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What Does My Blood Test Report Indicate?

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Posted on Thu, 28 Aug 2014
Question: My blood test show my glucose serum is 104, my hemoglobin alc is 12.4, my platelets are 439, neutrophils are 82, Monocytes are 3, absolute neutrophil 10.0 , t3uptake is 23. What is going on. Should I be concerned
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Answered by Dr. Michelle Gibson James (2 hours later)
Brief Answer:
very high blood sugars

Detailed Answer:
Hi, thanks for using healthcare magic

The HbA1c gives an idea of the amount of glucose that has 'stuck' onto the red blood cells over a 6 week to 3 month period.
It is not dependent on any meals taken. It is reported as a percentage.

A HbA1c of greater than 6.5 % means a person is diabetic.

If a person is already known to be diabetic the aim is to get the HbA1c to be less than 7% or if possible less than 6.5%.

Your HbA1c is 12.4 %. This is very very high. This means that on average for the last 3 months your blood sugar has been running high.
Even though the fasting is not very high, it is only reflecting what you would have used the day before.
Since the HbA1c does not depend on your meals , it gives a good idea of how the blood sugars have been in general.

This blood sugar needs treatment.

High blood sugars can be associated with an increased platelet count.
Platelet can respond to inflammation in the body and uncontrolled blood sugars can result in an inflammatory response.

In terms of the other results- neutrophils, nonocytes- these are types of white blood cells.
If you had a full blood count, you may have seen WBC on the result page.

After giving the total WBC, the break down of the types of white blood cells is given.

In terms of the T3 uptake, this test is not used as commonly as before- the normal range can vary slightly from lab to lab but in general is 24% to 37%
Your value is 23%, slightly belong the normal range.

T3 uptake indirectly measures the ability of thyroid hormone to bind.
When thyroid hormone levels are abnormal, the levels of the binding hormones are also changed.

In hypothyroidism (low levels of thyroid hormone) ,the T3 resin uptake decreases.

Though,your T3 uptake is only minimally below normal, your doctor may consider actually checking the levels of thyroid hormone.

Summary: (1) Hba1c very high- Needs treatment as soon as possible with lifestyle changes (diet and activity) and also medication

(2)platelets can increase as part of inflammatory response

(3)the neutrophils and monocytes are types of white blood cells

(4)T3 uptake- very minimally below normal, not likely significant but further tests can check the thyroid hormone itself.

I hope this helps, feel free to ask any other questions
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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What Does My Blood Test Report Indicate?

Brief Answer: very high blood sugars Detailed Answer: Hi, thanks for using healthcare magic The HbA1c gives an idea of the amount of glucose that has 'stuck' onto the red blood cells over a 6 week to 3 month period. It is not dependent on any meals taken. It is reported as a percentage. A HbA1c of greater than 6.5 % means a person is diabetic. If a person is already known to be diabetic the aim is to get the HbA1c to be less than 7% or if possible less than 6.5%. Your HbA1c is 12.4 %. This is very very high. This means that on average for the last 3 months your blood sugar has been running high. Even though the fasting is not very high, it is only reflecting what you would have used the day before. Since the HbA1c does not depend on your meals , it gives a good idea of how the blood sugars have been in general. This blood sugar needs treatment. High blood sugars can be associated with an increased platelet count. Platelet can respond to inflammation in the body and uncontrolled blood sugars can result in an inflammatory response. In terms of the other results- neutrophils, nonocytes- these are types of white blood cells. If you had a full blood count, you may have seen WBC on the result page. After giving the total WBC, the break down of the types of white blood cells is given. In terms of the T3 uptake, this test is not used as commonly as before- the normal range can vary slightly from lab to lab but in general is 24% to 37% Your value is 23%, slightly belong the normal range. T3 uptake indirectly measures the ability of thyroid hormone to bind. When thyroid hormone levels are abnormal, the levels of the binding hormones are also changed. In hypothyroidism (low levels of thyroid hormone) ,the T3 resin uptake decreases. Though,your T3 uptake is only minimally below normal, your doctor may consider actually checking the levels of thyroid hormone. Summary: (1) Hba1c very high- Needs treatment as soon as possible with lifestyle changes (diet and activity) and also medication (2)platelets can increase as part of inflammatory response (3)the neutrophils and monocytes are types of white blood cells (4)T3 uptake- very minimally below normal, not likely significant but further tests can check the thyroid hormone itself. I hope this helps, feel free to ask any other questions