Diabetes, Cholestrol

Question

My mother had angioplasty due to STEMI 3 months ago...she went on insulin due to raised sugar level...hba1c 11% at that time...now it has come out 7.5%. And her total cholestrol level is 158 mg/dL, HDL 46, LDL 116....i want to ask are these levels safe for a heart patient...kindly guide

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Asst. Prof. Dr. Ehtsham Hafeez · Answer

target HbA1C has to be around 6.5

Dr. Jazib Atta Gunjial · Answer

Book an appointment with me
i will guide you the process.
and management

Dr. Khalid Mahmood · Answer

A cardiologist would better answer this

Dr. Muhammad Awais Dawood · Answer

Yes they are much better than what were before. You need to keep her on routine meds, get her to do some mild physical activities and she will be doing great. You can schedule a routine 3 month appointment so that I can check her reports regularly and make sure everything is fine. Regards, Dr Awais

Khalid Malik · Answer

Her LDL should be around 70. Is she on any cholesterol medicine ? If not she should be on Lipitor or Crestor. May Allah bless her with good health. Aamin !

Dr. Nida Naveed · Answer

The levels are slightly out of range. HbA1c should be brought to 7% or less and LDL level should be less 100, ideally 70 mg/dL

Dr. Sehrish Naz · Answer

plz tell me that if yiur mother is still on insulin? is she taking any other hypoglycemic drug?Hba1c has got much better.yes these levels are within limits though she should continue the medicines

Dr. Ayesha Khalil · Answer

age?
She must already be on a statin medicine at bedtime. That will reduce her general risk of any further heart or brain injury.
Is she on any medicines for diabetes?

Dr. Farhan Zaidi · Answer

LDL should be below 70 according to ATP4 guidelines
hba1c is fine but would be better if below 7

Prof. Dr. Amir Khan · Answer

Thanks for asking me about your patient after heart attack these are good Labortry parameters but you should bring HBAIC to 6.5 with insulin daily fifteen minutes walk and diet control regards

Asst. Prof. Dr. Zahabia Manzoor · Answer

AOA. how many stents does she have? Hba1c has improved alot which is a good thing still the target would be 7.0% in the next 4-5 months. Rest of the labs are fine. which cholestrol tablet is she on?  walk is suggested

Dr. Malik Shahzad Tariq · Answer

No stringent control of sugar is required HbA1c is still high,,

Dr. Furqan Hasheen · Answer

Only in these levels, one cannot decide. Please do Coronary calcium score. LDL is bit high. Give Rosuvastatin.

Tausief · Answer

I am surgeon. Please contact medical specialists

Dr. Farhan Zaidi · Answer

Bring her to my clinic. I can guide you better

Dr. Nabila Awais · Answer

thanks for asking yes HB A1c is fine and so is the lipid profile. Continue the same treatment which medicines is she using for high cholesterol

Dr. Javed Iqbal · Answer

beta
HBA1C IS LITTLE HIGH
REASONABE IS AROUND 7
LDL SHOULD B BELOW 100 MG FROM 70 TO 100
FASTING SUGAR SHOULD B 90 TO 130 MG
RANDOM 120 TO 180 MG

Dr. Mazhar Hussain · Answer

salam. your patient ' s blood sugar control is satisfactory. and within desired goal. continue same regimen of insulin. lipid profile is also within normal limits. its safe and good for heart disease

Dr. Osman Mohsin · Answer

yes they are better but if total cholesterol is reached to 130 to 140 the chance of having angina and m.i are reduced to further 10 present.
hdl is good between 40 to 60 and your mom has good level. Over all these levels are fine/good.
For further guidance and assistance you may visit me in clinic on Monday if you live in Lahore at APDC(anjum polyclinic and diagnostic center) Lahore wapda town 80 E1 between 4 to 8 pm 042-32591427, . Allah bless you and your family

Dr. Muhammad Shahbaz Ashraf · Answer

Yes, all values are within target so continue with the ongoing treatment.

Dr. Riaz Ahmad · Answer

Yes these are in Normal Range

Dr. Muhammad Arslan Ali · Answer

LDL cholesterol levels should be less than 100 mg/dL. Levels of 100 to 129 mg/dL are acceptable for people with no health issues but may be of more concern for those with heart disease or heart disease risk factors. A reading of 130 to 159 mg/dL is borderline high and 160 to 189 mg/dL is high. HBA1C is better but still high so slightly increase insulin too and diet to be modified in n addition to cholesterol lowering tablets. Thanks

Asst. Prof. Dr. Nauman Wazir · Answer

LDL should be below 70 mg/dl as per American Heart Association guidelines for management of Cholesterol 042-32591427, . HabA1C ideally should be less than 7 but in elderly with heart disease 7.5 is acceptable.

