Faruk Hasan

Profession: SDET 🎂 37 years, 1 month 📏 5'5.5" (166 cm) ⚖️ 164 lbs (74.3 kg) BMI: 26.8 📅 Last Updated: 2/3/2026
71
Scale: 90+ Excellent, 80+ Good, 70+ Fair, 60+ Needs Attention, <60 Critical
⚠️ NEEDS ATTENTION
Steady improvement in metabolic health

✨ What's Going Well - Excellent Indicators

Kidney Function
✅
117
eGFR mL/min/1.73m²
EXCELLENT
Fasting Glucose
✅
99
Normal: 70-105 mg/dL
NORMAL
Triglycerides
✅
98
Goal: < 150 mg/dL
EXCELLENT
Vitamin B12
✅
428
Reference: 200-1100 pg/mL
NORMAL
EKG / Cardiac
❤️
Normal
HR 70-80 bpm, BP 108/82
EXCELLENT
Liver Function
✅
Healthy
ALT 20, AST 14, ALP 56
NORMAL

⚡ Areas Showing Improvement (But Still Need Attention)

A1c (Prediabetes)
⚡
5.8%
Goal: ≤ 5.6% (↓ 0.2% improvement ✅)
IMPROVING
Total Cholesterol
⚡
232
Goal: < 200 mg/dL (↓ 3 from 235)
ELEVATED
HDL Cholesterol
⚡
44
Goal: ≥ 40 (↑ 7 major improvement ✅)
BORDERLINE
Chol/HDL Ratio
⚡
5.3
Goal: < 5.0 (↓ 1.1 improvement ✅)
SLIGHTLY HIGH
Vitamin D
☀️
28
Goal: ≥ 30 ng/mL (NEW - Low)
INSUFFICIENT
T4 (Thyroxine)
⚙️
10.7
Goal: 4.9-10.5 mcg/dL (Borderline)
SLIGHTLY HIGH

🎯 Areas Requiring Action (Critical Markers)

LDL Cholesterol
⚠️
167
Goal: < 130 mg/dL (↓ 10 improvement ✅)
ELEVATED
RBC Microcytosis
🩸
MCV 69.6
Goal: 81.4-101.7 fL (→ Persistent)
NEEDS FOLLOWUP

📊 Significant Progress (Jul 2025 → Feb 2026)

A1c ↓ 0.2% (6.0% → 5.8%) ✅
Fasting Glucose ↓ 24 mg/dL (123 → 99) ✅✅
LDL Cholesterol ↓ 10 mg/dL (177 → 167) ✅
HDL Cholesterol ↑ 7 mg/dL (37 → 44) ✅✅
Triglycerides ↓ 9 mg/dL (107 → 98) ✅
Kidney Function ↑ eGFR >60 → 117 ✅✅
Overall Trend Consistent improvement ✅

🚨 Risk Assessment

🔴
Type 2 Diabetes Risk
A1c 5.8% (↓ 0.2% from 6.0% - improving ✅). Fasting glucose 99 (↓ 24 from 123 - excellent progress ✅). Still prediabetic range but trending in right direction.
❤️
Cardiovascular Disease Risk
LDL 167 (↓ 10 from 177 - improving ✅), HDL 44 (↑ 7 from 37 - significant improvement ✅✅), Total Cholesterol 232 (↓ 3 from 235 - slight improvement). Chol/HDL Ratio 5.3 (↓ 1.1 from 6.4 - major improvement ✅). Still elevated but favorable trend.
🩸
Microcytosis Pattern
Low MCV (69.6 - → persistent, unchanged). Possible iron deficiency or thalassemia trait. No change from July 2025. Recommend iron studies and hemoglobin electrophoresis.
☀️
Vitamin D Insufficiency
Vitamin D 28 ng/mL (NEW finding - below 30). Status: Insufficiency range. Requires supplementation for bone and immune health.
⚙️
Thyroid - Borderline T4
T4 Total: 10.7 mcg/dL (slightly high, just above 10.5 limit). T3 Uptake and Free T4 Index normal. Recommend TSH testing if symptoms present.
💎
Nephrolithiasis History
Kidney function excellent: eGFR 117 (↑ from >60 - significantly improved ✅✅). Albumin/Creatinine ratio 2 (normal - excellent ✅). No albuminuria detected. Continue hydration and dietary modifications.

🎯 Priority Action Plan

🔴
Schedule Endocrinologist Discuss metformin for prediabetes management and comprehensive metabolic intervention
💊
Consider Statin Therapy LDL 177 with low HDL requires aggressive lipid management discussion with physician
🔬
Order Follow-up Labs A1c, lipid panel, iron studies, hemoglobin electrophoresis for thalassemia screening
💪
Resistance Training Start 2-3 sessions/week to improve insulin sensitivity and increase HDL cholesterol
🚶
Post-Meal Walking 10-20 minute walks after meals to reduce glucose spikes and improve metabolic control
🥗
Dietary Consultation Low glycemic index diet, increased soluble fiber, reduced saturated fat intake

📊 Detailed Improvement Breakdown

✅
Excellent Kidney Function eGFR 117 (↑ improved from >60), creatinine 0.80, Albumin/Creatinine ratio 2. No signs of kidney disease or albuminuria. Significant improvement ✅✅
✅
Perfect Liver Function ALT 20 (→ stable from 19), AST 14 (↓ improved from 17), alkaline phosphatase 56. All liver markers within healthy range. ✅
✅
Excellent Triglycerides 98 mg/dL (↓ improved from 107), well below 150 threshold. Significantly reduced cardiovascular risk factor. ✅
✅
Improved Fasting Glucose 99 mg/dL (↓ major improvement from 123). Now within normal range. Demonstrates effective metabolic control. ✅✅
✅
Rising HDL Cholesterol 44 mg/dL (↑ significant improvement from 37). Moving in right direction. Continue activities that raise HDL. ✅
✅
Normal Cardiac Function EKG normal with HR 70-80 bpm, BP 108/82. No ischemic changes detected. Heart health excellent. ✅
✅
A1c Improvement Trend 0.2% reduction achieved (6.0% → 5.8%). Consistent progress over 7 months. Lifestyle changes showing measurable results. ✅
✅
B12 Levels Normal Vitamin B12 428 pg/mL (normal, good reserve). No supplementation needed currently. ✅