Discuss blood results

Discuss Blood Results

• Name: Arthur Pendelton (NHS: 482 910 3847)
• DOB: 14/05/1968
• Date of blood test: 12/10/2023
• Reason for blood test: Routine HTN & T2DM annual review

Results

• Hb: 142 g/L
• WBC: 6.8 x 10^9/L
• Plts: 245 x 10^9/L
• Lipids: TC 5.8 mmol/L, LDL 3.6 mmol/L, HDL 1.1 mmol/L, Non-HDL 4.7 mmol/L, Trig 2.4 mmol/L
• HbA1c: 58 mmol/mol; Fasting glucose: 8.2 mmol/L
• U&Es: Na 139 mmol/L, K 4.4 mmol/L, eGFR > 90 mL/min/1.73m^2; LFTs: ALT 28 U/L, Bilirubin 12 µmol/L (NAD)

Interpretation

• FBC, U&Es, and LFTs normal.
• Suboptimal glycaemic control (HbA1c 58 mmol/mol, up from 51 mmol/mol previously).
• Mixed dyslipidaemia; QRISK3 calculated at 18.4 %.

Recommendations

• Increase metformin 500 mg PO BD to 1,000 mg PO BD.
• Commence atorvastatin (Lipitor®) 20 mg PO ON for primary CVD prevention.
• Reinforced lifestyle modifications: low-GI diet, reduce saturated fat intake, aim for 150 mins moderate exercise/week.

Follow-up

• Repeat HbA1c, lipid profile, and LFTs in 3 months.
• Book F2F review with Practice Nurse following repeat bloods.