthopedic surgeon to evaluate, and the possible investigations might include X-rays of the chest, lumbar spine, CBC, MRI, etc. The elevated level of Triglycerides can be managed by dietary modifications like avoidance of red meat, oily vegan and non-vegan dishes, increase intake of fruits and green leafy vegetables beside medicines such as Vibrates which are useful in reducing the high triglycerides. Hope your query has been answered. Should you need more information, kindly feel free to send your query. Wishing you best of your health.