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What Do My Lab Test Reports Indicate?
Question: Mentioned below last 3 test results...... Needed your input on same, currently I am taking Vitamin D & Vitamin B12 supplements
Test Name Method 1-May-15 10-Oct-14 6-Jun-14
HbA1c H.P.L.C 7.1 6.9 6.4
AVERAGE BLOOD GLUCOSE (ABG) CALCULATED 157 151 137
TOTAL LEUCOCYTES COUNT 7.64 7.66 6.97
NEUTROPHILS 64.7 67.6 61
LYMPHOCYTE PERCENTAGE 28.3 23.6 32.3
MONOCYTES 2.9 4 2.9
EOSINOPHILS 3.7 4.3 3.4
BASOPHILS 0.1 0.2 0.1
IMMATURE GRANULOCYTE PERCENTAGE(IG%) 0.3 0.3 0.3
NEUTROPHILS - ABSOLUTE COUNT 4.95 5.18 4.25
LYMPHOCYTES - ABSOLUTE COUNT 2.16 1.81 2.25
MONOCYTES - ABSOLUTE COUNT 0.22 0.31 0.2
BASOPHILS - ABSOLUTE COUNT 0.01 0.02 0.01
EOSINOPHILS - ABSOLUTE COUNT 0.28 0.33 0.24
IMMATURE GRANULOCYTES(IG) 0.02 0.03 0.02
TOTAL RBC 5.26 4.95 5.35
NUCLEATED RED BLOOD CELLS Nil Nil Nil
NUCLEATED RED BLOOD CELLS % Nil Nil Nil
HEMOGLOBIN 14.6 13.9 15.4
HEMATOCRIT(PCV) 48.9 45 48.6
MEAN CORPUSCULAR VOLUME(MCV) 93 90.9 90.8
MEAN CORPUSCULAR HEMOGLOBIN(MCH) 27.8 28.1 28.8
MEAN CORP.HEMO.CONC(MCHC) 29.9 30.9 31.7
RED CELL DISTRIBUTION WIDTH - SD(RDW-SD) 48.7 46.5 46.7
RED CELL DISTRIBUTION WIDTH (RDW-CV) 14.2 13.9 14
PLATELET DISTRIBUTION WIDTH(PDW) 17.8 15.37 22.3
MEAN PLATELET VOLUME(MPV) 12.7 10.6 14.5
PLATELET COUNT 193 208 169
PLATELET TO LARGE CELL RATIO(PLCR) 46.8 46.8 59.4
PLATELETCRIT(PCT) 0.24 0.26 0.24
ARSENIC ICP-MS 0.46 1.03
CADMIUM ICP-MS 0.26 0.53
MERCURY ICP-MS 0.2 0.26
LEAD ICP-MS 30.8 37.26
CHROMIUM ICP-MS 0.54 5.17
BARIUM ICP-MS 3.23 28.2
COBALT ICP-MS 0.46 1.43
CAESIUM ICP-MS 2.49 2.09
SELENIUM ICP-MS 108.37
LITHIUM 1.61
ANTI CCP (ACCP) E.L.I.S.A 0.21
ANTI NUCLEAR ANTIBODIES (ANA) E.L.I.S.A 0.39
AMYLASE PHOTOMETRY 44.7
APOLIPOPROTEIN - A1 (APO-A1) NEPHELOMETRY 109
APOLIPOPROTEIN - B (APO-B) NEPHELOMETRY 98
APO B / APO A1 RATIO (APO B/A1) CALCULATED 0.9
HIGH SENSITIVE C - REACTIVE PROTEIN (HSCRP) NEPHELOMETRY 4.92
HOMOCYSTEINE C.L.I.A 36
IRON PHOTOMETRY 86 74.5 105.5
TOTAL IRON BINDING CAPACITY (TIBC) PHOTOMETRY 295 277 331.7
% TRANSFERRIN SATURATION CALCULATED 29.15 26.9 31.81
FERRITIN 101.8
FOLIC ACID 5.2
CALCIUM PHOTOMETRY 9.42 9.32 9.71
URIC ACID PHOTOMETRY 5.9 4.4 5.8
BLOOD UREA NITROGEN (BUN) PHOTOMETRY 10.3 8.48 12.4
CREATININE - SERUM PHOTOMETRY 0.76 0.76 0.77
BUN / SR.CREATININE RATIO CALCULATED 13.55 11.16 16.1
