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

### input:
Sir, I am male 44. My Glucose fasting is 115 mg/dl. SGOT (AST) is 91 U/l, SGPT ( ALT ) is 160 U/l. Are my SGOT & SGPT at genger level? Should I immediately start medication? What are the reasons and adverse effects of increased SGOT/SGPT. Can these be controlled by controlling the diet? Should I get an lever ultrasound? Am I be heading towards jaundice? Kindly advice other preventive measures to control them.

### output:

Hello, scsaini5294,Fasting blood sugar of 115 mg/DL is mildly elevated blood sugar that might indicate early diabetes. You should have HbA1C tested and also a 2-hr post meal blood sugar test to confirm the diagnosis. Your enzyme levels are elevated. If you are above your average weight for your height, this could all be Fatty liver related. After you get a Hepatitis screening tests for Type-B & Type-C to rule these out, then you can get a sonogram of the liver to seat you have fatty liver and it's grading. If you also have elevated lipid levels, you need to control that by dietary means and may be medications. You should be on diabetic diet, cutting back on concentrated sugars. I also recommend that you start taking Vitae 800 i.u. daily, along with Vital 1000 mg. daily, and also a Super B-Complex It. Tab daily. Fatty liver is reversible if taken care of before cirrhosis sets in. I wish you good luck and good health.