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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Blood Analysis Report States Glucose Serum High, EGFR Low, White Blood Count Low. Is It A Concern. Suggestions?

My husband recently had blood work done. There were some concerns I had per the results such as his glucose serum is a 104 who's is considered HIGH, his eGFR iF NonAfrican Am is 62 LOW and his white blood count is 4.7 LOW I understand the white blood count may only be a fraction on the low side but with the other red flags on the blood tests I am concerned. He does drink everyday but he's very active and healthy otherwise. Are these results any indication that he may have a serious health problem? Also bc if work he has to have a physical every year during the month of may and the previous block results have all been normal with no red flags like this recent blood work. Could you please just guide me in the direction I need to go in order to keep him healthy and with us please? Thank you! Shelley at YYYY@YYYY
Mon, 27 May 2013
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General & Family Physician,  's  Response
Hi and thanks for the query.
I understand you worries and I know they are real. Let's take a look below:

Glucose serum of 104 termed high! Normal blood sugar is considered to be less than 100. With 104, though above the normal, it doesn't meet the criteria too be diagnosed with diabetes. it however means, he is in the category of persons with prediabetes who need to start active measures like physical exercise, diet modification and weight control so as not to progress to having diabetes any time soon.

GFR of 62 LOW: it normally ranges from 90-120. This is an indication of how well the kidneys are functioning. it cannot be interpreted alone. Renal function tests should accompany this.

White blood count of 4.7: this is normal or at worse borderline. The normal range is 4-10, so i will not get particularly worried about this.

my advice is this, compare these results with the previous ones. if they are all consistent, then he may be one of those with values on the low side(GFR/White blood cells). However, if there is any drastic change, then the doctor may want to repeat these tests and make sure they are correct and then, look for what could be the possible explanation/causes.

Hope this answers your question, and please extend my regards to your husband.
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Blood Analysis Report States Glucose Serum High, EGFR Low, White Blood Count Low. Is It A Concern. Suggestions?

Hi and thanks for the query. I understand you worries and I know they are real. Let s take a look below: Glucose serum of 104 termed high! Normal blood sugar is considered to be less than 100. With 104, though above the normal, it doesn t meet the criteria too be diagnosed with diabetes. it however means, he is in the category of persons with prediabetes who need to start active measures like physical exercise, diet modification and weight control so as not to progress to having diabetes any time soon. GFR of 62 LOW: it normally ranges from 90-120. This is an indication of how well the kidneys are functioning. it cannot be interpreted alone. Renal function tests should accompany this. White blood count of 4.7: this is normal or at worse borderline. The normal range is 4-10, so i will not get particularly worried about this. my advice is this, compare these results with the previous ones. if they are all consistent, then he may be one of those with values on the low side(GFR/White blood cells). However, if there is any drastic change, then the doctor may want to repeat these tests and make sure they are correct and then, look for what could be the possible explanation/causes. Hope this answers your question, and please extend my regards to your husband.