Senior Citizens Lounge: Borderline Reports |
A patient recently shared reports showing mildly elevated HbA1c and liver enzymes; given the borderline nature of these findings, I advised prioritizing structured lifestyle modification before considering any increase in the dosage of medicines.
In clinical practice, one of the most common and often misunderstood situations is this: a senior walks in with a report showing a slightly raised HbA1c, mildly elevated liver enzymes, or borderline kidney function tests (KFTs). The immediate reaction—both from patients and sometimes even families—is anxiety. “Something is wrong.”
Usually, these numbers are not alarms, but early whispers?
In seniors, biology does not change overnight. Chronic diseases do not appear suddenly; they evolve gradually, often signaling their presence through subtle biochemical shifts long before symptoms arise. A mildly raised HbA1c is not........