got my test results... but the doc can't see me til june

Flagged results from Comp Metab Panel:
Albumin Serum: 3.2 (normal= 3.4-5.0)
Calcium Total: 8.3 (normal= 8.7-10.2)

Flagged results from CBC:
RBC count: 4.06 (normal= 4.5-5.1)
RDW: 14.8 (normal= 11.5-14.5)

C-Peptide: 7.03 (normal= 0.81-3.85)

SED rate: 23 (normal= 0-20)

Thyroxine T4, free: 0.70 (normal= 0.76-1.46)

Health Diagnostic Laboratory results:

Triglycerides: High Risk 207 (optimal= less than 150)
Apo B: Intermediate risk 77 (optimal= less than 60)
LDL-P: High Risk 1360 (optimal= less than 1000)
sdLDL-C: Intermediate Risk 28 (optimal= less than 22)
% sdLDL-C: Intermediate Risk 30 (optimal= less than 26)
HDL2-C: Intermediate Risk 16 (optimal= greater than 17)
LP-PLA: High Risk 242 (optimal= less than 200)
hs-CRP: High Risk 19.9 (optimal= less than 1)
Fibrinogen: Intermediate Risk 429 (optimal= 100-390)
Insulin: High Risk 69 (optimal= 3-9) ....... [Glucose: optimal 76]
25-hydroxy-Vitamin D: Intermediate Risk 16 (optimal=30-100)
HS-Omega-3 Index: High Risk 3.0 (optimal= greater than 8)

can anyone help me figure out what all this means??????????? it's all gibberish to me, and the doctor can't see me to go over the results until June. She just mailed them to me.

thanks. it frightens me when i have all these numbers that mean nothing to me. I've already lost my job because I appeared to be falling asleep at work (when really I was just hypoglycemic and seeing double). super depressed and anxious right now because I just lost my job a few days ago... now i'm more anxious because i have all these results and nothing to know or do about them until June...

I asked for the results, because they felt it was so important to run them immediately but then wouldn't go over them with me. I'm from Boston originally, and my mom had decided that she would take them to a doctor out there but that's not going to do me a whole lot of good either. I really wish they had just sent them directly to her. They wouldn't even take a minute or two to write a short note. there was, for instance, a handwritten note by the person who ran the tests stating the possibility of a UTI (and those are serious when you have kidney disease) and NO ONE CALLED TO TELL ME! if I do have one, i've had the infection since April 5, when they ran the tests.


I don't understand why they would take 20 viles of blood, run every test under the sun, then tell me they can't discuss the results until June. Particularly if it is pre-diabetes, one would think they'd want to nip it in the butt. same with any possible heart risk. I'm 22 years old and a dancer. one would hope that they would care enough to want to see me LIVE long enough to make the proper changes in my lifestyle.

My comment about your doctor: I just had a blood test ordered by my GI and I asked that a copy be sent to me also. I got the results on a Friday with one result showing "out of range". I too was curious/worried and by Monday noon my GI's nurse called me to say this is not a BIG concern but my doctor wants another blood test in 30 days to see if things changed for the better. My opinion about my new GI? Very good follow-up and care.

If you have so many high and intermediate risks showing your doctor should be following up with you before June at least to tell you "don't worry" if indeed that is what they would say. Or give you some guidance. Sure you probably won't die before June but you could make some dietary changes or become more active in the meantime then do another test.

CRP and the SED rate are a measure of inflammation. Before IBD my CRP was always below 1, but during my last flare it spiked thru the roof. Went down again when flare ended. Hopefully your CRP and SED will lower as you get your flare under control.

For old farts like me some of these readings could indicate a cardiovascular risk. But you are young so you have time to bring them to normal. Please take my comments with a grain of salt and please consult your doctor before doing anything, but IMO:

Your RBC might indicate that you are slightly anemic. Ask your doctor if you need to eat more iron-rich foods or perhaps he give you some iron supplements.

Vitamin D should be easy to fix. Just take some. Your doctor may give you prescription for D2, if not over-the-counter D3 is easily available, if your doctor approves.

Your Omega-3 index is low. Consult with your doctor but taking fish oil should help. Omega-3 fish oil also lowers your high triglyceride reading. Please consult with your doctor but one of the best ways to lower triglycerides is to refrain from eating sugar and taking omega-3s.

Ask your doctor but I heard that multivitamins and omega-3s might help lower fibrinogen.

Your blood glucose level is normal, but it is normal only because your body is producing an enormous amount of insulin, and I am not sure how long your body can sustain that. I have no idea what your doctor will say.

