Better Health. Better Future. Better You. Test1, here is your Blueprint for Wellness MyHealth Profile™. Knowing your results will help you build a better future. Printed on 1/7/2014 Blueprint for Wellness, Quest Diagnostics, the associated logo, and all associated Quest Diagnostics marks are the registered trademarks of Quest Diagnostics. All third party marks — ® and ™ — are the property of their respective owners. © 20002013 Quest Diagnostics Incorporated. All rights reserved. Dear Test1, On the following pages you will find: Welcome Letter Your Health Your Results Your Wellness Summary Report Congratulations, Test1, on completing your Blueprint for Wellness biometric screening! It’s good to know your health status and specific areas you can improve it. Good health is important to you, to your family, and to your future, and we applaud you for taking a positive step toward improving it, and your well being. That’s why we created this comprehensive, easytoread profile. It includes new insight to your risk of Metabolic Syndrome, your results from a variety of tests we ran on your screening sample, and a new medical Summary Page for you to share with your doctor. You have probably heard a great deal about obesity and the risks it poses. To raise its visibility and better educate individuals about the effects of obesity we are introducing wellness screening participants to Metabolic Syndrome. When three or more of these factors fall outside defined ranges, an individual has a much greater chance of developing heart disease, diabetes, stroke and other health problems. For example, someone with Metabolic Syndrome is two times as likely to develop heart disease, and five times as likely to develop diabetes as someone without it. Please pay special attention to your risk of Metabolic Syndrome and note that it may vary from your clinical risk status which is communicated later in the report. This occurs when your results do not fall in the optimal range, but do not qualify you as “at risk” for Metabolic Syndrome. Thank you for learning more about your health, and for taking steps to improve it! Test1, as you begin your journey to better health, one of the first steps is to know your strengths and weaknesses. That information is provided in this report and was gathered from your health questionnaire and your laboratory results. The combination of this data gives you the first glimpse of your overall health state and helps determine action items for maintaining and improving your health. First review your health quotient score and explanation. After the explanation, you will see the first of your results and your level of risk associated with those results. As you go through your MyHealth Profile more information on these results will be provided. Health Quotient Score Test1, your Health Quotient Score is created based on your responses from the Blueprint for Wellness® Health Questionnaire and your screening results. The Health Quotient Score is like a test grade that is driven by modifiable risks or behaviors that put you at risk for chronic conditions. Just like a test, a higher score means you have less risk and a higher level of wellbeing and a lower score suggests you may be at a higher risk for developing a chronic illness. Throughout this report you will find helpful tips to improve your score and improve your health. The reference resources for the optimal ranges on this page are the: * American Diabetes Association ** National Cholesterol Education Program Current Quality of Health 1 100 78 OPTIMAL BLOOD PRESSURE ELEVATED RISK HIGH RISK 105/65 64 mg/dL 18.0 100 mg/dL 40 mg/dL 44 mg/dL (calc) < 120/80 Your Aug12 reading: 120/100 GLUCOSE 6599 = Normal Fasting Result* 100125 = Risk for PreDiabetes >125 = Risk for Diabetes Your Aug12 reading: 90 mg/dL BMI 18.524.9 Your Aug12 reading: 30.4 CHOLESTEROL, TOTAL < 200 = Desirable** 200239 = Borderline High > 239 = High Your Aug12 reading: 190 mg/dL HDL CHOLESTEROL < 40 = Low** > 59 = Desirable Your Aug12 reading: 60 mg/dL LDLCHOLESTEROL < 100 = Optimal** 100129 = Near Optimal 130159 = Borderline High > 159 = High Your Aug12 reading: 102 mg/dL (calc) TRIGLYCERIDES 80 mg/dL 1.0 mg/L < 150 = Normal** 150199 = Borderline High > 199 = High Your Aug12 reading: 145 mg/dL CARDIO CRP < OR = 3.0 Your Aug12 reading: 2.8 mg/L Metabolic Syndrome Based on your screening results you have passed 4 out of 5 metabolic syndrome criteria which means you are at a lower risk for heart disease, diabetes and stroke than someone not passing 3 out of 5. Metabolic Syndrome Risk Factor Your Target Your Value What Does It Mean 18.0 Excess weight, as measured by BMI (Body Mass Index), and is calculated by dividing weight in pounds by height in inches squared. The World Health Organization states that a BMI >30 is one of the risks for Metabolic Syndrome. 80 Triglycerides are a type of fat found in the blood. High triglycerides increase the chance of developing heart disease. 105 / 65 Blood pressure is the force of blood pushing against the artery walls as the heart pumps blood. High blood pressure can damage the heart and lead to other health problems such as heart disease and stroke. Blood Glucose: Less than 100 mg/dL 64 Glucose, also called blood sugar, is what the body uses for energy. High glucose may be a sign of diabetes and affects kidney functions. HDL Cholesterol: Greater than or equal to 50 mg/dL 40 A high level of HDL is good because HDL is the type of cholesterol that helps to remove cholesterol from the arteries. A low HDL cholesterol level can lead to the development of heart disease. Body Mass Index: Less than 30 Triglycerides: Less than 150 mg/dL Blood Pressure: Less than 130 systolic and Less than 85 diastolic mmHg Understanding Your Tests The goal of the Blueprint for Wellness is to identify health risks and to supply you with the information you need to manage your health successfully. Clinical laboratory testing gives you an important insight into what is happening within your body. Your personalized report gives insight into needed actions to try to control and/or minimize harmful effects to your health. In the following pages you will see a summary of your laboratory test results grouped by body system. All of the results are followed by a detailed explanation of each clinical test performed. The following results are an evaluation of your health risk status. This may differ from your risk status for Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess the results. Heart Tests The heart is a muscular organ located in the chest that pumps blood throughout the body. The heart and blood vessels comprise the cardiovascular system. In spite of the fact that all of the body's blood flows through it, the heart needs to be supplied with blood by its own set of blood vessels. These blood vessels, called coronary arteries, deliver the oxygen that allows the heart to perform its functions. When a disease known as atherosclerosis reduces the blood flow from the coronary arteries to the heart, it can cause chest pain, also known as angina. If the blood flow is severely reduced, it can cause a heart attack which may lead to death of some of the heart muscle and tissue. 80 mg/dL Reference Range <150 Your Aug12 reading: 145 mg/dL TRIGLYCERIDES Triglycerides are fats composed of fatty acids and glycerol. Triglycerides combine with proteins to form particles called lipoproteins that transport fats through the bloodstream. These lipoproteins carry triglycerides from the liver to other parts of the body that need this energy source. Triglycerides then return to the liver where they are removed from the body. The level of triglycerides in your blood can indicate how efficiently your body processes the fat in your diet. Your result falls within the normal Reference Range. 