please study my health profile. and ECHO 2D and give good suggestion .

[ppknlr]

I am aged 42 years.  weight 67 kg suffering type 2 diabities since last 10 years. DM, HYPOTHYRODISM, OBESE, DYSLIPIDEMIA  . my recent health profile values are (dated march 15th 2016)  Blood presssure 140/90 (last week) last five years I used METFORMIN -500 (FOR 2 years)  and METFORMIN (1000)(CETAPIN XR 1000) and GLYNASE 5 mg (before food)   Recently my DOCTOR  changed my medicines.
taking medicine T- GLYNASE -MF  1-0-1 (BEFORE FOOD)  ; T-VOZUCA-M-ACTIVE 0.2 + 500) ; Insulatard  -18ugle 10pm-;  t- FENOLIP - 0-0-1; T.TAYO -60K(ONCE in a month) and ELECTROXIN 50Mcg - 1(morning)

HBA1C  7.3  and ABG(Average Blood Glucose)- 163 , LIPID PROFILE:  and other test values or given below
SNo Test Code Description Value Unit
1 %TSA % TRANSFERRIN SATURATION 18.3 %
2 A/GR SERUM ALBUMIN/GLOBULIN RATIO 1.61 Ratio
3 ALKP ALKALINE PHOSPHATASE 62.16 U/l
4 B/CR BUN / SR.CREATININE RATIO 13.18 Ratio
5 BILD BILIRUBIN -DIRECT 0.09 mg/dl
6 BILI BILIRUBIN (INDIRECT) 0.21 mg/dl
7 BILT BILIRUBIN - TOTAL 0.3 mg/dl
8 BUN BLOOD UREA NITROGEN (BUN) 8.83 mg/dl
9 CALC CALCIUM 9.84 mg/dl
10 CHOL TOTAL CHOLESTEROL 181 mg/dl
11 GGT GAMMA GLUTAMYL TRANSFERASE (GGT) 36 U/l
12 HCHO HDL CHOLESTEROL - DIRECT 27 mg/dl
13 IRON IRON 75 µg/dl
14 LDL LDL CHOLESTEROL - DIRECT 87 mg/dl
15 LDL/ LDL / HDL RATIO 3.2 Ratio
16 NHDL NON-HDL CHOLESTEROL 153.86 mg/dl
17 PROT PROTEIN - TOTAL 7.52 gm/dl
18 SALB ALBUMIN - SERUM 4.64 gm/dl
19 SCRE CREATININE - SERUM 0.67 mg/dl
20 SEGB SERUM GLOBULIN 2.88 gm/dL
21 SGOT ASPARTATE AMINOTRANSFERASE (SGOT ) 23.5 U/l
22 SGPT ALANINE TRANSAMINASE (SGPT) 14.5 U/l
23 T3 TOTAL TRIIODOTHYRONINE (T3) 104 ng/dl
24 T4 TOTAL THYROXINE (T4) 9.3 µg/dl
25 TC/H TC/ HDL CHOLESTEROL RATIO 6.7 Ratio
26 TIBC TOTAL IRON BINDING CAPACITY (TIBC) 409.82 µg/dl
27 TRIG TRIGLYCERIDES 258 mg/dl
28 TSH THYROID STIMULATING HORMONE (TSH) 4.10 µIU/ml
29 URIC URIC ACID 7 mg/dl
30 VLDL VLDL CHOLESTEROL 51.51 mg/dl


recent 2D ECHO values

AGRTA         : 30MM  ;  LEFT ATRIUM   - 29 mm ;   LEFT VENTRICLE  :  NO LV RWMA ;   EDD  -49MM  ;  ESD -32mm  ,  EF - 62% ,  PWD - 10mm  ; IVSD  -  14mm ,  MITRAL VALVE  :  Normal ;  AORITC VALVE : NORMAL;  PULMANARY VALVE  : NORMAL ;  TYICUSPIC VALVE  : NORMAL ;  PULMONARY ARTERY  : Normal ;   IAS - Intact; IVS - Intact ;;  RIGHT ATRIUM  :  NORMAL ;    RIGHT VENTRICLE -  NORMAL :  PERICARDIUM  - NO EFFUSION ;  
Doppler study -   Aortice jet velocity -125 ci/sc ,pumonary jet velocity -96 cm /sc,  Mitral  E-65Cms,  Mitral A -45cms ; DT-190MS ,TRPG- 12mmHg;  RVSP-22mmHg; No PAH ;

CONCLUSION :-  Concentric LVH ,  No RWMA With Good LV function,  No LA& LV TROMBUS. No pericardial Effusion
pl.  give sugestions any changes in medicines.

pavan,  , nellore , ap., india