Lab results - looking for opinions [PLEASE READ 1ST POST]

What does "low blood sugar" actually mean in principle? Does it even manifest in any noticeable way?

On my A1C, the minimum is usually 4.4, but mine sits at 3.9. And it’s been like this for years... either right at the bottom edge or even below it...

Brenda Stewart59 said:What does "low blood sugar" actually mean in principle? Does it even cause any symptoms?

At the lab, the minimum is 4.4, but I’m sitting at 3.9. And this has been my life for years.... Either I'm right on the edge or I've already fallen off...

Just type "hypoglycemia symptoms" into Google
Are you on insulin?
Are you dealing with any other issues?

vividsailor7 said:Just type "hypoglycemia symptoms" into Google"
Have you had any insulin testing done?
Are you dealing with anything else at all?

Thanks, I'm actually looking into that right now....

I’m not diabetic, and I’m certainly not on insulin....
Most of the time, these symptoms hit me hard in the morning.
I get dizzy, totally disoriented, lose my balance, and deal with tremors, anxiety, weakness, and occasionally some nausea...
But once I have a coffee loaded with sugar, I feel like a brand new person....

I haven't undergone any specific insulin tests... does that even make sense? Is there a reason to go that route?
Or should I just keep "treating" myself with sweets?

Brenda Stewart59 said:Thanks, I'm just now reading this....

Look, I’m not diabetic, and I’m definitely not on insulin....
But most mornings, the symptoms hit me hard.
I get dizzy, totally disoriented, losing my balance, shaking, feeling anxious, weak—and occasionally, I feel nauseous too...
The second I have a coffee loaded with sugar, I feel like a whole new person.

I haven't done any insulin testing yet... Is there actually any point in doing that? Any need?
Or should I just keep "treating" myself with sweets?

Given the symptoms you're describing, I would suggest further diagnostic workup. Primarily, you need to rule out insulin issues.
Basically, the essential next steps would be checking your blood glucose, HbA1c, insulin levels, C-peptide, amylase, lipase, Ca, a full metabolic panel, and an abdominal ultrasound with a specific focus on the pancreas. Based on those results, you can then plan for specialized gastroenterology or endocrinology follow-ups, such as an abdominal MRI with angiography, stress tests, and so on.

vividsailor7 said:Given the symptoms you're describing, I'd suggest more testing. Primarily to rule out insulin issues.
So, the essentials would be glucose, HbA1c, insulin, C-peptide, amylase, lipase, calcium, and a general metabolic panel.

I'll bring this up with my doctor.

vividsailor7 said:An abdominal ultrasound, specifically focusing on the pancreas.

I actually went ahead with the abdominal ultrasound, and according to the doctor, the pancreas looks like a "textbook example of a healthy pancreas."
Liver is fine.
The kidneys are a bit "unusual," but otherwise they seem okay.

Thanks for the suggestions; I'll follow up with my doctor about next steps. Since I'm pregnant right now, I definitely need to be extra cautious about what we do...

Brenda Stewart59 said:I'll just ask my doctor.

I had an abdominal ultrasound done, and according to my doctor, my gallbladder looks like a "textbook example of a healthy gallbladder."
Liver is fine.
The kidneys are a bit "unusual," but they're okay.

Thanks for the suggestion! I'll check in with my doctor about next steps, especially since I'm currently pregnant, so I definitely need to be careful here...

Did this happen before you were pregnant?

vividsailor7 said:Did this happen before you were pregnant?

Yeah, I definitely fall into that "morning zombie" category, and lately, it’s been hitting me even harder.
I honestly couldn't tell if it was my blood pressure acting up or something else, so now I'm trying to "categorize my symptoms"...

Before pregnancy, my blood pressure used to sit around 140/100, and at one particularly stressful point early on, it spiked to 170/110...
But since I started being on heparin due to thrombophilia, it has dropped down to 100/55...
So, I'm really not sure if what I'm feeling in the mornings is caused by low blood pressure or low blood sugar.

That KKS result, with a GUK of 3.9, is from a few days ago. I have an appointment with my hematologist tomorrow, so I'm currently "preparing" a list of questions to make sure I don't miss anything.

Brenda Stewart59 said:Yeah, I’ve definitely fallen into the "morning zombie" club, and lately, it feels even more intense.
I couldn't tell if it was my blood pressure acting up or something else, so now I'm trying to "categorize my symptoms"...

Before I got pregnant, my BP used to sit around 140/100, and at one point early on during an incredibly stressful moment, it spiked all the way to 170/110...
But since I started heparin because of thrombophilia, it’s dropped down to 100/55...
So honestly, I have no clue if it's low blood pressure or low blood sugar making me feel like this in the morning.