80 mg/dL 100 mg/dL Reference Range 125200 Your Aug12 reading: 190 mg/dL CHOLESTEROL, TOTAL High cholesterol may put you at risk for heart disease or stroke. Elevated cholesterol levels can be caused by diets high in cholesterol and saturated fats. Genetics or medical conditions such as diabetes, hypothyroidism, kidney disease, liver disease or pregnancy can also raise the amount of cholesterol in your blood. A low cholesterol measurement is one that falls below the range where you are considered at risk for cardiovascular (heart and blood vessel) disease. Decreased levels of cholesterol can indicate malnutrition, intestinal malabsorption, hyperthyroidism, chronic anemia, liver disease or other medical conditions. Your result falls below the normal Reference Range. Always seek the advice of your doctor or qualified healthcare provider if you have any questions about your result. 100 mg/dL 40 mg/dL Reference Range > OR = 46 Your Aug12 reading: 60 mg/dL HDL CHOLESTEROL Elevated high density lipoprotein (HDL) cholesterol is associated with decreased risk of heart disease. Unlike other cholesterol levels, the HDL cholesterol test result is best if it is high. Levels may increase with regular exercise. A low level of HDL cholesterol can be associated with increased risk for heart disease. Genetic factors or conditions including liver disease, malnutrition or hyperthyroidism may decrease HDL cholesterol levels. Smoking and drinking alcohol may also decrease your HDL cholesterol level. This result is associated with a high risk of coronary heart disease. Always seek the advice of your doctor or qualified healthcare provider if you have any questions about your result. 40 mg/dL The following results are an evaluation of your health risk status. This may differ from your risk status for Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess the results. 44 mg/dL (calc) Reference Range <130 Your Aug12 reading: 102 mg/dL (calc) LDLCHOLESTEROL Elevated low density lipoprotein (LDL) cholesterol is associated with an increased risk of heart disease. LDL cholesterol often increases with a diet high in cholesterol and saturated fats. For many people, their LDL cholesterol test is based on heredity. Lifestyle choices including diet and many medications are effective in lowering the LDL cholesterol level. Your result is associated with a low risk of coronary heart disease. You should be aware it is also important to consider other factors including smoking, diabetes, blood pressure, family history and the results of other tests in assessing your risk for coronary heart disease. Always seek the advice of your doctor or qualified healthcare provider if you have any questions about your result. 44 mg/dL (calc) 2.5 (calc) Reference Range < OR = 5.0 Your Aug12 reading: 3.2 (calc) CHOL TO HDLC RATIO The total cholesterol/HDL cholesterol ratio is a calculation obtained by dividing the total cholesterol level by the HDL cholesterol level and is another indicator of heart disease risk. A ratio of 5.0 or less is associated with a lower risk of heart disease. A ratio of less than 3.5 is highly desirable. This result is associated with the lowest risk of coronary heart disease. 2.5 (calc) 1.0 mg/L Reference Range < OR = 3.0 Your Aug12 reading: 2.8 mg/L CARDIO CRP CRP stands for “Creactive protein” which is made by the liver in response to infection, tissue injury or inflammation. Even low values, previously regarded as normal, have been shown to be a risk factor for atherosclerosis (fatty deposits lining the walls of blood vessels). Results of this test can help predict your risk of developing atherosclerotic heart disease. Build up of these fatty deposits can cause chest pain, called angina, and eventually lead to a heart attack. Your risk increases with increasing levels of CRP. A desirable cardio CRP is less than 1 mg/L. Increased heart disease risk is associated with cardio CRP levels exceeding 3 mg/L with levels between 1 and 3 mg/L suggesting average risk. When a cardio CRP result is greater than 10.0 mg/L, risk analysis may be confused by a recent infection or illness. If this is noted, wait at least two weeks after resolution of any infection or illness and have another test performed. Menstrual periods may cause an elevation in cardio CRP. Your result falls within the normal Reference Range. 1.0 mg/L The following results are an evaluation of your health risk status. This may differ from your risk status for Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess the results. Thyroid Tests The thyroid is a small, butterflyshaped gland located in the lower part of the front of the neck. This gland releases hormones into the blood stream. The levels of thyroid in the blood affect heart rate, muscle strength, bowel function, fat metabolism, energy level, hair growth, and mood. Unexplained weight loss or gain, heart palpitations, brittle hair and nails and fatigue are a few symptoms of thyroid issues. 0.70 mIU/L Reference Range 0.404.50 Your Aug12 reading: 4.00 mIU/L TSH, 3RD GENERATION with reflex The thyroid gland produces hormones that regulate or affect many bodily functions. Thyroid stimulating hormone (TSH) is the hormone which controls the thyroid gland function. An excess or deficiency of this hormones can affect energy levels, mood, and many functions. When the thyroid gland fails, due to primary disease of the thyroid, TSH levels increase. This condition is called primary hypothyroidism meaning low functioning of the thyroid. In contrast, when the thyroid gland is overactive and producing too much thyroid hormone, the TSH level decreases. This is called primary hyperthyroidism, meaning excessive functioning of the thyroid. Both hypothyroidism and hyperthyroidism can be detected by the TSH test. For pregnant women the reference ranges are: First trimester 0.262.66 Second trimester 0.552.73 Third trimester 0.432.91 Your test indicated an appropriate level of TSH, a result that is usually not associated with thyroid disorders. With aging, thyroid function decreases and TSH levels increase. 0.70 mIU/L The following results are an evaluation of your health risk status. This may differ from your risk status for Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess the results. Kidney Tests The kidneys' main function is to eliminate metabolic waste products and to maintain balance of sodium, potassium, chloride, water and many other vital elements in the body. Blood flows into the kidneys where over one million small "filters" serve to remove these waste products and form urine. The kidneys are also important in the maintenance of blood pressure and in the production of a hormone that stimulates production of red blood cells. 0.4 mg/dL Reference Range 0.501.05 Your Aug12 reading: 1.0 mg/dL CREATININE Creatinine is derived from muscles and released into the blood. It is removed from the body by the kidneys. When the creatinine level is elevated, a decrease in kidney function is suggested. A low value is usually of no clinical significance. Always seek the advice of your doctor or qualified healthcare provider if you have any questions about your result. 