SODIUM I.S.E 141
CHLORIDE I.S.E 102.5
LIPASE PHOTOMETRY 23.8
TOTAL CHOLESTEROL PHOTOMETRY 172 146 193
HDL CHOLESTEROL - DIRECT PHOTOMETRY 32 29 41
LDL CHOLESTEROL - DIRECT PHOTOMETRY 105 93 131
TRIGLYCERIDES PHOTOMETRY 160 145 143
TC/ HDL CHOLESTEROL RATIO CALCULATED 5.4 5 4.7
LDL / HDL RATIO CALCULATED 3.3 3.2 3.2
VLDL CHOLESTEROL CALCULATED 32 29 28.6
NON-HDL CHOLESTEROL 139.9
ALKALINE PHOSPHATASE PHOTOMETRY 105 125.3 129
BILIRUBIN - TOTAL PHOTOMETRY 0.57 0.71 0.78
BILIRUBIN -DIRECT PHOTOMETRY 0.18 0.22 0.24
BILIRUBIN (INDIRECT) CALCULATED 0.39 0.49 0.54
ASPARTATE AMINOTRANSFERASE (SGOT ) PHOTOMETRY 29 34.6 36
ALANINE TRANSAMINASE (SGPT) PHOTOMETRY 36 44.3 45
GAMMA GLUTAMYL TRANSFERASE (GGT) PHOTOMETRY 24 37.3 25
PROTEIN - TOTAL PHOTOMETRY 7.1 7.1 8
ALBUMIN - SERUM PHOTOMETRY 4.2 4.2 4.6
SERUM GLOBULIN PHOTOMETRY 2.9 2.9 3.4
SERUM ALBUMIN/GLOBULIN RATIO CALCULATED 1.45 1.45 1.35
LIPOPROTEIN (LPA) NEPHELOMETRY 31.8
TESTOSTERONE C.L.I.A 326 137.8
TOTAL TRIIODOTHYRONINE (T3) C.L.I.A 83 65 82
TOTAL THYROXINE (T4) C.L.I.A 7.1 7.2 7.2
THYROID STIMULATING HORMONE (TSH) C.L.I.A 2.27 1.59 1.96
25-OH VITAMIN D (TOTAL) C.L.I.A 17.5 4.2
VITAMIN B-12 C.L.I.A 201 225
Test Name Method 1-May-15 10-Oct-14 6-Jun-14
HbA1c H.P.L.C 7.1 6.9 6.4
AVERAGE BLOOD GLUCOSE (ABG) CALCULATED 157 151 137
TOTAL LEUCOCYTES COUNT 7.64 7.66 6.97
NEUTROPHILS 64.7 67.6 61
LYMPHOCYTE PERCENTAGE 28.3 23.6 32.3
MONOCYTES 2.9 4 2.9
EOSINOPHILS 3.7 4.3 3.4
BASOPHILS 0.1 0.2 0.1
IMMATURE GRANULOCYTE PERCENTAGE(IG%) 0.3 0.3 0.3
NEUTROPHILS - ABSOLUTE COUNT 4.95 5.18 4.25
LYMPHOCYTES - ABSOLUTE COUNT 2.16 1.81 2.25
MONOCYTES - ABSOLUTE COUNT 0.22 0.31 0.2
BASOPHILS - ABSOLUTE COUNT 0.01 0.02 0.01
EOSINOPHILS - ABSOLUTE COUNT 0.28 0.33 0.24
IMMATURE GRANULOCYTES(IG) 0.02 0.03 0.02
TOTAL RBC 5.26 4.95 5.35
NUCLEATED RED BLOOD CELLS Nil Nil Nil
NUCLEATED RED BLOOD CELLS % Nil Nil Nil
HEMOGLOBIN 14.6 13.9 15.4
HEMATOCRIT(PCV) 48.9 45 48.6
MEAN CORPUSCULAR VOLUME(MCV) 93 90.9 90.8
MEAN CORPUSCULAR HEMOGLOBIN(MCH) 27.8 28.1 28.8
MEAN CORP.HEMO.CONC(MCHC) 29.9 30.9 31.7
RED CELL DISTRIBUTION WIDTH - SD(RDW-SD) 48.7 46.5 46.7
RED CELL DISTRIBUTION WIDTH (RDW-CV) 14.2 13.9 14
PLATELET DISTRIBUTION WIDTH(PDW) 17.8 15.37 22.3
MEAN PLATELET VOLUME(MPV) 12.7 10.6 14.5
PLATELET COUNT 193 208 169
PLATELET TO LARGE CELL RATIO(PLCR) 46.8 46.8 59.4