This KKS, with a GUk of 3.9, is from a couple of days ago. I’m seeing the hematologist tomorrow, so I’m currently "preparing" a list of questions to ask.

If this was happening even before you were pregnant, then you really need to get a full workup done.

So, what’s the deal with C-reactive protein? Basically, I'm wondering—does having a fever automatically mean CRP is going to be through the roof, or is it possible to be running a high temp while the CRP stays totally normal?

lonetiger98 said:I'm curious about what C-reactive protein actually indicates. Like, does having a fever automatically mean the CRP will be high, or is it possible to have a high temp but a totally normal CRP?

Look, CRP is an acute-phase reactant. Basically, if there's some kind of inflammatory process happening in your body, it’s going to spike. It's a protein produced by the liver. You'll usually see it climb during a bacterial infection, but it can also shoot up from other types of inflammation—viral stuff, autoimmune issues, whatever. That means it isn't specific to one exact thing. In fact, you can definitely have a fever without the CRP being elevated at all. The real question is *why* the temperature is up. If it's a bacterial infection, yeah, the CRP should follow suit. But if you're just dealing with a virus, the CRP might stay perfectly normal, and your sedimentation rate might too. You can't just look at one number; you have to weigh all the lab results against the actual clinical symptoms to make sense of it.

I was hoping someone could give me their two cents or maybe if there's anyone here who actually knows how to read blood work, help me make sense of these results. It's for my 16-month-old:
Lkc 9.1 (6.0-16.0)
NEU 31.3 (30.0-72.0)
LYM 55.6 (15.0-55.0)
MONO 13.1 (5.0-13.0)
(K) Erc 4.64 (4.00-5.00)
(K) Hgb 127 (109-138)
(K) Hct 0.379 (0.320-0.404)
MCV 82.0 (73.8-89.4)
MCH 27.3 (24.3-29.2)
MCHC 334 (300-350)
RDW 12.6 (11.9-16.2)
(K) Trc 272 (150-450)

Dear Tyler Jones8,

The lab results you listed are perfectly normal. What prompted the blood work—is there a specific reason you're concerned? From what I can see, everything you've noted is exactly where it should be.

Olivia Anderson10 said:



These are the results from the endocrine workup I had done in my hometown. For the rest of the endocrine testing, I went to Washington, D.C., but they didn't actually order any specific tests for me there. They just told me to come back in six months with new findings for MRI, prolactin, TSH, T3, T4, HR, IGF-1, cortisol rhythm, SCORT, LH, FSH, E2-2-5 d.c., and anti-TPO. At the Mayo Clinic, my doctor mentioned that based on my current results, I don't need to worry about the pituitary adenoma; apparently, it isn't active, so we’ll just monitor the situation for six months without starting any treatment.
I have to admit, I’m feeling a bit let down because I really thought I’d be getting more testing done in D.C. right now rather than waiting half a year. I guess it’s just a little confusing—if that was the plan, why did my endocrinologist refer me to Washington, D.C. for testing in the first place?

I was also told that this adenoma definitely isn't what's causing the involuntary movements in my arms and legs.
I suppose I'm wondering which direction I should even head in to figure this out, since the cause remains a mystery. It has honestly turned me into a completely different person—listless, anxious, and depressed. I don't even have the will to leave the house most days; I almost wish I could just wake up a year from now and find everything back to normal. My biggest struggle right now is the anxiety and the panic attacks, including that sensation where I feel like I'm suffocating and can't catch my breath. I think I might need to reach out to a psychiatrist. I don't think I can handle this on my own, and I'm not sure how to help myself.

If anyone has any advice on what I should do, please let me know.

I forgot to include the thyroid ultrasound results: the exam shows the right lobe is somewhat larger, with a noticeably heterogeneous parenchymal structure in the lower pole. The dimensions of the right lobe are 8 (AP 16mm, ML 15 mm, and CC 50 mm). The left lobe measures AP 13mm, ML 16 mm, and CC 40 mm, with a homogeneous echo structure. The contours of both lobes appear regular, and the isthmus is intact.

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Posting this again in hopes that someone might weigh in. Thanks.

Maria Fisher46 said:Hey Tyler Jones8,

The lab results you posted look totally normal to me. I mean, why even get bloodwork done? Is there something specific making you worried? From what I can see here, everything you listed looks exactly how it should be.

