Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I just found out that I am a diabetic & must have been for quite a while. My A1C was 10.1. However that is not what is bothering me, This is: My ALK Phos was 182 & the ALT ( SGPT ) is 54. I do not drink alcohol (THANK GOD) however I am on Methadone 10 Mg 4 X a day for failed back surgery. I have had 4 low back surgeries, starting in 1985 & the last one with titanium brace) in 2000. Can you give me any advice on what is going on & what I can do to lower these Alk Phos & ALT numbers?
[|AI|]  Your Alt and alkaline phosphatase will come down when you stop taking methadone. You can shift to a painkiller like T Etorocoxib 90 mg once daily for pain. You should worry about your HbA1C which shows your diabetes is out of control. You should start anti-diabetic medicines in consultation with a planetologist at once to prevent complications like kidney damage(nephropathy), nerve damage(neuropathy) and eye damage(retinopathy). The elevation of your liver function may also be due to fatty liver which can result from diabetes