0.4 mg/dL 116 mL/min/1.73m2 Reference Range > OR = 60 Your Aug12 reading: 63 mL/min/1.73m2 EGFR (ESTIMATED GLOMERULAR FILTRATION RATE) Creatinine is not sensitive to early renal damage since it varies with age, gender and ethnic background. The impact of these variables can be reduced by an estimation of the glomerular filtration rate (eGFR) using an equation that includes serum creatinine, age and gender. An eGFR >= 60 sixty indicates an appropriate level of creatinine, a result that is usually not associated with kidney disorders. 116 mL/min/1.73m2 The following results are an evaluation of your health risk status. This may differ from your risk status for Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess the results. Bone Tests The normal adult skeleton is made up of 206 bones. Bone is composed of specialized cells and proteins as well as a hard mineral substance made of calcium phosphate and calcium carbonate. Bone serves as a reservoir of calcium for the body. The bone marrow located in the center of many bones produces the red blood cells, white blood cells, and platelets that circulate in our bloodstream. 8.4 mg/dL Reference Range 8.610.4 Your Aug12 reading: 9.0 mg/dL CALCIUM Calcium is one of the most important elements in the body, essential for maintenance and repair of bone and teeth, heart function and blood clotting. Ninetynine percent of the calcium in your body is contained in your bones—only one percent is in the blood. Low levels of calcium in the blood are associated with malnutrition, eating disorders, secondary to some medications, and abnormalities with absorption of vitamin D, low parathyroid gland function, and advanced kidney disease. High levels can be caused by bone disease, excessive use of antacids and milk, cancer, excessive vitamin D and some hormone disorders. An abnormal calcium level should be evaluated by your healthcare provider. A low value can indicate inadequate absorption, malnutrition, vitamin D deficiency or low albumin (protein). Always seek the advice of your doctor or qualified healthcare provider if you have any questions about your result. 8.4 mg/dL The following results are an evaluation of your health risk status. This may differ from your risk status for Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess the results. Pancreas Tests The pancreas is an organ that is part of both the digestive and endocrine (controls hormone levels and helps to regulate the body) systems. The pancreas is located beside the stomach and is made up of two major types of tissues. One tissue produces hormones such as insulin (regulates glucose levels), and the other tissue produces enzymes that aid in the digestion of food. 64 mg/dL Reference Range 6599 Your Aug12 reading: 90 mg/dL GLUCOSE Glucose is the chief source of energy for all cells in the body. The test measures the concentration of glucose in your blood to screen for problems with the way your body processes sugar. A high level can indicate a condition where the body is not correctly using or producing insulin, the hormone that enables your body to use glucose. A glucose level above the reference range is called hyperglycemia and can suggest the possibility of diabetes. Stress from surgery or trauma, renal failure, pancreatitis, steroid therapy and other conditions may also increase blood glucose levels. A glucose level below the reference range is called hypoglycemia. Increased levels of insulin, hypothyroidism, liver disease and other conditions may contribute to low blood glucose. Certain medicines such as steroids, insulin and propranolol may also lower blood glucose. A decreased level of glucose is called hypoglycemia, or low blood sugar, which can prevent your body from functioning properly. Certain conditions such as liver disease and hypothyroidism can contribute to low glucose levels. Medications such as insulin may also lower blood glucose. Always seek the advice of your doctor or qualified healthcare provider if you have any questions about your result. If you have diabetes, you should seek medical attention so that your doctor can evaluate possible adjustments to your therapy to better manage your glucose levels. 64 mg/dL The following results are an evaluation of your health risk status. This may differ from your risk status for Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess the results. 3.5 % of total Hgb Reference Range <5.7 Your Aug12 reading: 5.1 % of total Hgb HEMOGLOBIN A1c Hemoglobin A1c measures the average amount of blood sugar (glucose) level for the past two to three months. The blood level of glucose is tightly controlled by hormones, especially insulin produced by the pancreas. Consistently, high blood glucose is typically observed in individuals with uncontrolled diabetes or undiagnosed diabetes. In people with diabetes, insulin is either less effective or not produced in sufficient quantity thus making it harder to manage the amount of sugar passing through the blood. A1c Level Interpretation: 4.05.6% Consistent with absence of diabetes. If you have diabetes, you may be at high risk of hypoglycemia (low glucose level). 5.76.4% Consistent with prediabetes. If you have diabetes, consistent with very good control.. 6.56.9% Consistent with diabetes, if confirmed on repeat testing. Suggest confirmation with repeat measurement with your physician. If you have diabetes, consistent with good control. 7.08.0% Consistent with diabetes, if confirmed on repeat testing. Suggest confirmation with repeat measurement with your physician. If you have diabetes, consistent with moderately poor control that may benefit from modified medical management. >8.0% Consistent with diabetes, if confirmed on repeat testing. Suggest confirmation with repeat measurement with your physician. If you have diabetes, consistent with poorly controlled diabetes that needs modified medical management. The test results are reported as a percentage, representing the percentage of total hemoglobin that is bound to glucose in your blood. For nondiabetics, the optimal value is less than 5.7%. In people being treated for diabetes, a value of 7% or less is the target for diabetes in control. The ADA recommends that action be taken when hemoglobin A1c results are over 8%. Always seek the advice of your doctor or qualified healthcare provider if you have any questions about your result. 3.5 % of total Hgb The following results are an evaluation of your health risk status. This may differ from your risk status for Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess the results. Liver Tests The liver is the body's chief "chemical factory" and performs many varied and complex tasks. The liver produces certain proteins such as albumin and the proteins that are involved in blood clotting. The liver also produces about half of the total cholesterol in the body (the other half comes from food). The liver filters blood from all over the body. Enzymes in the liver neutralize harmful or toxic substances such as alcohol or many medications which are then eliminated in either bile or blood. The liver also serves as a storage site for sugars and lipids, which can be released when needed. 6.0 g/dL Reference Range 6.18.1 Your Aug12 reading: 7.0 g/dL PROTEIN, TOTAL Total protein has two main components—albumin and globulin. The body’s protein is derived from ingested food and therefore is influenced by the quality of diet, as well as by liver and kidney function. A low total protein is seen in pregnancy, acute burns, severe dietary deficiency, chronic liver disease, and in kidney disease. Always seek the advice of your doctor or qualified healthcare provider if you have any questions about your result. 