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Doctor insights on: Low Anion Gap

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I have a low anion gap, low estGFR, a high Microalbumin/Creatinine ratio, HA1C and a high ALT. Any concerns/thoughts?

I have a low anion gap, low estGFR, a high Microalbumin/Creatinine ratio, HA1C and a high ALT.   Any concerns/thoughts?

Diabetic kidney: These are signs of emerging diabetic kidney disease and likely fatty liver from diabetes. Is concerning. High Microalbumin/creatinine ratio indicates albumin leak into urine from overt diabetic kidney change. The low eGFR indicates kidney impairment. The low anion gap reflects low albumin in blood and would indicate high spillage of albumin into urine. High A1c indicates poor glucose control. ...Read more

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Low co2, elevated anion gap, elevated pH of 7.5, low creatinine of . 2 in toddler with slow growth born prematurely at 31 weeks ga & 2 vessel cord?

Low co2, elevated anion gap, elevated pH of 7.5, low creatinine of . 2 in toddler with slow growth born prematurely  at 31 weeks ga & 2 vessel cord?

Consider...: ...The possibility of a genetic or metabolic disease which will create excess anions (the anion "gap"). Examples would include Lactic Acid built up in cells that undergo anaerobic metabolism, or acids that build up such as ketoacids in the face of diabetes. A 2 vessel cord suggests a kidney or genetic anomaly and should have a genetics and nephrology evaluation. ...Read more

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I recently got a blood panel for a routine physical. Everything seemed to be in normal range except for a low (3) on my anion gap. What does that mean?

I recently got a blood panel for a routine physical. Everything seemed to be in normal range except for a low (3) on my anion gap. What does that mean?

Routine Physical: The fact that it was a routine physical and everything else was normal, I wouldn't give it a second thought. The lab ranges are a reference and are not designed for patients to be able to cookbook their own medical care. Your doctor would have talked to you about any concerns. If you have anxiety and worry about this, then do go back to your doctor to discuss it. I wish you the very best! ...Read more

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Gallstone, 31% EF, low total bilirubin, high anion gap, hx of elevated liver enzymes. Liver enzymes leveled out after taking hormones.causes? advice?

Gallstone, 31% EF, low total bilirubin, high anion gap, hx of elevated liver enzymes. Liver enzymes leveled out after taking hormones.causes? advice?

HF: you have complex issues. Why do you have HF and also the cause of liver disease ? The AGMA is concerning and has to be worked up. Some of these conditions can be related. What hormones did you take ? I have more questions than answers, more so because you have 2 organ dysfunction and a acid base disorder and they can be related. ...Read more

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Blood work results ,chloride was low at 98 mmol,anion gap was high at 17.4 ,glucose was high at 108 mg/dl, A1c was 6.2 ,albumin/globulin ratio 2.0?

Blood work results ,chloride was low at 98 mmol,anion gap was high at 17.4 ,glucose was high at 108 mg/dl,  A1c was 6.2 ,albumin/globulin ratio  2.0?

Prediabetes: Hi. That A1c is above normal, & if that glucose is FASTING, it is too (it's not abnormal if it's not fasting). They demonstrate "prediabetes", the abnormal state between normal & diabetes. What was your bicarb/total CO2? Unless it was low, anion gap (a calculated value) doesn't mean anything; it's useful in states of ketoacidosis, lactic acidosis, etc). A:G ratio is fine too. Eat healthy, exercise ...Read more

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Should a person worry if anion gap is low at 3.9?

No: This means nothing. Reference ranges are arbitrarily set so that 5% or so of healthy folks fall outside. ...Read more