Asst. Prof. Dr. Kashan Shaukat Kash · Answer

yes it safe enough but cannot stop statin e.g lipid lowering drugs.
plus LDL is slightly on higher side.
should continue low dose atleast rosuvastatin 5mg.

Dr. Tanvir Raazi Ahmad · Answer

Salam. More dangerous her is uncontrolled diabetes. This should be first priority. Good that it is controlled . Cholesterol levels are good. She should be on statins. Some excerxise is good

Dr. Anum Ajmal · Answer

yes the levels are good.She should continue with her current medication as well as follow life style changes accordingly i.e. avoid sugar, banaspati ghee, white flour, and only consume home cooked food. prayers for her health.

Dr. Mohammad Abid Shahwar · Answer

yes, continue medicine. must walk fr 2 km daily or on alternate days. keep in reg touch with ur cardiologist

Dr. Muhammad Usman Shaikh · Answer

she is safe

Dr. Suresh Kumar · Answer

Her LDL should be less than 70...
so cont statin and follow

Dr. Saddiq Ul Abidin · Answer

Assalamu Alaikum!
It's sad what your mother had gone through but good thing is that most of things are back on track.. It's good that she went successful angioplasty and I hope her heart functions would be back to reasoanble levels.
It's also very good that progress in HbA1C show that you people are putting lots of efforts and her compliance to treatment is good, but persistance is very important. If HbA1C is brought below 7, would be even better.
Her lipid profile is reasonable with good HDL showing cardiac safety, but her LDL needs to be lowered down as well. Statin and heart medicines should be continued and all the labs should be repeated after 3 months. Wishing her a healthy life ahead. Regards

Dr. Muhammad Ishaq Khan · Answer

The blood tests mentioned are looking very good. LDL could possibly come down a little bit more. We probably may need to discuss the cholesterol medication. Feel free to book an appointment and we can discuss further. Thank you

Dr. Suhail Ahmed · Answer

Many thanks for your questions. Regarding Cholesterol management, the LDL level <70mg/dl is ideal as she has DM and cardiovascular disease. Regarding DM, I would like to know that what insulin she has been using and it&acirc;&euro;&trade;s dose and the weight of your mother.

Dr. Sadia Salman · Answer

she needs more tight control of diabetes and ldl
check her sugar levels n bring then in target
fasting less than 130
2hrs post meal less than 180.
n ldl should b more low

Dr. Rafia Iqbal · Answer

yes these levels are safe for a heart patient.
try to keep LDL even bit low

Asst. Prof. Dr. Sami Ullah Mumtaz · Answer

as she is a cardiac patient,she has high HbA1c n LDL n needs better control of diabetes atleast HbAIc should be around 6.5 n LDL should be under 100.kindly maintain a good dietry restriction,half hr exercise if possible.make a chart of sugar before n 2hrs after each meal to readjust insulin dose.ideally fasting sugar should be below 120 n after meals around 180.
regards

Naveed A Shaikh · Answer

LDL in heart patients below 100 is considered in the normal range, HDL above 40 is excellent and total cholesterol is also well controlled.

Dr. Khalid Mehmood Khan · Answer

cholesterol and hba1c are at normal level at da moments.but better care regularly check these level and get echocardiogram hy for heart and regular check for medical specialist.

Dr. Junaid Misbah · Answer

assalam o alaikum,  a physician will be able to guide to.

Dr. Syed Muhammad Ali Shah · Answer

You need to bring cholesterol levels further down due to Diabetes. HBA1C levels are adequate for patient. You may start Rosuvastatin 20mg per day to patient.

Dr. Muhammad Ahsan Siddiqui · Answer

yes these levels are perfect for her. continue same dosages and keep checking her sugar levels at home.
physical activity advisable

Asst. Prof. Dr. Aneeqa Mansoor · Answer

Her levels still needs to get better both for cholesterol and blood glucose. Kindly give details of medicine she is taking for these two.

Dr. Waleed Ammar Aslam Cheema · Answer

LDL levels should be around 50 and HDL shoutbe higher

Dr. Khawaja Atif Farooq · Answer

What is her blood glucose   What medications she taking

Dr. Mubashir Ahmed Malik · Answer

1. How much Insulin she is taking.
Results are safe

Dr. Mubashir Ahmed Malik · Answer

1. How much Insulin she is taking.
Results are safe

Dr. Mubashir Ahmed Malik · Answer

1. How much Insulin she is taking.
Results are safe

Dr. Mubashir Ahmed Malik · Answer

1. How much Insulin she is taking.
Results are safe

Dr. Mubashir Ahmed Malik · Answer