ALT (U/L) is high to 219

[ochenakeu]

Hi,
I recently got a general health checkup done where my ALT (U/L) came out to be 219 which is a lot higher than the normal value. Following I'm posting all my report. I would like to mention around 2 years back i used to be an alchoholic with everyday drinking habit (drinks >= 40% alc.). But in the last 2 years, i have brought it down to 1000ml of 5% alc. beer each week. Please advice what can be the cause.

Haematology Report
------------------------------------
White blood cells (K/uL) - 5.89
Neutrophil (%) - 58
lymphocyte (%) - 36
eosinophil (%) - 3
basophil (%) - 0
monocyte - 3
red blood cells (M/uL) - 5.39
haemoglobin (g/dL)- 15
platelets (k/uL) - 200
ESR (mm in 1st hour)- 2

Biochemical Report
------------------------------------

Fasting Blood Glucose (mmol/L)- N/A
random blood sugar (mmol/) - 7.52
corresponding urine sugar - Nil
creatinine (mg/dL) - 1.1
bilirubin (mg/dL) - 0.62
Blood urea(mg/dl)- N/A
ALT (U/L) - 219
total cholesterol (mg/dL) - 202
HDL (mg/dL)- N/A
LDL (mg/dL)- N/A
tryglycerides (mg/dL)- N/A

Urine Routine Examination Report
--------------------------------------------------
Albumin-  Trace
Sugar - Nil
Epithelial cells ( /HPF) - 1-2
RBC ( /HPF) - Nil
Pus cells ( /HPF) - 2-4
Calcium Oxate - Nil
Triple Phosphate- Nil
Uric Acid- Nil
Amorphous Phosphate- Nil
Hyaline Casts- Nil

ECG Report Rate (/min) - 90

[ochenakeu]

Hi Mike,

Thanks a lot for your kind feedback.

[mikesimon]

From the Mayo Clinic
See:  http://www.mayoclinic.com/health/blood-sugar/SA00102

"Random blood sugar test

What is a random blood sugar test?
Measures your blood sugar at any point in time, not necessarily a certain amount of time after a meal, snack or beverage.

What's normal?
A normal random blood sugar level hasn't been clearly defined. However, even if you've recently eaten and your blood sugar level is at its peak, your random blood sugar level shouldn't be higher than 200 mg/dL (11.1 mmol/L).

What level suggests prediabetes?
Although no clear criteria have been established, a level higher than 140 mg/dL (7.8 mmol/L) but lower than 200 mg/dL (11.1 mmol/L), may indicate prediabetes. Your doctor may recommend additional testing.

What level suggests type 1 or type 2 diabetes?
A level higher than 200 mg/dL (11.1 mmol/L) suggests either type 1 or type 2 diabetes. Remember, your blood sugar level alone isn't enough to differentiate between type 1 and type 2 diabetes. Your doctor may do other tests to determine which type of diabetes you have."

It's not clear that your blood glucose is high or that you have diabetes. the time and the content of your food consumption prior to the test have a lot to do with whether your glucose is high. It appears that you may be pre-diabetic at worst and you could very well be within normal depending on when and what you ate before the test.
Mike

[ochenakeu]

Hi,
The test i took was a routine test and 'Total Count & Differential Count of WBC' was done.

Please advice.

[Rachel_R]

Well your glucose is really high, your cholesterol is high and your liver is inflamed. There are five WBC types. Is the results a general WBC count?
Your initial problem is poor nutrition causing you to be diabetic, continued use of alcohol keeping your liver inflamed, and overall not taking care of your health.