At first glance, the labs looked fine to me too, but our pediatrician was all like, "there's a little bit of everything going on here." She was talking about that blood work—mentioning the constantly high leukocyte levels and how there are tons of erythrocytes, basically saying she wasn't happy with the overall picture😕. She prescribed us some Sumamed, which just left me feeling super confused, so I figured I'd grab a second opinion. The kid's had a fever for three days—hit 102.2F once—and has a sore throat.

When was the blood drawn (relative to when symptoms started—how many days into the illness)? It’s honestly baffling that, given these results (Erc 4.64 and leukocyte high ref interval 0), the doctor is claiming both the leukocytes and erythrocytes are elevated. Looking at this data, it's clearly not the case.

Maria Fisher46 said:When was the blood drawn (relative to when symptoms showed up—like, how many days after getting sick)? I honestly find it unbelievable that based on these results (Erc 4.64 and leukocyte high ref interval 0), the doctor is claiming my white cell count and red cells are elevated, because looking at this report, it clearly isn't the case!

My temperature started creeping up on Friday evening, then by Sunday it hit 39C (taken rectally), and they drew my blood on Monday—so, yesterday. Honestly, her comments really rattled me since nothing in the results looks particularly high. And then there's the Sumamed... Is that even something you prescribe for stuff like this? Thanks so much for the help!

Based on what you mentioned regarding the sore throat, I suspect the doctor suspected strep throat, which is likely why she opted for antibiotics. If strep was indeed the suspicion (and I’ll clarify here that since I haven't examined the child myself, I don't know the exact diagnosis), and assuming there's no penicillin allergy, then Sumamed wouldn't be the first choice for treating that specific condition. That said, without an actual exam, I won't venture into commenting on the prescription, and I certainly wouldn't suggest changing any medication through an online forum!

Regarding the comments on these lab results, several other doctors frequent this thread, so they will likely weigh in with their own perspectives on both the findings and the pediatrician's notes. From my perspective, everything you've transcribed looks like a perfectly normal report for a 16-month-old.

Maria Fisher46 said:Based on what you mentioned (the sore throat), I’m guessing the doctor suspected strep throat, which is why she went with antibiotics. If she did suspect strep—and look, I’m hedging here because I haven't actually examined the kid, so I have no clue what the official diagnosis was—and if there's no penicillin allergy, then Sumamed isn't really the go-to choice for treating that. But honestly, without an actual exam, I'm not going to weigh in on the meds, and I definitely wouldn't suggest changing anything through some internet forum!

As for commenting on these lab results, we've got several other doctors checking this thread, so they'll probably jump in with their own takes on the findings and the pediatrician's notes. To me, though, everything you typed out looks like perfectly normal results for a 16-month-old.

Thanks so much for the reply! I feel a little less panicky now after reading your comment, especially since the blood work seems fine, even if the way the pediatrician described it still makes zero sense to me. Honestly, the main thing is just that my kid is okay. Yesterday really spooked me; she was acting like anything could happen based on these numbers, but she didn't actually say anything specific besides mentioning that sore throat! Thank you🙂!

Sophia Johnson19 said:I would really appreciate some input here. Could someone who actually knows what they're looking at please help me interpret these blood test results? It's for my 16-month-old.
Lkc 9.1 (6.0-16.0)
NEU 31.3 (30.0-72.0)
LYM 55.6 (15.0-55.0)
MONO 13.1 (5.0-13.0)
(K) Erc 4.64 (4.00-5.00)
Hgb 127 (109-138)
(K) HTC 0.379 (0.320-0.404)
MCV 82.0 (73.8-89.4)
MCH 27.3 (24.3-29.2)
MCHC 334 (300-350)
RDW 12.6 (11.9-16.2)
Potassium (K) 272 (Ref range: 150-450)

Everything looks clean on the lab results.
So, this lab work was done on Monday, and she’s already put her on Sumamed today based on those results. Is the kid running a fever right now? And how's the throat looking—is it inflamed?

Sophia Johnson19 said:Thank you so much for the response! I’m feeling a little more at ease now after reading your comment about how his blood work actually looks normal—even if the specific way the pediatrician described the results still leaves me totally confused! But honestly, the most important thing is just that he's okay. He gave me quite a scare yesterday! Saying that anything could come from this... honestly, you aren't wrong. Anything at all!And on top of that, she didn't provide a single concrete detail—aside from mentioning that sore throat! Thanks for the help, everyone.🙂!

I would go right back there and demand she clarify exactly what she means by that.
In any case, there's just so much sheer illogic here.

Olivia Anderson10 said:I’m repeating myself here in the hopes that someone actually decides to weigh in. Thanks.

Comment on what exactly?