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What Does My Blood Test Report Indicate?
Question: my wbc is 6.3, rbc 4.15
heomoglobin 10.8 L
Hematocrit 33.2 L
RDW 15.4 H
chloride 97 L
glucose 142 H
alkaline phosphatase 142 H
is this all caused by diabetes
heomoglobin 10.8 L
Hematocrit 33.2 L
RDW 15.4 H
chloride 97 L
glucose 142 H
alkaline phosphatase 142 H
is this all caused by diabetes
Brief Answer:
No
Detailed Answer:
I have reviewed your attached laboratory reports.
Diabetes cannot cause anemia directly nor any of the other changes on the CBC.
The elevated alkaline phosphatase can have several reasons. Two examples are a recent fracture, and vitamin D deficiency.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
HbA1c (Glycosylated Hemoglobin = your 3 month glucose average)
TSH
12 hour Fasting Lipid profile
Urine albumin to Creatinine Ratio
25 hydroxy Vitamin D
No
Detailed Answer:
I have reviewed your attached laboratory reports.
Diabetes cannot cause anemia directly nor any of the other changes on the CBC.
The elevated alkaline phosphatase can have several reasons. Two examples are a recent fracture, and vitamin D deficiency.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
HbA1c (Glycosylated Hemoglobin = your 3 month glucose average)
TSH
12 hour Fasting Lipid profile
Urine albumin to Creatinine Ratio
25 hydroxy Vitamin D
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for your reply. I have a call into my doctor to request the blood tests you suggested.
Regarding the alkaline phosphatase level, I have two complete tears, two partial tears of my rotator cuff along with a bicep tendon tear. Could this possibly be the cause?
This was a pre-op appointment for getting my rotator cuff repaired. After seeing the cbc, I was a bit concerned about getting these levels fixed before the surgery.
What really surprised me is that the doctor did not mention them; but, of course, the PA did the exam and everything else. My ekg was great and bp was only 113/63 ....I only take the micardis 1x every other morning.
Regarding the alkaline phosphatase level, I have two complete tears, two partial tears of my rotator cuff along with a bicep tendon tear. Could this possibly be the cause?
This was a pre-op appointment for getting my rotator cuff repaired. After seeing the cbc, I was a bit concerned about getting these levels fixed before the surgery.
What really surprised me is that the doctor did not mention them; but, of course, the PA did the exam and everything else. My ekg was great and bp was only 113/63 ....I only take the micardis 1x every other morning.
Brief Answer:
Follow up
Detailed Answer:
Tendon and rotator cuff injuries are not known to impact alkaline phosphatase levels. It is typically bone related problems that do so.
Follow up
Detailed Answer:
Tendon and rotator cuff injuries are not known to impact alkaline phosphatase levels. It is typically bone related problems that do so.
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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