6.0 g/dL 3.4 g/dL Reference Range 3.65.1 Your Aug12 reading: 4.0 g/dL ALBUMIN Albumin is the largest portion of total blood protein. Decreased blood albumin may indicate many disorders including poor nutrition and advanced liver disease. Modest decreases in albumin may be seen in people with low thyroid gland function and proteinlosing conditions. A low level of albumin can be caused by malnutrition, excess body water, pregnancy, liver disease, and kidney disease, severe injury such as burns or major bone fractures, and prolonged blood loss. Always seek the advice of your doctor or qualified healthcare provider if you have any questions about your result. 3.4 g/dL 2.6 g/dL (calc) Reference Range 1.93.7 Your Aug12 reading: 3.0 g/dL (calc) GLOBULIN Globulin is not measured directly. It is calculated as the difference between the total protein and the albumin levels. The globulins are a group of about 60 different proteins that are part of the immune system, which help to fight or prevent infections. They also play an important role in blood clotting, and serve as carrier proteins for hormones. Your result falls within the normal Reference Range and indicates an albumin level not associated with a disease state. 2.6 g/dL (calc) The following results are an evaluation of your health risk status. This may differ from your risk status for Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess the results. 1.3 (calc) Reference Range 1.02.5 Your Aug12 reading: 1.3 (calc) ALBUMIN/GLOBULIN RATIO An alternative way to tell if the albumin or globulin levels in the blood are abnormal is to compare the level of albumin to the level of globulin. If both the albumin and globulin results fall within the specified reference ranges, then a high or low A/G ratio result is not generally considered significant. A high globulin level and low albumin/globulin ratio may suggest high production of globulin that may be due to chronic infections, autoimmune disease, multiple myeloma, and other medical conditions. Your result falls within the normal Reference Range and indicates a ratio level not associated with a disease state. 1.3 (calc) 0.1 mg/dL Reference Range 0.21.2 Your Aug12 reading: 1.0 mg/dL BILIRUBIN, TOTAL Bilirubin is the main pigment in bile and a major product of normal red cell breakdown. It is helpful in evaluating liver function, various anemias and in evaluating jaundice, yellowing of the skin. A low value is usually of no clinical significance. Always seek the advice of your doctor or qualified healthcare provider if you have any questions about your result. 0.1 mg/dL 0.1 mg/dL Reference Range < OR = 0.2 Your Aug12 reading: 0.0 mg/dL BILIRUBIN, DIRECT Direct bilirubin is a specific form of bilirubin that is formed in the liver and excreted in the bile. Normally very little of this form of bilirubin is found in the blood. However, in liver disease, this form of bilirubin leaks into the blood so a high level of direct bilirubin may indicate a problem with the liver cells. Your result falls within the normal Reference Range. 0.1 mg/dL 32 U/L Reference Range 33130 Your Aug12 reading: 50 U/L ALKALINE PHOSPHATASE Alkaline phosphatase is an enzyme found primarily in bone and the liver. Elevated levels may indicate the presence of bone or liver disorders. It is commonly increased when the bile duct is blocked as may be caused by gallstones. The enzyme activity also increases following fractures and in growing children and pregnant women. A low value is usually of no clinical significance. Always seek the advice of your doctor or qualified healthcare provider if you have any questions about your result. 32 U/L 3 U/L Reference Range 370 Your Aug12 reading: 50 U/L GGT Gammaglutamyl transferase (GGT) is produced in highest concentration within bile ducts in the liver and can be used as an indicator of liver disease. It may also rise with alcohol consumption and certain medications. Your result falls within the normal Reference Range. 3 U/L The following results are an evaluation of your health risk status. This may differ from your risk status for Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess the results. 9 U/L Reference Range 1035 Your Aug12 reading: 30 U/L AST Aspartate aminotransferase (AST) is an enzyme found in the liver and in cardiac and skeletal muscle. AST may rise in liver, heart, and muscle disorders. It can also rise following strenuous, prolonged exercise. A low value is usually of no clinical significance. Always seek the advice of your doctor or qualified healthcare provider if you have any questions about your result. 9 U/L 5 U/L Reference Range 629 Your Aug12 reading: 35 U/L ALT Alanine aminotransferase (ALT) is an enzyme produced primarily in the liver, skeletal and heart muscle. ALT is present in the liver in a higher concentration than AST and is more specific for differentiating liver injury from muscle damage. ALT rises in the instance of liver disease. A low value is usually of no clinical significance. Always seek the advice of your doctor or qualified healthcare provider if you have any questions about your result. 5 U/L The following results are an evaluation of your health risk status. This may differ from your risk status for Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess the results. Other Tests 2.3 mg/dL Reference Range 2.57.0 Your Aug12 reading: 4.0 mg/dL URIC ACID Uric acid is one of the byproducts from the breakdown of cells. A high level of uric acid in your blood may cause gout, arthritis or kidney stones. Kidney disease, stress, alcohol and certain diuretics may also raise the uric acid level. High uric acid levels should be evaluated by your health care provider, whereas low values are not generally considered significant. Your result falls outside of the normal Reference Range. Always seek the advice of your doctor or qualified healthcare provider if you have any questions about your result. Always seek the advice of your doctor or qualified healthcare provider if you have any questions about your result. 2.3 mg/dL 36 mcg/dL Reference Range 40160 Your Aug12 reading: 150 mcg/dL IRON, TOTAL The body must have iron to make hemoglobin and to help transfer oxygen to the muscles. If the body is low in iron, all body cells, particularly muscles in adults and brain cells in children, do not function up to par. On the other hand too much iron in the body can cause injury to the heart, pancreas, joints, testicles, ovaries, and other organs and tissues. Iron excess is found in the hereditary disease called hemochromatosis which occurs in about 3 out of every 1000 people. Any value outside the specified reference range should be evaluated by your healthcare provider. Your low value may be consistent with iron deficiency. Iron deficiency often causes a decrease in hemoglobinrich red blood cells, a condition known as iron deficiency anemia. A low result may also be seen in other types of anemias associated with chronic diseases, such as rheumatoid arthritis. Always seek the advice of your doctor or qualified healthcare provider if you have any questions about your result. 36 mcg/dL 211 mcg/dL Reference Range 250450 Your Aug12 reading: 350 mcg/dL IRON BINDING CAPACITY Iron is best interpreted with the total iron binding capacity (TIBC). The TIBC reflects the total capacity of the blood to carry iron. The percent saturation is the ratio of the iron to TIBC. It is a reflection of remaining capacity to carry iron. Your low value of iron/TIBC percent saturation is consistent with iron deficiency. Iron deficiency often causes a decrease in hemoglobinrich red blood cells, a condition known as iron deficiency anemia. A low result may also be seen in other types of anemias associated with chronic diseases, such as rheumatoid arthritis. Always seek the advice of your doctor or qualified healthcare provider if you have any questions about your result. 