Question
Is the result of BIL+1 and BLD+2 in a routine urinalysis within the normal range?
Answer
Based on your description, the symptoms of weight loss and fatigue are likely due to high blood sugar levels, while blurred vision is a symptom of diabetic complications affecting the retina. Currently, you are injecting insulin while also using metformin, which could be the main reason for weight loss, as metformin works by inhibiting the absorption of nutrients in the intestines to lower blood sugar. Treatment suggestion: If you do not have abdominal obesity, insulin can quickly stabilize blood sugar levels without the need for metformin. To confirm the severity of the condition and the presence of complications, it is recommended to undergo tests such as pancreatic function, receptor binding rate, glycosylated hemoglobin, liver and kidney function, fundus examination, blood lipid levels, ultrasound, urinary microalbumin, electrocardiogram, and electromyogram. Your current treatment plan is not reasonable, and it is advised to make adjustments as soon as possible. In a routine urinalysis, BIL represents bilirubin and its detection alone has little significance. However, BLD+2 indicates the potential presence of blood, which could be a sign of a urinary tract infection or other conditions.