Dad – Abhi Chand Marketing

Amir Chand, Health Dashboard

Trends over time

Tap a marker to follow it across the visits where it was measured. The dotted line is the healthy boundary, below it for HbA1c, sugar, creatinine and triglycerides; above it for eGFR and vitamin D.

Latest report breakdown

From the 24 March 2026 panel (Dr Bhasin's Lab). A few clear wins this time, with diabetes control and the kidneys the main things to keep working on.

✓The good

✓

Blood count normal

Hemoglobin 15.1, red cells a healthy size. No anemia.

✓

Cholesterol back in line

Total 149, triglycerides 156, LDL 75. A big improvement on the January spike.

✓

Vitamin D corrected

Up to 43 from a deficient 19 in January. The weekly D3 is clearly working.

✓

Thyroid steady

TSH 1.2, comfortably in range.

✓

Liver healthy

All liver enzymes and proteins normal.

✓

Salts and B12 fine

Sodium, potassium normal; B12 at 414.

!Needs attention

Blood sugar still running high

HbA1c 8.7%, fasting 170Priority

HbA1c of 8.7% means the three-month average sugar is well above target, and this is despite three diabetes medicines. Fasting sugar of 170 confirms it. The goal for most people on treatment is under 7%.

Why this matters

Unlike Mom, Dad has no anemia to distort the HbA1c, so these numbers are trustworthy. Sustained high sugar is what drives the kidney, eye, nerve and heart risks of diabetes over time, which is exactly why the control number is the headline here.

Kidneys worth watching closely

Creatinine 1.33, eGFR has dipped to high-50sPriority

Creatinine has sat at or just above the top of normal at most visits (1.38, 1.3, 1.24, 1.33), and the kidney filtering score (eGFR) has dropped into the "mild decrease" band a few times. In someone with diabetes, the kidneys are the organ to protect most.

Why this matters

He is already on amlodipine (a blood-pressure medicine that also helps protect kidneys), which fits this picture. The numbers are not alarming on their own, but the direction and the diabetes together make this the most important thing to keep monitoring.

One kidney test worth repeating

Back in September 2024, a urine albumin-to-creatinine test came in at 354, in the range that can be an early sign of diabetes affecting the kidneys. It has not been repeated since.

A single result can be thrown off by infection, dehydration or a recent UTI (he had one around then), so it should not be taken as settled. It is worth asking the doctor to repeat this simple urine test to see whether it is a real, ongoing finding.

Sugar and protein in the urine

Glucose +++, protein ++Watch

Sugar has shown up in the urine at nearly every visit, and protein appeared again this time. Both track with blood sugar that is running high.

Why this matters

Urine sugar tends to clear once blood sugar is better controlled. Protein in the urine is the same signal as the kidney test above, so it reinforces keeping an eye on the kidneys.

Recurrent urine infection and yeast

Klebsiella UTI (2024), yeast seen againWatch

He grew a urine infection (Klebsiella) in 2024 and yeast cells have shown up in the urine more than once, including the latest report.

Why this matters

High sugar in the urine feeds bacteria and yeast, so recurrent infections are common when diabetes is not well controlled. Better sugar control usually reduces them. Worth mentioning if he has any burning, urgency or discomfort.

Triglycerides spiked once

361 in Jan, back to 156 nowWatch

In January his triglycerides (a blood fat) were high at 361, then came back to a normal 156 by March. Likely tied to how well sugar was controlled around that time.

→Next steps

Book a doctor visit soon and bring the recent reports so the HbA1c and kidney trend are visible side by side.
Focus on the sugar. HbA1c of 8.7% on three diabetes medicines suggests the regimen may need review. Ask whether doses, timing or an additional option should change to get closer to target.
Protect the kidneys. Ask the doctor to repeat the urine albumin test and recheck creatinine and eGFR, and confirm whether the current blood-pressure medicine is the right choice for kidney protection.
Mention any urine symptoms (burning, urgency, frequency) given the past infection and recurring yeast.
Plan a recheck of HbA1c and kidney function in about three months to see whether changes are working.

