Conversation: The conversation between human and AI assistant.
[|Human|] Dear sir, I am diabetic but all results are satisfactory- fasting sugar-118, tryclycrdies : 126 , cholestrol : 126, But by SGPT is 102 & sgot 90 which was 70 & 62 in last week of march , now my doctor is saying to go for insulin , i am very tense, he has referred me to gastroentrologist.Now i am taking glycomet GP 2 for diabetes & has prescribed udiliv 300, in past it has controlled level of both SGPT &sgot , i am tense , please guide
[|AI|]  Hello, Thanks for using Chat Doctor. I had gone through all the data posted. Your sugar levels are under control. Elevated liver enzymes is called hepatitis. We need to search for the cause of Hepatitis. Common causes include viral hepatitis, alcohol induced, Non-Alcoholic steatohepatitis(NASH) etc. so we need to do viral markers like Hep B, Hep C. get an ultrasound done to look for echo texture of liver, spleen size and portal vein blood flow direction. Common these days is NASH, more common with diabetes, obesity, hypothyroidism. There is no approved Chat Doctor. Hope this helps.