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What Does This Blood Report Indicate?

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Posted on Fri, 16 Jun 2017
Question: Hello, I am a 41 year old female. pretty healthy. I have some thyroid nodules they watch closely for any changes, but my thyroid functions normal. I just got some blood work back and these were the things that were out of range:
Sed Rate 22 (normal range per test 0-20 mm/hr)
Glucose 107 (normal range per test 70-100mg/dl)
MPV 11.1( normal range per test 6.0-10.0fl)
Hematocrit 35.9 (normal range per test 37-52%)

These were within range but sharing it with you:
WBC 6.5 x1000/ul (normal range 4.0-10.0x1000ul)
RBC 4.2 M/ul (normal range 3.8-5.2M/ul)
Hemoglobin 12.2g/dl (normal range 12.0-16.0g/dl)

do these results concern you?
doctor
Answered by Dr. Panagiotis Zografakis (18 minutes later)
Brief Answer:
not really but there are some issues

Detailed Answer:
Hello,

I don't believe you should be so concerned about the results. The most important one seems to be your blood sugar. Although it's not that high, it's higher than normal and individuals who have such values, usually have a tendency to develop diabetes later in their lives. An oral glucose tolerance test (OGTT) would go amiss here. A glucosylated hemoglobin may provide additional help.

Your ESR (22mm/h) is not high enough to raise concerns.

The MPV may be important when other values are abnormal. As an isolated finding it does not provide enough information.

Your hematocrit is a bit lower than normal but this is very common for women of reproductive age and is most commonly caused by blood loss during the period. More investigation would be required to determine the cause though. Serum iron and iron stores have to be assessed.

The rest of the values are normal, so there is not much to comment on.

I hope you find my comments helpful!
Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (24 hours later)
i just got another test back. it was my specific gravity urine analysis and it came back a bit high at 1.024 and normal range is 1.005-1.020. nothing to be concerned about?
doctor
Answered by Dr. Panagiotis Zografakis (1 hour later)
Brief Answer:
no...

Detailed Answer:
The specific gravity indicated intact renal functionality (the kidney can produce dense urine). A high measurement usually indicates some degree of dehydration, which is not so concerning taking into account the the urine is usually sampled early in the morning. In any case this not a good reason for concern.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (5 minutes later)
This sample was taken at 4:30 pm. Does that make a difference?
doctor
Answered by Dr. Panagiotis Zografakis (2 minutes later)
Brief Answer:
not really

Detailed Answer:
It doesn't. Perhaps you should just drink more water but this is not a reason for concern on its own unless there are other findings as well like protein in the urine for example. Since you haven't mentioned anything like that, I gather that the rest is normal, so... no concern!

Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3809 Questions

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What Does This Blood Report Indicate?

Brief Answer: not really but there are some issues Detailed Answer: Hello, I don't believe you should be so concerned about the results. The most important one seems to be your blood sugar. Although it's not that high, it's higher than normal and individuals who have such values, usually have a tendency to develop diabetes later in their lives. An oral glucose tolerance test (OGTT) would go amiss here. A glucosylated hemoglobin may provide additional help. Your ESR (22mm/h) is not high enough to raise concerns. The MPV may be important when other values are abnormal. As an isolated finding it does not provide enough information. Your hematocrit is a bit lower than normal but this is very common for women of reproductive age and is most commonly caused by blood loss during the period. More investigation would be required to determine the cause though. Serum iron and iron stores have to be assessed. The rest of the values are normal, so there is not much to comment on. I hope you find my comments helpful! Kind Regards!