Ask him about taking a good multivitamin with micronutrients such as biotin, manganese, etc. to metabolize sugar. I have heard one of the best ways to make insulin more efficient is to also supplement with chromium picolinate, but please, please, please do not do anything without speaking with your doctor first.

Your signature indicates several chronic conditions such as kidney disease and I have no idea if or how any of these supplements will affect your condition. Or if any of these supplements will interact with your meds. Please be careful. I don't care if I poison myself but would feel terrible if someone were hurt by these recommendations.

Post Edited (BabeintheWoods) : 4/20/2013 1:48:17 PM (GMT-6)

Okay, so .. I wasnt going to touch this in this much depth.. But I hate to think of you worrying about new diseases when you have enough on your plate...

Likely, your insulin level and c-peptide are indicating some renal issues, that is why there were notes about uti.. None of the other numbers you posted really support a uti dx... You PROBABLY do not have diabetes as your glucose level is fine your insulin and cpeptide are more relevant for you as you have polycystic kidney disease. Your low albumin supports this hypothesis..as does the low calcium and d levels and high sed rate and crp.. Because you have multiple diagnoses the sed rate and crp could be due to that inflammation. The worry for you is renal failure. This should not be news to you considering your poly cystic kidney disease dx... Those heart disease markers are all messed with because of your renal impairment.

Are you taking anything for your kidney issues? What is your blood pressure? I see your potassium, but what else? Does the doc you are working with on kidney issues know you are on that naltrexone?? Are you on the diet for pKD? These numbers mean very little in gauging your disease progression without your previous numbers.

Post Edited (PathogenKiller) : 4/20/2013 6:28:20 PM (GMT-6)

the med list is current. I just moved from Boston, where I was followed by the same GI since I was in the third grade, to TX where I am seeing a new GI for the first time on May 31. My kidney disease, when I last saw the doctor (several years ago, i'll explain in a moment) was well under control and these blood tests DID NOT show renal failure. the other reasoning for the questionable UTI was that there was over 100,000 bacteria cultures when they did my urinalysis, but i didn't find those tests all that relevant to everything else, I might be wrong.

back to the kidneys... i haven't been to the kidney doctor in several years because I've been afraid to go. My dad is in the process of beginning dialysis and I started to get very scared about my own future. I had initially been told not to worry about my kidneys until I was in my 40s, but to keep having them followed. Unfortunately, I had a stupid doctor (not kidneys but urologist) who told me he was checking for tumors then told me I needed to come in to the office to get my results, only to find out that everything was fine and he had just wanted the money for the appointment. after that, I decided that I was better off not knowing. I figured that as long as i felt well, I didn't need a test to tell me that I shouldn't feel well.

Since being diagnosed Aspergers, I realized that this way of thinking was highly illogical and I promised my parents that I would see a kidney doctor again, but down here in TX, you need to see a primary care before any other specialists will see you; and I don't have an appointment with my primary care until June 7. The doctor who fit me in to do the tests set me up with the GI, but that was all she would do.

Anyhow, I know that was a long and drawn out explanation... but the fault (if you want to call it that) is mine.

If your blood pressure is low, why the naldol? I have so many questions but I'm not a doc and what I don't want is to cause you further anxiety.

A uti shouldn't skew the numbers.. But if your other results indicate that you have one, consider d-mannose between now and the drs appt or better yet, visiting an urgent care and finding out. You are right, treating a uti is important for someone with pkd.

The doc that fit you in and ran these tests may not feel like she /he should be the one to intrept them. I am not saying you have renal failure..you need to look at the symptoms of that and evaluate you risk.. just that the way your numbers are creeping, that is what they are going to want to work on and to try to not spend the next month worrying about diabetes. pKD is enough to process.

Also, Hun, you must always see a kidney specialist if you are going to be on the drugs you are on. I know it forces you to face a huge fear that any of us would have problems facing. But, it is imperative for your health, they are the only ones who know about your disease and they will keep you SAFE from meds prescribed by doctors who know nothing about PKD.

If you cannot sit with this till your appt a visit to the er should fast track you to a specialist. I'm not saying your results necessitate that, just your anxiety. I'm sorry you are having to sit in this limbo.

symptoms related to the kidneys can be so diverse.. Since you didn't post them I'm guessing your BUN test was good.. And that is a good sign..To leave a silver lining to my cautions.

Im sure it has been really hard but Im glad you have come to a place where you are ready to make the appt with a kidney doc. Best of luck to you.

i don't have a doctor right now. i saw someone on an urgent care basis and she ordered the tests and gave me a referral to the GI. my primary care will meet me for the first time on June 7, the GI on May 31, and any other specialists can be added after June 7. i'm not thrilled about it, but that's apparently how things work down here.