I just got back from my cardiologist and received my latest lab results. I’m not sure what some of them are for or if they are good/bad/normal but my a1c is now in the 5 range!!! I know its 5.9 but I’m kind of proud that I broke the 5 range ;).
I also told the Dr I had decided not to take Crestor which he had suggested me to do and told me he disagrees with this (he told me he take 4x the dosage he had prescribed me) but he said he was ok with it… So not sure about this…
I just wanted to post my numbers…
Microalbumin - 5.0 mg/L
Ketones - 0.5 mmol/L
pH - 7.0
Hemoglobin - 147g/L
High Sensitivity CRP - <0.2 mg/L
Cholesterol - 4.76mmol/L
Triglycerides - 0.51 mmol/L
HDL Cholesterol - 1.63 mmol/L
LDL Cholesterol - 2.90 mmol/L
A1C - 5.9 mmol/L
I want to thank everyone on this forum that has helped me with all of this…
Paul
Good job on the A1c.
Every lab has a slightly different level of range based on their testing methods, but overall you cholesterol looks good on all fronts. see the following link for Mayo Clinic ranges…
http://www.bing.com/health/article/mayo-125458/High-blood-cholesterol?q=cholesterol+level
Ketones is normal level (not elevated)
According to Mayo, microalbumin is normal (<30 mg)…
http://www.mayoclinic.com/health/microalbumin/MY00143/DSECTION=results
PH, Hemo and CRP i have no clue about.
High sensitivity CRP is looking for susceptibility to cardiovascular disease. Anything under 1.0 mg/l is good. Hemoglobin is fine too.
Microalbumin is in the normal range for a spot urine test, but ideally it should be close to zero. In a spot urine they usually do a microalbumin/creatinine ratio. The ratio should be as close to zero as possible but under 30 is considered normal. Probably nothing to worry about but asking your doctor about urine creatinine and microalbumin/creatinine ratio is always a good idea.
Sorry, there was a second test for this I didn’t include… Microalb/Creat Ratio - <0.2 mg/L
Just to clarify the microalbumin result which can be confusing depending on what test they did. In a 24 hour urine test they will look for total protein content and amount of microalbumin specifically. In that test, the total amount of microalbumin should be under 30 mg. I’ve also seen less than 20 mg as normal.
In a spot urine test where it is one random sample in a day, the absolute amount of microalbumin hoould be between 5 and 15 mg/dl. But, that number doesn’t mean much without a reference amount of creatinine to compare it to. So the ratio of microalbumin to creatinine should be under 30 MICROGRAMS/mg. To five you an example, a few months ago I spilled 4.5 mg/dl of microalbumin in a spot urine sample. But I only cleared 45 mg/dl of creatinine. So, my microalbumin/creatinine ratio in Micrograms/mg was above 100 so my undo pit me on Lisinopril. In my latest spot urine, I spilled only 0.2 mg/dl of microalbumin and 68 mg/dl of creatinine so they didn’t even bother to calculate a ratio which would have been under 5.
Sorry, this number is 0.4 mg/mmol ratio my mistake…
Oo. Check that number and units reported. It would be reported as micrograms/mg. So, you said you spilled 5 mg/dl of microalbumin which would have to be multiplied by 1000. That means you would have had to cleared 50,000 mg of creatinine! I would guess that you actually spilled 5 micrograms/dl of microalbumin?
Ack, units really need to be standardized worldwide! just what this calculation needs is more confusion. Bottom line, you’re kidneys are fine. 
Ok, thanks… I’m sure he would have told me if anything was out of order… But thanks for your responses…
Np. Sorry for the confusion.
Did he say why he wants you on the Crestor, which reduces cholesterol, when you numbers are on the low side of each range? Is there another reason he prescribed it. Take a look at the link i sent from the mayo and then maybe you need to have another chat with him.
Hi Bubba,
He just said with my current “borderline” a1c it was as a “precaution”… He also wanted me to start a baby aspirin everyday too which I also declined. I have jogged for the last 15 years of my life and have always eaten a relatively healthy diet so I’m not sure why he prescribed it in the first place. I’m currently 6’ and 155lbs with a BMI of 21.
I have read a few articles about some Drs making patients out of “normal” people just because they think going on Crestor is a good thing for everyone… I think Crestor will lower cholesterol levels but I don’t think there is overwhelming evidence that it actually stops anyone from having a heart attack?
BTW… the link you sent didnt work. Can you send it again…
Thanks, Paul
Hi, FHS,
I had several spot urine ACR done. They always report albumin<12mg/L with creatinine from 34 to 120 mg/dl. In this tests, ACR were not calculated because there were no definite number for albumin. My primary told me that lower than 12mg/L albumin should be interpreted as 0 and ACR would be 0. I am not convinced with his explanation.
I do not understand why they can report my urine albumin at specific number below 12mg/L.
Any suggestions? Thanks.
Thank you for your answer. All my previous ACR report were from well established clinical laboratories of a famous medical center. But I will look around to find out if there is any alternative ‘real’ clinical lab providing more sensitive assay for ACR
I deleted my post after I was able to read FHS original reply… Because it was a better explanation than I knew to offer . I didn’t mean to imply that they’re not ‘real’ labs or reasonable methods, just that they’re kind of stating their own limitations in the format of their results