Bilirubin is a yellow compound that is formed when red blood cells break down in the body.
September 27, 2016 | 15,00 EUR | answered by Dr. med. Ralf Berg
Hello,
When I had a check-up 1 month ago, it was noticed in my blood work that my blood sugar level was too high, but my bilirubin level (total 11.9 umol/L) was within the normal range. There was nothing abnormal found in the ultrasound. As a result, I have been exercising a lot and completely changed my diet for the past month to get my blood sugar levels under control.
A repeat blood test showed that my blood sugar level is now normal, but my bilirubin level has increased (indirect 25.6 umol/L, direct 7.9 umol/L, total 33.5 umol/L). All other liver values are within the normal range. My doctor did not specifically address this and said I am healthy.
I would appreciate a second opinion. Thank you.
Good evening,
I would be happy to provide a second opinion on this. Firstly, an explanation of the physiological significance of bilirubin. Bilirubin is produced through the breakdown of red blood cells in the spleen. It is then further chemically modified in the liver (hence the distinction between direct and indirect bilirubin) and excreted through the intestines. Since the rate of breakdown of old red blood cells can vary, as can the detoxification capacity of the liver, it is logical that the bilirubin level can also fluctuate. There is nothing that can be done about the fluctuations caused by the varying amount of old red blood cells being broken down, and based on your information, there is no indication of liver disease. Therefore, I believe that everything is fine with you. If the bilirubin level were to continue to rise, you could notice this through a yellowing of the eyes (scleral icterus). If you are still unsure, you can have the bilirubin level checked again in 2-3 months.
Best regards,
R. C. Berg