211 mcg/dL The following results are an evaluation of your health risk status. This may differ from your risk status for Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess the results. 17 % (calc) Reference Range 1550 Your Aug12 reading: 43 % (calc) % SATURATION Transferrin percent saturation (% Saturation) is obtained by comparing the iron level to the TIBC level. It is a simple way to compare the amount of iron in the blood to the capacity of the blood to transport iron. The calculated ratio sometimes highlights an abnormality that is not obvious by reviewing the individual test results. Your results fall within the normal Reference Range. 17 % (calc) 9 ng/mL Reference Range 10232 Your Aug12 reading: 150 ng/mL FERRITIN Ferritin, another protein, is the best indicator of the amount of uncommitted iron reserve that the body has in storage and is useful in the diagnosis of hypochromic microcytic anemia (low red blood cell count associated with small red blood cells). A low ferritin value indicates decreased iron reserves and is consistent with iron deficiency, especially when the iron/TIBC percent saturation is also low. Always seek the advice of your doctor or qualified healthcare provider if you have any questions about your result. 9 ng/mL 3.7 Thousand/uL Reference Range 3.810.8 Your Aug12 reading: 8.0 Thousand/uL WHITE BLOOD CELL COUNT White blood cells (WBCs) are the body's protectors. Each of the five varieties of WBCs plays its own specific role in defending your body against illness or injury. WBCs are larger than red blood cells (RBCs), but there are fewer of them. When you have an infection, increased numbers of WBCs are sent from the bone marrow and bloodstream to attack the cause of the infection. Examples of conditions that cause an increased number of WBCs include appendicitis, pregnancy, and leukemia. Strenuous exercise, emotional distress and anxiety can also cause a mild to modest increased WBC count. Slightly low WBC counts may be your natural level. A low WBC count makes it harder for your body to fight off infection. People with a very low WBC count are more likely to catch colds or other infectious diseases. Low WBC counts may be seen in overwhelming infections like mumps, lupus, cirrhosis of the liver and cancer. People with a very low WBC count are more likely to catch colds or other infectious diseases. Low WBC counts may be seen in overwhelming infections like mumps, lupus, cirrhosis of the liver and cancer. In addition, radiation therapy and certain types of drug therapy tend to lower the WBC count. Always seek the advice of your doctor or qualified healthcare provider if you have any questions about your result. 3.7 Thousand/uL 3.75 Million/uL Reference Range 3.805.10 Your Aug12 reading: 4.80 Million/uL RED BLOOD CELL COUNT This is a count of the actual number of red blood cells (RBCs) per unit of blood. The RBC count is used to aid in the diagnosis of anemia or other conditions that affect red blood cells. A decreased RBC count can be associated with anemia, excessive bleeding, kidney disease, cirrhosis, pregnancy or excess body fluids. Low counts can also result from bone marrow failure. Always seek the advice of your doctor or qualified healthcare provider if you have any questions about your result. 3.75 Million/uL The following results are an evaluation of your health risk status. This may differ from your risk status for Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess the results. 11.1 g/dL Reference Range 11.715.5 Your Aug12 reading: 14.8 g/dL HEMOGLOBIN Hemoglobin is an ironcontaining protein found in red blood cells (RBCs), enabling the cells to carry oxygen and carbon dioxide in the blood. Measuring hemoglobin gives a picture of the ability of the blood to carry oxygen to every cell of your body. A low hemoglobin level may indicate anemia. Hemoglobin increases with altitude adaptation. In general, women have lower hemoglobin values than men. Decreased hemoglobin can be due to anemia, excess body fluid, bleeding, kidney disease, cirrhosis or pregnancy. Always seek the advice of your doctor or qualified healthcare provider if you have any questions about your result. 11.1 g/dL 34.0 % Reference Range 35.045.0 Your Aug12 reading: 45.0 % HEMATOCRIT This screening measures how much of your blood is made of red blood cells (RBCs). A hematocrit measurement is useful in identifying anemia, the presence of liver disease, bleeding disorders and red cell production within the circulatory system. Hematocrit increases with altitude adaptation or dehydration. Women generally have lower hematocrit values than men. Decreased levels may suggest anemia, excess body fluids, cirrhosis, bleeding, kidney disease, arthritis or lupus. A low hematocrit is usually associated with a low red blood cell count. It can also result from a high total blood volume, such as occurs during pregnancy, or due to an extremely high white blood cell count. Always seek the advice of your doctor or qualified healthcare provider if you have any questions about your result. 34.0 % 90.7 fL Reference Range 80.0100.0 Your Aug12 reading: 93.8 fL MCV Mean corpuscular volume (MCV) is a measurement of the average size of your red blood cells (RBCs). A high MCV indicates large, or macrocytic, RBCs. A high MCV is associated with specific varieties of anemia and can indicate a deficiency in vitamin B12 or folic acid. A low MCV indicates small, or microcytic, red blood cells. A low MCV is associated with anemia, and can indicate an iron deficiency, chronic illness or the hereditary disease, thalassemia. Your result falls within the normal Reference Range. 90.7 fL 29.6 pg Reference Range 27.033.0 Your Aug12 reading: 30.8 pg MCH Mean corpuscular hemoglobin (MCH) is a calculation of the amount of oxygencarrying hemoglobin inside your red blood cells (RBCs). A high MCH indicates an increased level of hemoglobin, the oxygen carrying protein, in your RBCs. Increases can be associated with anemia. Often, increased MCH occurs in conjunction with a high mean corpuscular volume—or large red blood cellswhich suggest macrocytic anemia. A low MCH indicates that you have a decreased level of oxygencarrying protein in your red blood cells. Decreases can be associated with certain types of anemia. Often, decreases occur in conjunction with low mean corpuscular volume—or small RBCs—which suggest microcytic anemia. Hypochromic anemia, resulting from hemoglobin deficiency, can be a possibility as well. Your result falls within the normal Reference Range. 29.6 pg The following results are an evaluation of your health risk status. This may differ from your risk status for Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess the results. 32.6 g/dL Reference Range 32.036.0 Your Aug12 reading: 32.9 g/dL MCHC Mean corpuscular hemoglobin concentration (MCHC) is the calculation of the percentage of oxygen carrying hemoglobin in the individual red blood cells (RBCs). A high MCHC indicates an increased level of hemoglobin in your RBCs. Increased MCHC is usually a technical rather than a medical issue. A high level may be caused by distortions in the shape of your RBCs caused by problems in collection, transport or storage of the blood sample. A low MCHC indicates a decreased level of hemoglobin in your RBCs. Decreases can be associated with certain types of anemia, such as irondeficiency or the hereditary disease, thalassemia. Your result falls within the normal Reference Range. 