<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hello, I just found out that I am a diabetic must have been for quite a while. My A1C was 10.1. However that is not what is bothering me, This is: My ALK Phos was 182 the ALT SGPT is 54. I do not drink alcohol THANK GOD however I am on Methadone 10 Mg 4 X a day for failed back surgery. I have had 4 low back surgeries, starting in 1985 the last one with titanium brace in 2000. Can you give me any advice on what is going on what I can do to lower these Alk Phos ALT numbers?  <response>: Your Alt and alkaline phosphatase will come down when you stop taking methadone. You can shift to a painkiller like T Etorocoxib 90 mg once daily for pain. You should worry about your HbA1C which shows your diabetes is out of control. You should start anti-diabetic medicines in consultation with a planetologist at once to prevent complications like kidney damagenephropathy, nerve damageneuropathy and eye damageretinopathy. The elevation of your liver function may also be due to fatty liver which can result from diabetes 