Increasing ALT and AST scores

Hi,

I had a liver panel done a year ago. I just recently had another series of tests done (different doctor) and I am confused.

Please help me decipher these values;

Tests done on 08/29/2009
ALP-97
ALT-110
AST-103
Bilirubin Total-0.8
Hep B Core Antibody Total-Positive
Hep B Surface Antibody-Positive
Hep B Surface Antigen-Negative
Hep C Antobody-Negative
A1C-6.6

Tests done on 09/28/2010
ALP-102
ALT-139
AST-165
Bilirubin Total-0.7
Hep B Core Antibody Total- Not Repeated
Hep B Surface Antibody- Not Repeated
Hep B Surface Antigen- Not Repeated
Hep C Antibody-Not Repeated
A1C-7.4

My values for the AST and ALT are increasing. I know that I do not have an active Hep B infection, but my enzymes seem to indicate liver damage (I think that I am interpretting it right).I think that I am not contagious. My kids are all vaccinated, my husband was not. He just finished his last of the three shots he needed so now I am guessing he is not protected.

My platlets, WBC and RBS are on the higher end of the normal range. I am type 2 diabetic, I do not drink or smoke. Do not use drugs. I have been off of all meds for over 2 months, just so I could get a accurate tests done. I will be going back on my diabetes and cholesteral meds shortly.I am overweight, but trying to lose weight. My thyroid hormone was low, but that is one of the pills I will be going back on. I have not had an iron test though. Do you think it's warranted?

My big worry is that the Hep B infection that happened in the past, damaged my liver. My bigger worry is that my enzymes are increasing. Is there intervention that needs to be done? I am worried that I may have too much iron in my blood causing my values to go up.

Please let me know what your thoughts are. Should I be worring about Hemochromadosis or Chronic Hep B?

Help :-)

[Bridget A. Hewitt, RN]

Hi and thanks for using the forum.

I honestly am not qualified to interpret these lab results.  The best thing for you to do would be to discuss them with the ordering doctor.  You can call the doctor and make an appointment to speak with him/her (whether on the phone, or at an office visit).  My suggestion would be to write down all the questions that you have on a piece of paper so that you can be sure to get all of them answered (it is sometimes hard to think of all of your questions when you are in the doctors office and pressed for time).  Good luck.

Bridget