32.6 g/dL 10.5 % Reference Range 11.015.0 RDW Red cell distribution width (RDW) is a calculation of the variation in the size of your red blood cells (RBCs). Your result falls outside of the normal Reference Range. Always seek the advice of your doctor or qualified healthcare provider if you have any questions about your result. 10.5 % 135 Thousand/uL Reference Range 140400 Your Aug12 reading: 275 Thousand/uL PLATELET COUNT Platelets are the smallest type of cell found in the blood. Platelets help stop bleeding after an injury by gathering around the injury site, plugging the hole in the bleeding vessel and helping the blood to clot more quickly. Platelet counts may be done if you are prone to bruising or if you are about to have surgery. The platelet count may change with bleeding disorders, heart disease, diabetes and inflammatory disorders. Low platelet counts can be associated with anemia, excessive bleeding, Grave’s disease, lupus, genetic disorders or infection. Platelet counts may decrease before menstruation. Chemotherapy can lower platelet counts due to its destruction of bone marrow, where platelets are made. Medications such as heparin, acetaminophen, aspirin, histamine2 blockers (such as cimetidine and ranitidine), thiazide diuretics and sulfonamides may also decrease platelets. Always seek the advice of your doctor or qualified healthcare provider if you have any questions about your result. 135 Thousand/uL 2590 cells/uL Reference Range 15007800 ABSOLUTE NEUTROPHILS Neutrophilic granulocytes (“neutrophils”) are the most abundant white blood cell. Neutrophils are an essential component of the immune system. They respond to bacterial infections and other types of inflammation. In an infection, neutrophils seep out of the blood vessels in response to factors released as sites of infection. The predominant cells in pus that we observe in a wound are neutrophils. There is a low likelihood of an acute infection because the number of neutrophils typically increases in the presence of an acute infection, especially of bacterial origin. Always seek the advice of your doctor or qualified healthcare provider if you have any questions about your result. 2590 cells/uL The following results are an evaluation of your health risk status. This may differ from your risk status for Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess the results. 370 cells/uL Reference Range 8503900 ABSOLUTE LYMPHOCYTES Lymphocytes are the second most common white blood cell (WBC). Lymphocytes are divided into larger cells that are also known as natural killer lymphocytes and smaller cells known as B and T lymphocytes. Natural killer cells are important in our immune system to defend against tumors and viral infections. They respond to alterations in the surface of tumor cells and infected cells. B and T lymphocytes adapt to infected cells by either a cellular response mediated by T lymphocytes or antibodies mediated by B lymphocytes. The lymphocyte count can be low when the immune system cannot respond to an infection. For example, in human immunodeficiency virus (HIV) infection, the virus infects a subtype of the T lymphocytes and the lymphocyte count may be low. Always seek the advice of your doctor or qualified healthcare provider if you have any questions about your result. 370 cells/uL 185 cells/uL Reference Range 200950 ABSOLUTE MONOCYTES Monocytes, like the other white blood cells (WBCs), originate in the bone marrow, the complex spaces within many of our larger bones. Monocytes are responsible for eating foreign intruders (phagocytosis) and killing infected cells. Monocytes are important in triggering atherosclerosis that affects our arteries and can lead to heart disease and stroke. 185 cells/uL 370 cells/uL Reference Range 15500 ABSOLUTE EOSINOPHILS Eosinophilic granulocytes (“eosinophils”) are part of our immune system’s response to infection including from parasites. Eosinophils, along with basophils and mast cells, are important in allergic responses and in asthma. A parasitic infection or moderate to severe allergic reaction of asthmatic symptoms is unlikely. In these medical conditions, the eosinophil count is typically increased to greater than 500 cells per microliter with the count somewhat correlated to the severity of disease. Always seek the advice of your doctor or qualified healthcare provider if you have any questions about your result. 370 cells/uL 185 cells/uL Reference Range 0200 ABSOLUTE BASOPHILS Basophilic granulocytes (“basophils”) are the least common of the five white blood cell types. When activated, basophils secrete or release many compounds including histamine and interleukin4. Both compounds are important in the allergic response. Your result falls within the normal Reference Range. 185 cells/uL The following results are an evaluation of your health risk status. This may differ from your risk status for Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess the results. 23 in Reference Range M: <=40 F: <=35 Your Aug12 reading: 34 in Waist Circumference Inches Excess weight as measured by BMI, is not the only risk to your health, so is the location of fat on your body. If you carry fat mainly around your waist, you are more likely to develop health problems than if you carry fat mainly in your hips and thighs. This is true even if your BMI falls within the normal range. Women with a waist measurement of more than 35 inches (88 cm) or men with a waist measurement of more than 40 inches (102 cm) may have a higher disease risk than people with smaller waist measurements because of where their fat lies. 23 in 18.0 Reference Range 18.524.9 Your Aug12 reading: 30.4 BMI Body mass index (BMI) is an indication of body size and by association, body fat. It is calculated by multiplying your weight in pounds by 703, then dividing by height in inches squared. Normal values are between 18.5 and 24.9. 18.0 105/65 Reference Range < 120/80 Your Aug12 reading: 120/100 BLOOD PRESSURE Hypertension, commonly referred to as high blood pressure, is a medical condition in which the blood pressure is chronically elevated. Hypertension has been associated with a high risk of heart attack or stroke. A normal value for systolic blood pressure is <120. Prehypertension 120139 Stage 1 Hypertension 140159 Stage 2 Hypertension >= 160 A normal value for diastolic blood pressure is < 80. Prehypertension 8089 Stage 1 Hypertension 9099 Stage 2 Hypertension >= 100 Table from The American Heart Association (www.heart.org). 