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What Do These Routine Health Checkup Blood Reports Indicate?

Posted on Fri, 28 Aug 2015

Question: I did a blood test as part of regular health checkup routine. There are some things which are not normal and looks alarming.
HbA1c 7.1
AVERAGE BLOOD GLUCOSE (ABG) 157
TOTAL LEUCOCYTES COUNT 14.2
NEUTROPHILS - ABSOLUTE COUNT 9.57
LYMPHOCYTES - ABSOLUTE COUNT 4.06
MEAN CORPUSCULAR HEMOGLOBIN(MCH) 25.3
MEAN CORP.HEMO.CONC(MCHC) 28.3
RED CELL DISTRIBUTION WIDTH - SD(RDW-SD) 50.9
RED CELL DISTRIBUTION WIDTH (RDW-CV) 15.4
PLATELET COUNT 449
PLATELET TO LARGE CELL RATIO(PLCR) 12.9
High Sensitivity HIGH SENSITIVITY C - REACTIVE PROTEIN (HsCRP) > 10.2
THYROID STIMULATING HORMONE (TSH) C.L.I.A 5.75
25-OH VITAMIN D (TOTAL) < 4.2
Request you to go through the report and let me know if there is anything alarming and how should I proceed.

Answered by Dr. Rakesh Madhyastha (57 minutes later)

Brief Answer:
Diabetes and low vit d

Detailed Answer:
Hello

Thanks for the query

Two things are striking in this report.

1. You have uncontrolled diabetes. You will need to approach a diabetologist for the same. I recommend that you be put on Tab Metformin 500 twice daily after a renal function test. It is very important that you exercise daily from now and also follow a diabetic diet

2. Low Vit D. You will need correction with cholecalciferol. I usually give D-Rise 60,000 units with milk, every sunday for 6 weeks

3. Your total count is high, which means that there is focus of infection. IF you are having fever then you will need treatment with antibiotics

I hope I was of help, if you have any further queries please get back to me

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Madhyastha (2 days later)

Thanks XXXXXXX I am attaching the soft copy of complete reports.
My fasting sugar level is around 104, not sure if it is high enough. Please revalidate with the attached reports.
Also, please let me know if there is anything I need to worry about apart from low vitamin D. And what could be ill effects of low vitamin D?

Answered by Dr. Rakesh Madhyastha (9 hours later)

Brief Answer:
Unable to open PDF

Detailed Answer:
Hello

Thanks for getting back, I am unable to open the PDF file which you have uploaded. Could you please reload it in JPG format? The best thing to do is to open the PDF file and upload the screen shot.

Regards

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar