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Doctor insights on: B Type Natriuretic Peptide

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My bl sugar level drops to 50 3 h after eating,normal insulin, c-peptide, liver enzymes' levels,family history of diabetes,is it reactive hypoglycemia?

My bl sugar level drops to 50 3 h after eating,normal insulin, c-peptide, liver enzymes' levels,family history of diabetes,is it reactive hypoglycemia?

Reactive hypoglycemi: yes. It is. Whenever you eat ready sugars or simple sugars( made with table sugar, juices) your body releases lots of insulin . Your sugars get absorbed mostly from stmach and there is still insulin in the blood that continue to lower your sugar.you should avoid ready sugars and take more complex carbs. Along with proteins. You most likely will be developing diabetes in near future. So watch !! ...Read more

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Could use your help docs! my b-type natriuretic - peptide is up over 4, 000 how serious is that ?

BNP: The reason for the elevation of the bnp needs to be clarified. You need to discuss this with your doctor and work with your doctor to find out the meaning of the test abnormality. ...Read more

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Cause of elevations in proinsulin, c-peptides and proinsulin:c-peptide ratio, c reactive protein & ferritin. Normal A1c & glucose. Previously overwei?

Cause of elevations in proinsulin, c-peptides and proinsulin:c-peptide ratio, c reactive protein & ferritin. Normal A1c & glucose.  Previously overwei?

Can't answer: Nobody here can answer without your clinical history, though i wouldn't be surprised if you have hemochromatosis -- truth is, i hope you do, because it's the easiest of all the deadly diseases to manage. It's also worth remembering that serum ferritin is an acute phase reactant and likely to be high during some other illness. You're a person, not a set of labs. Insist on a full explanation. ...Read more

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Treating Hepatitis B (Checklist)

See your gastroenterologist
Once
Follow the recommended therapy completely
Once
Notify your doctor if you're pregnant
Once
Get periodic repeat blood tests
Once
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What is c-peptide assay test in diabetes?

What is c-peptide assay test in diabetes?

Measures insulin: The c-peptide is a by-product molecule that the pancreas makes when producing the Insulin hormone. Clinicians use this blood test measure to determine the Insulin production capacity from the pancreas, and to distinguish from Insulin injected as medication (since Insulin rx does not contain c-peptide). The Insulin assay test itself is also less preferable, due to variations in measurements. ...Read more

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Nuclear stress test for type b WPW syndrome?

Nuclear stress test for type b WPW syndrome?

Not helpful: A nuclear stress test will provide information regarding the health of your coronary arteries which have nothing to do with wpw. If a stress test is indicated, it's independent of wpw. If WPW is the issue, a stress test will provide no useful information. ...Read more

Dr. Jeffrey Unger Dr. Unger
<b>2</b> doctors agreed:
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Living with Type 1 Diabetes (Checklist)

Check your blood glucose 2 hours before and 2 hours after eating
once
Check with your doctor if your post-meal glucose is lower than your pre-meal glucose, as you may have hypoglycemia
once
Consider using a continuous sensor if you do not feel hypoglycemia symptoms
once
Use insulin pumps, as they can minimize your risk of hypoglycemia
once
Dr. Alvin Lin Dr. Lin
1 doctor agreed:
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Blood glucose post prandial is 81.00 but serum insulin is2.7?

Dr. Alvin Lin Dr. Lin
1 doctor agreed:
Blood glucose post prandial is 81.00 but serum insulin is2.7?

What's your question: Why was your serum Insulin checked in first place? What's the reference range given for insulin? How did your ordering physician interpret test for you? Why was blood drawn after a meal b/c you need to be fasting in order to calculate your homa-ir? As you can see, too many questions need to be addressed before we even get to your question, whatever it is! ...Read more

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What do the hormones aldosterone and atrial natriuretic peptide do?

What do the hormones aldosterone and atrial natriuretic peptide do?

Aldo and ANP: Hi. Aldosterone (aldo) tends to promote sodium reabsorption (retention) and potassium excretion by the kidney tubule. ANP, as the name implies, tends to promote urinary sodium excretion, and is somewhat regulated by how much sodium (i.e., salt) is in the diet. We use an aldo analog, fludrocortisone, clinically for people who can't make aldo. ...Read more

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Could vitamin d prevent type 1 diabetes?

Could  vitamin d prevent type 1 diabetes?

No: There is no evidence that a deficiency in d or any supplement would alter the course of type 1 diabetes. ...Read more

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Type II diabetic, blood insulin last test (NOT glucose)=29.5 On lantus (insulin glargine) 62 units, humalog 17 units. Am I still producing endogenous insulin?

Type II diabetic, blood insulin last test (NOT glucose)=29.5 On lantus (insulin glargine) 62 units, humalog 17 units. Am I still producing endogenous insulin?

Need C-peptide test: Since exogenous (injected) insulin will show on a blood test, C-peptide should be measured to assess for endogenous insulin. Proinsulin is made by the pancreas, then cleaved into C-peptide & insulin. Exogenous insulin has no C-peptide. ...Read more

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What does hepatitis b surface antibody borderline non reactive mean?

What does hepatitis b surface antibody borderline non reactive mean?

In many laboratories: a "borderline nonreactive" result is reported as "indeterminate." A positive result is an antibody titer >12 mIU/mL; this means the individual is immune to hepatitis B. A negative result is <5.0. The CDC defines a fairly large range of indeterminate: > 5.0 but < 12.0. Indeterminate means "unable to determine immune status." Most would advise (re)immunization in this case. Stay well:) ...Read more

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Total ck, sed rate, ana, ip ace, serum protein panel normal but gamma globulin (.6) cortisol am (30.8) Hx of low vit d and K. What could this mean?

Total ck, sed rate, ana, ip ace, serum protein panel normal but gamma globulin (.6) cortisol am (30.8)
Hx of low vit d and K. 
What could this mean?

Not much-: An important thing to remember is that lab results are not useful unless there is a clinical context. Advice is based on focusing on the patient, not the numbers. Though you mention a history of low vit D and K, did symptoms exist when the labs were drawn? Why were they drawn in the first place? Otherwise, it is best to ask your ordering doctor what the results mean. ...Read more

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Normal C-RP, Sed Rate, CBC, CMP, Rheumatoid fac., C3/C4 Complement and Cyclic Citrul peptide. ANA was negative. Does this rule out any auto-immune?

Normal C-RP, Sed Rate, CBC, CMP, Rheumatoid fac., C3/C4 Complement and Cyclic Citrul peptide. ANA was negative. Does this rule out any auto-immune?

Not necessarily: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, Lab test do not equate to disease or the lack of it. It is good that all the test results are negative. It reduces your risk of an auto-immune disease to very very low, but does not exclude it 100%. ...Read more

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What is the c-peptide assay test in diabetic patient?

What is the c-peptide assay test in diabetic patient?

Endogenous insulin: The c-peptide assay is an indirect way of looking at how much Insulin a person's pancreas is producing. If you measure a type 1 diabetic's c-peptide level, it should be negligible as their pancreas has lost the ability to produce insulin. In a type 2 diabetic, c-peptide levels are frequently elevated due to Insulin resistance (their pancreas must make extra Insulin to overcome their resistance). ...Read more