105/65 There are many factors that contribute to your overall wellbeing, good health and a better you. On the next few pages you will see some specific issues that should be addressed. Also throughout your journey you must also remember about the simple, basic steps that add up to a healthier lifestyle such as: Weight Management Stress Reduction Good Nutrition Regular Exercise Test1, here are some steps to help improve your health. Based on your information, the below three issues are important areas that you should focus on. While you may have more than three risk factors, these three are the most important for you to take action upon. It is strongly recommended that you talk to your doctor about these suggestions and steps you can take for better health in the future. OPTIMAL ELEVATED RISK HIGH RISK 1 . Exercise Not being physically active increases your risk for obesity, high cholesterol, high blood pressure, and cardiovascular disease. Action Plan Being physically active not only helps you maintain a healthy weight, but regular physical activity leads to a healthy heart, healthy bones and muscles. With so many positive side affects, it is astounding that only one quarter of the U.S. population takes part in regular physical activity. Taking part in physical activity means working hard enough to raise your heart rate and break a sweat, yet still being able to hold a conversation. According to the American Heart Association (AHA) and the American College of Sports Medicine (ACSM), you should take part in physical activity for 30 minutes a day five days a week. Also you should take part in eight to ten strength training exercises at least two times a week. http://www.cdc.gov/physicalactivity 2 . Preventive Screenings Staying up to date with your preventive screenings will help you understand your health status and can save your life. Action Plan Do you know your cholesterol and glucose values? If you answered no, you are likely out of compliance with the national guidelines for preventive screenings. Taking part in preventive screenings is one of your first defenses against cancer, heart disease, diabetes and other debilitating conditions. In the following pages of this report there is a listing of preventive screenings that are tailored to you. Be sure to review your recommended screenings and talk with your doctor about meeting the recommended guidelines. http://healthfinder.gov/FindServices 3 . SelfCare Proper selfcare is making the right decisions about managing your health. Action Plan Being a wise consumer with your health and wellness is the definition of proper selfcare. Repeated trips to the doctor or emergency room can be avoided by referring to a selfcare resource. Selfcare books and websites are handy resources for routine household illnesses and injuries. http://www.healthierus.gov Manage Your Weight Whether you are at your ideal weight or considered overweight, weight management is important. Successfully managing your weight plays a large role in managing your cholesterol, triglycerides, and risk for conditions such as metabolic syndrome, cardiovascular disease and diabetes. Always remember that you are an example for children and friends. You can help them stay at their ideal weight by guiding them to eat healthy low fat food and spend time together playing games that are physically active or taking walks together. Manage Your Stress Stress can be the catalyst for high blood pressure and even heart disease. Everyone benefits from learning how to manage stressful times. Some of the signs and symptoms of stress issues are lack of concentration, irritability, anger, overeating, and sleep difficulties. There are some very simple things you can do to help manage the tough situations that cause stress, such as finding the positive side of things or lightening the difficult situation by using humor. Eat Healthier Foods Here are a couple of great tips to help you practice good nutrition. 1. Keep an eye on your portions: Think about using a snack size zip lock bag when taking food to the office or giving food to children. The snack size is the correct portion for most foods. 2. Stay away from processed foods: If you cannot say or read all of the ingredients in the product, don't buy it. Get Physically Active Having trouble fitting exercise in? Here are some tips. 1. Make time during your favorite TV shows: How about walking on a treadmill, biking, or lifting weights while watching your shows? 2. Make your chores count: If you mow the yard or mop the floor, do your chores at a little faster pace than normal to get your heart rate up. 3. Use time with family wisely: When having family time, take a walk together or plan family activities that include physical activity. Not only is this good for you, but it will set a great example for the rest of your family. Test1, below is your Pyramid Food Intake Pattern Calorie Levels 18 1920 2125 2630 3135 3640 4145 4650 5155 5660 6165 6670 7175 76+ 1800 2000 2000 1800 1800 1800 1800 1800 1600 1600 1600 1600 1600 1600 2000 2200 2200 2000 2000 2000 2000 2000 1800 1800 1800 1800 1800 1800 2400 2400 2400 2400 2200 2200 2200 2200 2200 2200 2000 2000 2000 2000 *Calorie levels are based on the Estimated Energy Requirements and activity levels from the Institute of Medicine Dietary Reference Intakes Maximum Report, 2003 Sedentary Participating in less than 30 minutes of moderate physical* activity in addition to daily activity. Moderate Activity Participating in at least 30 minutes, up to 60 minutes a day of moderate physical* activity in addition to daily activity. Moderate Physical Activity: Activities that use large muscle groups such as brisk walking, cycling, swimming Active Participating in 60 or more minutes a day of moderate physical* activity in addition to daily activity. Preventive Screenings Being healthy also requires you to be responsible for taking care of yourself. According to your age and gender, there are several preventive screenings you should consider. Use this information to help stay on the road to good health. It’s also always important to schedule regular checkups with your doctor. Heart Health Blood pressure measurement (US Preventative Services Task Force, 2007) Lipid Panel (Cholesterol) test (U.S. Preventive Services Task Force, 2008) At least every two years* USPSTF recommends screening for high blood pressure in adults age ≥ 18 yr At least every two years* USPSTF recommends screening for high blood pressure in adults age ≥ 18 yr At least every two years* USPSTF recommends screening for high blood pressure in adults ages ≥ 18 yr At Least every two years* USPSTF recommends screening for high blood pressure in adults ages ≥18 yr USPSTF recommends screening ages 2045 yr for lipid disorders if at increased risk for coronary heart disease USPSTF recommends screening ages 2045 yr for lipid disorders if at increased risk for coronary heart disease. USPSTF strongly recommends screening ages ≥ 45 yr. USPSTF strongly recommends screening ages ≥45 yr. USPSTF strongly recommends screening ages ≥ 45 yr. At age 45 and older if you have any of the following risk factors:* Family history of high cholesterol Premature heart disease in a first degree relative (such as a parent or sibling)† Diabetes Smoker or former smoker High blood pressure BMI ≥ 30 At age 45 and older if you have any of the following risk factors:* Family history of high cholesterol Premature heart disease in a first degree relative (such as a parent or sibling)† Diabetes Smoker or former smoker High blood pressure BMI ≥ 30 Otherwise every five years* Otherwise every five years* Starting at age 2045, if: Family history of high cholesterol Premature heart disease in a first degree relative (such as a parent or sibling)† Diabetes Smoker or former smoker High blood pressure BMI ≥ 30 At age 45 and older if you have any of the following risk factors:* Family history of high cholesterol Premature heart disease in a first degree relative (such as a parent or sibling)† Diabetes Smoker or former smoker High blood pressure BMI ≥ 30 Otherwise every five years* Diabetes Blood glucose test (American Diabetes Association, 2006) Reproductive Health Pap test and Pelvic Exam Screen every three years for type 2 diabetes in adults with sustained blood pressure >135/80 mm Hg. Screen every three years for type 2 diabetes in adults with sustained blood pressure >135/80 mm Hg. Screen every three years for type 2 diabetes in adults with sustained blood