My husband has had diabetes for one year and was diagnosed with fatty liver 6 months back. Recently, he did HbA1c, which shows 5.5, but random sugar was 177. Lipid profile shows triglycerides 317 and HDL 26. LFT shows conjugated bilirubin 0.6. Vitamin B12 shows 1046. I am very worried about these reports. Please explain if it is okay to have such values or if any further tests are needed to identify the cause of these elevated values. If not, how can these values be lowered?

Answered by 1 Apollo Doctors

Dr Siri Nallapu

General Practitioner

MBBS
5+ Yrs

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HbA1c of 5.5 percent is good, but random sugar 177 shows post meal spikes; dietary control is needed. High triglycerides (317) and low HDL (26) need lifestyle changes to reduce fatty liver and cardiac risks. Conjugated bilirubin of 0.6 is mildly raised but not concerning alone. High B12 (1046) is usually safe if taking supplements. Encourage low fat, low sugar diet, daily walk, and hydration. You can book Fasting Lipid Profile, LFT, and Fasting & Postprandial Blood Sugar after 3 months to monitor improvement.

Dr. Siri Suggests...

Take a Lipid Profile Test Test or Take a Glucose Fasting and PP Test Test

Book Lipid Profile Test Test Book Glucose Fasting and PP Test Test

Answered 09/09/2025

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