Unusual Symptoms


Lab Results September 6, 2011 - CPMC


Test In Range Out Of Range Units Reference
Hemoglobin A1c
A1c (percent) 5.5   % 4.8 - 5.6
Average Glucose 111   mg/dL  
 
  Hemoglobin A1c
5.7 - 6.4% Increased Risk of diabetes mellitus
>= 6.5% Consistent with diabetes mellitus
ADA Therapeutic goal < 7% HbA1c
Additional action suggested > 8% HbA1c
Immediate action suggested > 10% HbA1c
 
Estimated average glucose is calculated using the equation eAG - (28.7xHbA1c)-46.7
  %hb A1c Estimated Average Glucose (eAG mg/dL
  5 97
  6 126
  7 154
  8 183
  9 212
  10 240
  11 269
 
Method is NGSP certified
References:
1. American Diabetes Association Standards of Medical Care in Diabetes. Diabetes Care 2010 Jan 33:s11-s61
2. Nathan DM et al. Translating the A1c assay into estimated average glucose values. Diabetes Care 2008 Aug 11:1473:1478
 
Vitamine B12 445   pg/mL 211 - 911
CPK 138   U/L 20 - 260
New reference range change is small, assay runs 10% higher, and is tracable to IFCC.
 
Comp Metabolic Pnl
Sodium 141   mmol/L 136 - 145
Potassium 4.6   mmol/L 3.5 - 5.1
Chloride 107   mmol/L 98 - 107
CO2 31   mmol/L 21 - 32
Anion Gap 3.2   mmol/L 3 - 12
Glucose 91   mg/dL 70 - 99
BUN   23 H mg/dL 7 - 18.0
Creatinine   1.4 H mg/dL 0.8 - 1.3
eGFR-Other   53 L See Comment > 60
eGFR-African American > 60   See Comment > 60
Units: ml/min/1.73 m2. Estimated Glomerular Filtration Rate values are calculated by MDRD equation and are valid only if creatinine level is stable. GFRs are most accurate for results 60 ml/min/1.73 m2 or less. Reference: www.nkdep.nih.gov/professionals/index.htm
 
Calcium 9.4   mg/dL 8.5 - 10.1
Total Protein 7.0   g/dL 6.2 - 8.5
Albumin 4.2   g/dL 3.4 - 5.0
Bilirubin, Total 0.5   mg/dL < 1.1
Alkaline Phosphatase 66   U/L 50 - 136
AST 15   U/L 15 - 37
ALT 34   U/L 30 - 65
 
Lipid Profile
Cholesterol   210 H mg/dL < 200
Triglyceride 99   mg/dL < 150
HDL 89   mg/dL > 40
LDL (calculated)   101 H mg/dL < 100
Cholesterol:HDL Ratio 2.4     < 5.0
  Cholesterol / HDL Cholesterol Ratio Interpretation
  Risk Female Male  
  1/2 Average 3.27 3.34  
  Average 4.44 4.97  
  2X Average 7.05 9.55  
  3X Average 11.04 23.39  
VLDL (calculated) 20   mg/dL 5 - 40
 
Magnesium 2.1   mg/dL 1.8 - 2.4
 
PSA, Total 3.85   ng/dL < 4
Results obtained using Dade Behring EIA method. Numeric values obtained from other manufacturer's methods may not be used interchangeably.
 
T3 Total   L 85 ng/dL 87 - 167
T4, Total 8.4   ug/dL 4.7 - 13.3
TSH 3rd Generation 1.639   mIU/L 0.400 - 4.500
 
Vitamin B6
Vitamin B6, Plasma   46 H ng/mL 2.1 - 21.7
Results Confirmed By Repeat Analysis.
Conversion Factor: Nanograms/mL x 4.046-nanomoles/L
 
Vit D,1,25-Dihydroxy
Vit D3,1,25, OH, Total 37   pg/mL 18 - 72
Vit D3,1,25, OH,2 37     See Comment
Vit D2,1,25, OH,2 < 8     See Comment
 
Reference ranges are established for total 1,25-dihydroxy vitamin D. Values for subcomponents D2 (derived from plant or fungal sources) and D3 (derived from human or animal sources) are provided for informational purposes only.
 
This test was developed and its performance characteeristics have been determined by Quest Diagnostics Nichols Institute, San Juan Capistrano. Performance characteristics refer to the analytical performance of the test.
 
Vitmine D, 25-Hydroxy
Vit D, 25-OH,Total 60   ng/mL 30 - 100
 
25-OHD3 indicates bboth endogenous production and supplemntation. 25-OHD2 is an indicator of exogenous sources such as diet or supplementation. Therapy is based on measurement of Total 25-OHD, with levels <20 ng/mL indicative of Vitamin D deficiency, while levels between 20 ng/mL and 30 ng/mL suggest insufficiency., Optimal levels are >= 30 ng/mL
 
Vit D, 25-OH,D3 60   ng/mL  
Vit D, 25-OH,D2 < 4   ng/mL