Conversation: The conversation between human and AI assistant.
[|Human|] My blood sugar level is 141mg/dl, A1C= 5.8 Triglyceride = 219mg/dl , HDL =31 mg/dl .But a normal Cholesterol level. UA result protein is 30 mg/dl and some RBC and WBC 3 and 2 respectively. I have a normal PSA. I have frequent urinations also. So, I m worried about my health. Like Diabetics ? prostate problem, etc
[|AI|]  Welcome to Chat Doctor, Perhaps I can give you some insight into the few labs you have given, but we don't look at labs without specificity and the entire lipid panel, not just one value and be able to give you an accurate impression of what they mean. In general, a fasting laboratory glucose test 125 mg/DL and above verified in the same manner twice is indicative of a diagnosis of diabetes. 5.7-6.4 A1C is prediabetic, but you have not mentioned whether these values are fasting or postprandial.  A fasting triglyceride level is an independent risk for heart disease and standards recommend keeping it below 150 mg/DL.  A level of 219 indicates a need for a low fat, high fiber, low fructose/high fructose corn syrup diet. So, I hear you are worried about your health. I do see some risk factors you can lower. A good public health diet is the Mediterranean Diet with no added sugar, no alcohol, and cut the fructose out, eat whole food and avoid added sugar. You would benefit from an exercise program to stimulate cardiac circulation. I would suggest both cardio and strength training routines. If you need to lose weight, losing it will be most helpful for lowering triglycerides, sugar and increasing overall health. Keep in touch periodically with your personal doctor to have your labs monitored and explained. You gave me a UA without a creatinine. However, I would keep my eye on the kidneys if you were my patient.  A UA of 30 protein could be significant, would like to check with creatinine ratio. Possibility of decreased kidney function. What is your glomerular filtration rate (GFR)? If you are in early stages of kidney decline keeping your protein lean and low might preserve the functioning you have. In summary, if you were my patient I would counsel you on a low fat, high fiber, high water, lean low protein diet with no added sugar and limited fructose. Read labels, no high fructose corn syrup. I would also advise a full physical and referral to a Dietitian witChatDoctorplete labs, diagnosis and diet order for an individualized lifestyle plan. You will feel much better for doing something about your concerns now than later. My best wishes for your continued health. Kathy J. Shatter, MS.RUN