<s>[INST] Hi Dr XXXXX My name is Sunny Huang I check my blood My bilirubin total is 1.3mg/dl and my bilirubin direct is 0.3mg/dl so both higher then normal I see the book said if you have some king cancel like live and pancreatic cancer can happen like that I have diabetes over 10 years and I take sleeping pills more then 10 years But other live and kidney function is normal But doesn t matter doesn t mean anything If early the live and kidney cancer nothing to show it What happening to me about bilirubin higher then normal Why and how to treatment it Sunny [/INST] Hello, Thanks for the query to Chat Doctor. Forum.  Since normal blood serum bilirubin level is 1 mg/DL. Your serum bilirubin level is 1.3 mg /DL and direct 0.3 mg/DL, so level of both are high but mild degree and this high level may be due to, 1 liver damage (very mild) due to continue use of sleeping pills as exact name of Chat Doctor.  Usually sleeping pills, if it uses from long time may cause liver damage, hence bilirubin level elevated. 2 hepatitis is the another cause of elevated serum bilirubin level.3 JAUNDICE ( infection is the main reason). Get in an ultrasound of liver as well pancreas and M R I and physician will find out any liver disease, if any. Since you are already taking the treatment of diabetes, so anti-diabetic  </s>