Research DIPG Patient No 2.

First blood report after 5 days of chemo is in.. There are some red flags on the report.. some high and some low..

Glucose gone high from 90 to 104.
ALT from 74 to 356
AST from 39 to 186
Hemoglobin 10.4
Hematocrit 32.0

These are the most concerning ones so far.. Waiting to hear from the doc but trying to get some opinions here as well.. ALT and AST are alarmingly high and relates to some liver damage and stuff.

ALT

ALT (Alanine Transaminase) is an enzyme produced in hepatocytes (the major type of liver cells). ALT level in the blood is increased when hepatocytes are damaged or die — all types of hepatitis (viral, alcoholic, drug-induced etc) cause hepatocyte damage.

Levels of ALT may equate to the degree of cell damage but this is not always the case, particularly with hepatitis C. An accurate estimate of liver cell damage can only be made by liver biopsy.

AST

AST (Aspartate Transaminase) is similar to ALT above, but less specific for liver disease because it is also produced in body muscle cells. It does tend to be higher than ALT in cases of alcohol-related liver disease.