PLATELETCRIT(PCT) 0.24 0.26 0.24
ARSENIC ICP-MS 0.46 1.03
CADMIUM ICP-MS 0.26 0.53
MERCURY ICP-MS 0.2 0.26
LEAD ICP-MS 30.8 37.26
CHROMIUM ICP-MS 0.54 5.17
BARIUM ICP-MS 3.23 28.2
COBALT ICP-MS 0.46 1.43
CAESIUM ICP-MS 2.49 2.09
SELENIUM ICP-MS 108.37
LITHIUM 1.61
ANTI CCP (ACCP) E.L.I.S.A 0.21
ANTI NUCLEAR ANTIBODIES (ANA) E.L.I.S.A 0.39
AMYLASE PHOTOMETRY 44.7
APOLIPOPROTEIN - A1 (APO-A1) NEPHELOMETRY 109
APOLIPOPROTEIN - B (APO-B) NEPHELOMETRY 98
APO B / APO A1 RATIO (APO B/A1) CALCULATED 0.9
HIGH SENSITIVE C - REACTIVE PROTEIN (HSCRP) NEPHELOMETRY 4.92
HOMOCYSTEINE C.L.I.A 36
IRON PHOTOMETRY 86 74.5 105.5
TOTAL IRON BINDING CAPACITY (TIBC) PHOTOMETRY 295 277 331.7
% TRANSFERRIN SATURATION CALCULATED 29.15 26.9 31.81
FERRITIN 101.8
FOLIC ACID 5.2
CALCIUM PHOTOMETRY 9.42 9.32 9.71
URIC ACID PHOTOMETRY 5.9 4.4 5.8
BLOOD UREA NITROGEN (BUN) PHOTOMETRY 10.3 8.48 12.4
CREATININE - SERUM PHOTOMETRY 0.76 0.76 0.77
BUN / SR.CREATININE RATIO CALCULATED 13.55 11.16 16.1
SODIUM I.S.E 141
CHLORIDE I.S.E 102.5
LIPASE PHOTOMETRY 23.8
TOTAL CHOLESTEROL PHOTOMETRY 172 146 193
HDL CHOLESTEROL - DIRECT PHOTOMETRY 32 29 41
LDL CHOLESTEROL - DIRECT PHOTOMETRY 105 93 131
TRIGLYCERIDES PHOTOMETRY 160 145 143
TC/ HDL CHOLESTEROL RATIO CALCULATED 5.4 5 4.7
LDL / HDL RATIO CALCULATED 3.3 3.2 3.2
VLDL CHOLESTEROL CALCULATED 32 29 28.6
NON-HDL CHOLESTEROL 139.9
ALKALINE PHOSPHATASE PHOTOMETRY 105 125.3 129
BILIRUBIN - TOTAL PHOTOMETRY 0.57 0.71 0.78
BILIRUBIN -DIRECT PHOTOMETRY 0.18 0.22 0.24
BILIRUBIN (INDIRECT) CALCULATED 0.39 0.49 0.54
ASPARTATE AMINOTRANSFERASE (SGOT ) PHOTOMETRY 29 34.6 36
ALANINE TRANSAMINASE (SGPT) PHOTOMETRY 36 44.3 45
GAMMA GLUTAMYL TRANSFERASE (GGT) PHOTOMETRY 24 37.3 25
PROTEIN - TOTAL PHOTOMETRY 7.1 7.1 8
ALBUMIN - SERUM PHOTOMETRY 4.2 4.2 4.6
SERUM GLOBULIN PHOTOMETRY 2.9 2.9 3.4
SERUM ALBUMIN/GLOBULIN RATIO CALCULATED 1.45 1.45 1.35
LIPOPROTEIN (LPA) NEPHELOMETRY 31.8
TESTOSTERONE C.L.I.A 326 137.8
TOTAL TRIIODOTHYRONINE (T3) C.L.I.A 83 65 82
TOTAL THYROXINE (T4) C.L.I.A 7.1 7.2 7.2
THYROID STIMULATING HORMONE (TSH) C.L.I.A 2.27 1.59 1.96
25-OH VITAMIN D (TOTAL) C.L.I.A 17.5 4.2
VITAMIN B-12 C.L.I.A 201 225
Brief Answer:
You need to start on Medicines for Diabetes
Detailed Answer:
Hi Mr. XXXXXXX
After going through your test results my interpretation is-
1) You need to start treatment for Diabetes.
