Doctor insights on:
Potassium Blood Test Fasting
Random blood sugar test result 375mg/dL repeat test done Fasting Plasma Glucose result 228mg/dL. Am I diabetic?
Yes!: You are def a diabetic. Get a glucose meter and check some fingersticks. Completely NL in the AM fasting is 70-100. 101-125 is borderline, >125 is diabetes. Go see a diabetes doc and get an A1C test. Normal is up to 5.7. Pre-diabetic is 5.7 - 6.4. Diabetes is >6.4. Check out this link from the NIH: http://diabetes.niddk.nih.gov/dm/pubs/A1CTest/A1C_Test_DM_508.pdf. You need diabetic tx! ...Read more
No. For most blood: fasting is not needed & commonly misleading, though promoted. Optimal PSA value <1.0 ng/dL, though called normal up to 4.0 ng/mL. At 1.3 ng/ml (Avodart Trial; most thorough done to date) prostate size, by ultrasound, has doubled young healthy values. If PSA < 1.0, prostate cancer extremely rare. If elevated, consider https://www.accureference.com "Prostate Health Index" test for better guidance. ...Read more
Have GTT test. Blood glucose normal. O hour and 1 hour urine glucose negative but 2 hour urine glucose is trace. False positive or renal glycosuria?
FBS: I presume you have type 1 diabetes given your age. My apologies if your doctor has said you have type 2 diabetes and he is correct. Very unlikely unless you are substantially overweight. You should check your blood sugar almost all day if you have type 1 diabetes. There is excellent safe equipment for continuous blood sugar control. Can you please give me some more information about your diabetes. ...Read more
Blood test: estimated creatinine clearance test (low), what could it indicate? EGFR & creatinine normal. Potassium & sodium low. 28yr/f
How do you FEEL?: Many (maybe most) pathologists and nephrologists aren't impressed with the current practice of labs estimate GFR, creatinine clearance and so forth from a spot creatinine. Some formulas include race "because black people are more muscular than white people" -- these were never intended to be applied to individuals. Frankly, if your others labs are healthy, I'd ignore it. ...Read more
Blood test report: homocysteine level high/ blood platelets low/ bilirubin high. What could be wrong?
Big picture please: As a lab doctor, this means nothing in isolation. I appreciate your caring & this is no familiar pattern. Is the person clinically healthy? How off are the values? Vegetarians and junk-fooders are equally at risk for high homocysteine as are folks with genetic disease. Bilirubin -- gilbert's? Platelets -- gin and tonic? This isn't something to discuss in a 400-character text thx 4 understanding. ...Read more
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