Current medicines (for context)

Diabetes

Glimepiride 2mg

Twice daily

Diabetes

Metformin 500mg + Vildagliptin 50mg

One tablet

Diabetes

Voglibose 0.3mg

One tablet

Blood pressure / kidney

Amlodipine 5mg

One tablet

Vitamins

B12 + B6 + Folic acid + D3

One at bedtime

Vitamin D

Cholecalciferol 60000 IU

Weekly, at bedtime

Questions for the doctor

A short list to take to the appointment, drawn straight from the findings above. Worth jotting the answers next to each one.

?Diabetes controlHbA1c is still 8.7% even on three diabetes medicines. Does the regimen need adjusting to get closer to the under-7% target?
?Diabetes controlHbA1c has bounced between 7.4 and 10.4 over the last year and a half. Is the swing worth understanding, and what target should we aim for?
?KidneysCreatinine has been at or just over the top of normal repeatedly, and eGFR has dipped to the high-50s. Should we be monitoring kidney function more closely?
?KidneysThe urine albumin test in 2024 was 354. Can we repeat it to check whether the kidneys are being affected by the diabetes?
?Blood pressureHe is on amlodipine. Is that the best choice for protecting the kidneys, or would a different blood-pressure medicine be more protective given the diabetes?
?Urine infectionsHe had a urine infection in 2024 and yeast keeps showing up. Is anything needed, and would better sugar control reduce these?
?PracticalWould it help to do future tests at one lab, so results compare cleanly instead of jumping between methods?

Visit by visit

7 visits, Sep 2024 to Mar 2026 · tap to expand ▾

In range Borderline / watch Out of range

Sep 2024Healthians · age 62Full workup

HbA1c10.4 Creatinine1.38 eGFR58 Urine albumin354

First record on file. Sugar very high, a urine infection (Klebsiella), and a one-time high urine-albumin result that has not been repeated.

Oct 2024General Diagnostics · age 62Sugar check

Fasting sugar155.5

Fasting sugar in the diabetic range; sugar present in the urine.

Dec 2024General Diagnostics · age 62Sugar check

Fasting sugar101.4

A better fasting reading, just over the normal cutoff. Urine sugar still present.

Apr 2025General Diagnostics · age 63Kidney check

Creatinine1.3 eGFR62

Kidney panel only. Creatinine at the top of range, eGFR in the mild-decrease band, urea slightly high.

Aug 2025General Diagnostics · age 63Sugar & kidney

HbA1c7.4 Creatinine1.24 eGFR65

Best sugar control on record (7.4), though still above target. Kidney numbers steady in the watch zone.

Jan 2026General Diagnostics · age 63Full panel

HbA1c9.9 Fasting sugar237 Creatinine0.8 eGFR99 Triglycerides361 Vit D19

Sugar control slipped (9.9). Triglycerides and vitamin D both off. Interestingly, kidney numbers read much better here than at other labs.

Mar 2026Dr Bhasin's · age 63Latest, full panel

HbA1c8.7 Fasting sugar170 Creatinine1.33 Triglycerides156 Vit D43

Cholesterol and vitamin D recovered. Sugar still high (8.7) and creatinine back at the top of range. Urine sugar +++ and protein ++.

Reading the long view

Diabetes is the main story. HbA1c has stayed above target the whole time (7.4 to 10.4) and has never reached the under-7% goal, even on three medicines. This is the thing genuinely needing work.
Kidneys sit in a watch zone. Creatinine is repeatedly at or just over the top of normal and eGFR dips into the mild-decrease band, except at one lab in January where it read much better.
Urine sugar and protein keep appearing, along with a past infection and recurring yeast, all consistent with sugar that runs high.
Cholesterol and vitamin D move with treatment. The triglyceride spike and the vitamin D dip both corrected by the latest visit.
Lab differences matter. Results jump between Healthians, General Diagnostics and Dr Bhasin's, which use different methods, so some visit-to-visit changes reflect the lab rather than a real change, especially the January kidney readings.