### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Total bilirubin 1.1mg/dl; conjugated (D. Bilirubin) 0.3 mg; Unconjugated 0.8 mg; S.g.o.t 72 u/l; s.g.p.t 102 u/l; alkaline phophatase 182 u/l; total protein 8.2 gm/dl; albumin 3.7 gm/dl; globulin 4.5 gm/dl; a/g ratio 0.82; g.g.t.p 86 u/l Plasma glucose fasting 424 mg/dl; total cholesterol 131 mg/dl. Pt ratio INR 1.11 Tsh 19.27 Please advice what will I do.

### output:

Welcome to Chat Doctor. Thank you for posting your query. I can understand your query. Let me analyze your report.1. Total bilirubin - raised2. GOT - raised3. SEPT - raised4. Albumin - low normal5. Plasma fasting glucose - alarmingly raised6. INR - normal7. TSH - raised8. Cholesterol - normalize reports are suggestive of hepatitis. At the same time what is alarming is the fasting glucose. It is very high. You need immediate intervention through insulin or other medications. You also have hypothyroidism. I would suggest you to immediately visit a clinician. He/she can examine you, recheck the blood glucose and correlate clinically. Get an ultrasound of the abdomen done to look at the liver and gallbladder. Get a postprandial blood glucose and HBA1C done to look at the blood sugar control. Avoid oily, spicy food. Avoid sweets. Regularly exercise for 30 minutes a day. I would start tablet Thermoform. Your doctor can guide on the exact dosage. Hope this helps. Write back to us. Regards.