Conversation: The conversation between human and AI assistant.
[|Human|] 54y.o caucasian women, hx Gall bladder removal, kidney stones , sleep apnea , obese,reflux, High uric acid and calcium levels on HCTZ (for calcium levels) Allopurinol , Protonix . Recent labs elevated glucose 283, A1C 9.5 (typically 6.5 or less), Triglycerides 123, Cholesterol 181, HDL 40, Alk Phos 151, ALT 58 Bun 10 Cr .55. Concerned as doc wants to start Amaryl. Your thoughts
[|AI|]  Dear Mam. You have to accept a fact that you are a diabetic. I advise you to get your anti dial medications start ted as soon as possible. Get your urine tested for albumin and eye for diabetic retinopathy, ECG for cardiac status. Good news is that your creatinine and bun are normal so far. Get a strict dial control to avoid any damage to your kidneys as they are already under stress in diabetics. You have kidney stones, in case they are in ureter or causing any obstruction they can lead to hyperglycemia. You have not mentioned your uric acid levels. I suppose you have achieved menopause. Let us know your uric acid levels before I can comment on treatment for it. But to the earliest start your treatment for diabetes. You need to reduce your weight at any cost. Sleep apnea and diabetes both precipitate heart problemsStay healthy.