pressure >135/80 mm Hg. Screen every three years for type 2 diabetes in adults with sustained blood pressure >135/80 mm Hg. In persons with BP < 135/80 mm Hg, Discuss with your doctor or nurse. In persons with BP < 135/80 mm Hg, Discuss with your doctor or nurse. In persons with BP < 135/80 mm Hg, Discuss with your doctor or nurse. In persons with BP < 135/80 mm Hg, Discuss with your doctor or nurse. Every12 years if you have been sexually active or are older than 21* Every 13 years Every 13 years USPSTF strongly recommends screening for cervical cancer in women who have been sexually active and have a cervix USPSTF strongly recommends screening for cervical cancer in women who have been sexually active and have a cervix USPSTF recommends against routinely screening women older than age 65 yr for cervical cancer if they have had adequate recent screening with normal Pap smears and are not otherwise at high risk for cervical cancer* Every Year* Every Year* Every Year* Self breast exams are optional, however, these exams can help you discover cancer early which makes it easier to treat. If you notice any change, tell you doctor or nurse.* Self breast exams are optional, however, these exams can help you discover cancer early which makes it easier to treat. If you notice any change, tell you doctor or nurse.* Self breast exams are optional, however, these exams can help you discover cancer early which makes it easier to treat. If you notice any change, tell you doctor or nurse.* No requirement unless high risk (For example: first degree relatives who have had colorectal adenomas or cancer; specific inherited syndromes, the Lynch syndrome, history of colorectal polyps; chronic inflammatory bowel disease.) No requirement unless high risk (For example: first degree relatives who have had colorectal adenomas or cancer; specific inherited syndromes, the Lynch syndrome, history of colorectal polyps; chronic inflammatory bowel disease.) USPSTF recommends screening for colorectal cancer using FOBT/FIT, sigmoidoscopy, or colonoscopy in adults, beginning at age 50 years and continuing until age 75 years. USPSTF recommends screening for colorectal cancer using FOBT/FIT, sigmoidoscopy, or colonoscopy in adults, beginning at age 50 years and continuing until age 75 years. FOBT/FIT: Every Year* or Colonoscopy or Sigmoidoscopy: Every 10 years* FOBT/FIT: Every Year* or Colonoscopy or Sigmoidoscopy: Every 10 years Every Year* Every Year* Every Year* Every Year* (U.S. Preventive Services Task Force, 2012) Breast Health Breast Self Exam (American Cancer Society, 2007) U.S. Preventive Services Task Force (2009) Colorectal Health Fecal occult blood test/Fecal Immunochemical Test (FOBT/FIT) (U.S. Preventive Services Task Force, 2006) Colonoscopy or Sigmoidoscopy It is up to you to decide if you want to start regular screening mammography before the age of 50 yr. Discuss with your doctor or nurse. Self breast exams are optional, however, these exams can help you discover cancer early which makes it easier to treat. If you notice any change, tell you doctor or nurse.* (U.S. Preventive Services Task Force, 2006) Immunization Flu Shot (Centers for Disease Control and Prevention, 2006) * Discuss with your Doctor or nurse. † Before age 55 in men and 65 in women Test1, your medical summary report is below. Be sure to share this information with your doctor. At Quest Diagnostics, we take our commitment to your good health far beyond the laboratory. That's why we apply our ideals of quality, service and innovation to other aspects of health care through our Blueprint for Wellness service offering. As the leader in laboratory diagnostics, we believe that diagnosis is just one step to wellness. Helping you understand and prevent disease is our priority. Test1 questdgx: 57 yrs. old | 65 Inches | Female | 108 lbs. Screening Results from: 07/19/2013 07/18/2013 08/03/2012 80 mg/dL 145 100 mg/dL 190 40 mg/dL 60 44 mg/dL (calc) 102 2.5 (calc) 3.2 1.0 mg/L 2.8 0.70 mIU/L 4.00 0.4 mg/dL 1.0 116 mL/min/1.73m2 63 8.4 mg/dL 9.0 64 mg/dL 90 3.5 % of total Hgb 5.1 6.0 g/dL 7.0 Heart Tests TRIGLYCERIDES Reference Range <150 CHOLESTEROL, TOTAL Reference Range 125200 HDL CHOLESTEROL Reference Range > OR = 46 LDLCHOLESTEROL Reference Range <130 CHOL TO HDLC RATIO Reference Range < OR = 5.0 CARDIO CRP Reference Range < OR = 3.0 Thyroid Tests TSH, 3RD GENERATION with reflex Reference Range 0.404.50 Kidney Tests CREATININE Reference Range 0.501.05 EGFR (ESTIMATED GLOMERULAR FILTRATION RATE) Reference Range > OR = 60 Bone Tests CALCIUM Reference Range 8.610.4 Pancreas Tests GLUCOSE Reference Range 6599 HEMOGLOBIN A1c Reference Range <5.7 Liver Tests PROTEIN, TOTAL Reference Range 6.18.1 ALBUMIN Reference Range 3.65.1 GLOBULIN Reference Range 1.93.7 ALBUMIN/GLOBULIN RATIO Reference Range 1.02.5 BILIRUBIN, TOTAL Reference Range 0.21.2 BILIRUBIN, DIRECT Reference Range < OR = 0.2 ALKALINE PHOSPHATASE Reference Range 33130 GGT Reference Range 370 AST Reference Range 1035 ALT Reference Range 629 3.4 g/dL 4.0 2.6 g/dL (calc) 3.0 1.3 (calc) 1.3 0.1 mg/dL 1.0 0.1 mg/dL 0.0 32 U/L 50 3 U/L 50 9 U/L 30 5 U/L 35 2.3 mg/dL 4.0 36 mcg/dL 150 211 mcg/dL 350 17 % (calc) 43 9 ng/mL 150 3.7 Thousand/uL 8.0 3.75 Million/uL 4.80 11.1 g/dL 14.8 34.0 % 45.0 90.7 fL 93.8 29.6 pg 30.8 32.6 g/dL 32.9 Other Tests URIC ACID Reference Range 2.57.0 IRON, TOTAL Reference Range 40160 IRON BINDING CAPACITY Reference Range 250450 % SATURATION Reference Range 1550 FERRITIN Reference Range 10232 WHITE BLOOD CELL COUNT Reference Range 3.810.8 RED BLOOD CELL COUNT Reference Range 3.805.10 HEMOGLOBIN Reference Range 11.715.5 HEMATOCRIT Reference Range 35.045.0 MCV Reference Range 80.0100.0 MCH Reference Range 27.033.0 MCHC Reference Range 32.036.0 RDW Reference Range 11.015.0 PLATELET COUNT Reference Range 140400 ABSOLUTE NEUTROPHILS Reference Range 15007800 10.5 % 135 Thousand/uL 2590 cells/uL 275 ABSOLUTE LYMPHOCYTES Reference Range 8503900 ABSOLUTE MONOCYTES Reference Range 200950 ABSOLUTE EOSINOPHILS Reference Range 15500 ABSOLUTE BASOPHILS Reference Range 0200 Waist Circumference Inches Reference Range M: <=40 F: <=35 BMI Reference Range 18.524.9 BLOOD PRESSURE Reference Range < 120/80 370 cells/uL 185 cells/uL 370 cells/uL 185 cells/uL 23 in 34 18.0 30.4 105/65 120/100 Laboratory Notes (Lab Testing Performed at Quest Diagnostics) Desirable range <100 mg/dL for patients with CHD or|diabetes and <70 mg/dL for diabetic patients with|known heart disease.| For patients >49 years of age, the reference limit|for Creatinine is approximately 13% higher for people|identified as AfricanAmerican.| Fasting reference interval| Therapeutic target for gout patients: <6.0 mg/dL| Average relative cardiovascular risk according to|AHA/CDC guidelines.|For ages >17 Years:|cCRP mg/L Risk According to AHA/CDC Guidelines|<1.0 Lower relative cardiovascular risk.|1.03.0 Average relative cardiovascular risk.|3.110.0 Higher relative cardiovascular risk.|Consider retesting in 1 to 2 weeks to|exclude a benign transient elevation|in the baseline CRP value secondary|to infection or inflammation.|>10.0 Persistent elevation, upon retesting,|may be associated with infection and|inflammation.| Decreased risk of diabetes|<5.7 Decreased risk of diabetes|5.76.0 Increased risk of diabetes|6.16.4 Higher risk of diabetes|> or = 6.5 Consistent with diabetes|These Reference Intervals are supported by the|current "Standards of Medical Care in Diabetes"|published in January of the current year in|Diabetes Care, the Journal of the American|Diabetes Association.
© Copyright 2026 Paperzz