There is family history of diabetes in your mom.
HbA1c level are increasing.
You need to start on Metformin in maximal tolerable dose which is first line drug for Type 2 diabetes.
2) Lipid profile is not acceptable for diabetic patient.
Recommended target of lipids in your case
For LDL cholesterol: below 100.
For Triglycerides level: below 150.
For HDL cholesterol: more than 40 (for male).
You need to restrict saturated fat content in diet, being diabetic you need to take cholesterol lowering medicines (statins).
3) Vitamin D level is in Insufficient range so it is advisable to continue Vit D supplement.
4) Vitamin B12 is in lower normal range you need to continue Vit B12 supplement.
5) HIGH SENSITIVE C - REACTIVE PROTEIN (HSCRP) is in High risk group (above 3.0 mg/L). High levels of hs-CRP predictive of an increased risk of a future heart attack, stroke, sudden cardiac death, and/or peripheral arterial disease.
6) HOMOCYSTEINE is also in high risk group (more than 15) It indicates possibility of blood clot formation and increases the risk of heart attack, stroke, Deep vein thrombosis. Taking Vitamin B12 and folic acid supplement will help.
7) Apo B/ Apo A ratio, Lipoprotein A have same significance as that of lipid profile, HSCRP.
Other tests are in acceptable range.
Hope this may have clarified your queries.
I will be happy to answer your future queries.
Regards,
Dr. Abhay Mali
Diabetologist.
You need to start on Medicines for Diabetes
Detailed Answer:
Hi Mr. XXXXXXX
After going through your test results my interpretation is-
1) You need to start treatment for Diabetes.
There is family history of diabetes in your mom.
HbA1c level are increasing.
You need to start on Metformin in maximal tolerable dose which is first line drug for Type 2 diabetes.
2) Lipid profile is not acceptable for diabetic patient.
Recommended target of lipids in your case
For LDL cholesterol: below 100.
For Triglycerides level: below 150.
For HDL cholesterol: more than 40 (for male).
You need to restrict saturated fat content in diet, being diabetic you need to take cholesterol lowering medicines (statins).
3) Vitamin D level is in Insufficient range so it is advisable to continue Vit D supplement.
4) Vitamin B12 is in lower normal range you need to continue Vit B12 supplement.
5) HIGH SENSITIVE C - REACTIVE PROTEIN (HSCRP) is in High risk group (above 3.0 mg/L). High levels of hs-CRP predictive of an increased risk of a future heart attack, stroke, sudden cardiac death, and/or peripheral arterial disease.
6) HOMOCYSTEINE is also in high risk group (more than 15) It indicates possibility of blood clot formation and increases the risk of heart attack, stroke, Deep vein thrombosis. Taking Vitamin B12 and folic acid supplement will help.
7) Apo B/ Apo A ratio, Lipoprotein A have same significance as that of lipid profile, HSCRP.
Other tests are in acceptable range.
Hope this may have clarified your queries.
I will be happy to answer your future queries.
Regards,
Dr. Abhay Mali
Diabetologist.
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Shanthi.E
Answered by
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