{"id":19239,"date":"2021-09-14T13:40:46","date_gmt":"2021-09-14T18:40:46","guid":{"rendered":"https:\/\/thepapergown.zocdoc.com\/?p=19239"},"modified":"2023-03-20T13:41:11","modified_gmt":"2023-03-20T18:41:11","slug":"a-pretty-thorough-guide-to-reading-lab-results","status":"publish","type":"post","link":"https:\/\/www.zocdoc.com\/blog\/guides\/a-pretty-thorough-guide-to-reading-lab-results\/","title":{"rendered":"A Pretty Thorough Guide to Reading Lab Results"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">If, like most of us, you receive medical information from your doctor\u2019s office through a patient portal, you\u2019re probably familiar with the slight panic that sets in when you receive a message letting you know your lab results are ready.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Lab results often feature dizzying lists of percentages, ratios and mysterious abbreviations. One thing you probably won\u2019t find are clear explanations of what it all means. If anything\u2019s amiss, your doctor should reach out and talk you through the concerning findings. But even if everything looks OK, it\u2019s still useful to know how to decipher your results. Here\u2019s a breakdown of common lab tests and what they tell you.<\/span><\/p>\n<hr \/>\n<h2>Understanding lab test basics<\/h2>\n<p><span style=\"font-weight: 400;\">In the past, average, healthy patients might have received lab tests about once a year. But in recent years, the US Preventive Services Task Force, which makes evidence-based recommendations for preventive care, <\/span><a href=\"https:\/\/www.aafp.org\/dam\/AAFP\/documents\/patient_care\/clinical_recommendations\/cps-recommendations.pdf\"><span style=\"font-weight: 400;\">has adjusted its guidelines<\/span><\/a><span style=\"font-weight: 400;\"> for routine blood and urine screening. Now, you\u2019re more likely to get lab tests done less frequently, and they&#8217;ll be tailored to your symptoms, age and family medical history.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cA long time ago, people would come in for a physical and they would get a urine test, a cholesterol test \u2014 even if they were 30 years old,\u201d says Elizabeth Cory, a nurse practitioner at Valley Medical Group in Easthampton, Massachusetts. \u201cBut all of that, when it was studied, turned out not to be beneficial in decreasing mortality.\u201d\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some providers do still conduct routine screenings in order to obtain baseline information about their patients&#8217; health. Essentially, this helps them understand what\u2019s normal for your body. <\/span>A standard lab panel<span style=\"font-weight: 400;\"> measures blood count and cholesterol, and checks for anemia and potential thyroid issues, says Dr. Carl Beauzile, a physician at Chicopee Health Center in Massachusetts.\u00a0<\/span><\/p>\n<p>Doctors might order specific lab tests more often for patients at a high risk of developing life-threatening diseases and others who are currently living with certain conditions.<span style=\"font-weight: 400;\">\u00a0<\/span><span style=\"font-weight: 400; color: #ff0000;\"><span style=\"color: #000000;\">Obesity, diabetes, smoking, and family history of certain diseases, like cancer or anemia, are common reasons doctors might approach testing this way.\u00a0<\/span><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other lab tests become important as you get older: <\/span><a href=\"https:\/\/familydoctor.org\/blood-test-lipid-panel\/#:~:text=The%20USPSTF%20recommends%20that%20healthy,21%20to%2039%20years%20old.\"><span style=\"font-weight: 400;\">Cholesterol screening<\/span><\/a><span style=\"font-weight: 400;\"> for healthy adults generally begins around age 40, while men can get <\/span><a href=\"https:\/\/www.cdc.gov\/cancer\/prostate\/basic_info\/get-screened.htm\"><span style=\"font-weight: 400;\">PSA tests<\/span><\/a><span style=\"font-weight: 400;\"> (prostate cancer screenings) around 55, and women can be tested for thyroid function, called TSH, in their 50s.\u00a0<\/span><\/p>\n<h2>How to know if your results are normal<\/h2>\n<p><span style=\"font-weight: 400;\">It\u2019s not your responsibility to interpret lab results or determine if they warrant follow-up care. Those tasks fall to your doctor. But lab results are a source of insight into your health, and knowing how to read them can be both useful and empowering. Most lab results posted to a patient portal include both absolute values and reference ranges. A reference range gives you a high value and low value \u2014 anything between them is typically considered normal.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If a result is outside the reference range, don\u2019t panic. Results that fall slightly out of range are very common and occur for many reasons, and they don\u2019t necessarily require intervention. \u201cThere\u2019s no one-size-fits-all with lab tests; it\u2019s very individualized,\u201d Beauzile explains.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Cory adds, \u201cThings can be a little bit off in any of the labs, but it really has to be a pattern for us to be concerned. It all depends on how much it\u2019s out of range, and why we did the test in the first place.\u201d\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The reference range will be expressed in the same format as the corresponding result, which varies by test. It&#8217;s usually listed as a ratio (e.g., 32-36 milligrams per deciliter, or mg\/dL, of blood.)\u00a0<\/span><\/p>\n<h2>Common lab test results and how to understand them<\/h2>\n<p><span style=\"font-weight: 400; color: #ff0000;\">\u00a0<span style=\"color: #000000;\">The most common lab tests require submitting a blood or urine sample. Basic blood and urine tests screen for common medical conditions, such as high cholesterol, pre-diabetes and thyroid disorders. Providers can also order more complex panels from these samples.<\/span> <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Here&#8217;s a breakdown of what&#8217;s usually included in common lab tests. (This list isn&#8217;t exhaustive, so talk to your doctor if you have questions about specific tests.)<\/span><\/p>\n<h3><span style=\"color: #333399;\">Urine tests<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Urine tests (also called urinalysis) have been a useful diagnostic tool for millennia. Doctors might order urine tests to screen for prediabetes or diabetes, measure liver and kidney function, and\/or check for sexually transmitted infections (STIs) or other non-sexual infections. Basic information about your urine, like its color and smell, also provide useful insights into your body\u2019s health.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">When you review your urine test results, you\u2019ll likely see measures of the acidity (pH) of your urine, and its gravity, which assesses its density compared to the density of water. You\u2019ll also see an assessment of its clarity (<\/span><i><span style=\"font-weight: 400;\">is it clear or cloudy?)<\/span><\/i><span style=\"font-weight: 400;\"> and color. This basic information helps your provider gauge your hydration levels and assess your kidney and liver health.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The amount of glucose and ketones in your urine are both connected to the overall sugar levels throughout your body; high or low sugar levels can be a sign that something\u2019s off. Along with other factors, doctors look at your sugar levels when screening for diabetes.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bilirubin is a component in bile, a substance produced by the liver. High levels of bilirubin in the urine \u2014 or its by-product<\/span><b>, <\/b><span style=\"font-weight: 400;\">urobilinogen \u2014 can indicate a liver issue.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The amount of protein in your urine is used to evaluate your kidney function. Trace amounts of protein are normal, but too much can be a sign the kidneys aren\u2019t working properly.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The amount of leukocytes and\/or nitrites in your blood can indicate a bacterial infection. For instance, a <\/span><a href=\"https:\/\/www.medicalnewstoday.com\/articles\/314165\"><span style=\"font-weight: 400;\">urinary tract infection<\/span><\/a><span style=\"font-weight: 400;\"> is a common cause of an uptick of leukocytes in the urine.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Further, microscopic analysis of urine checks for trace amounts of other substances, such as:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/medlineplus.gov\/lab-tests\/blood-in-urine\/\">Blood<\/a><span style=\"font-weight: 400;\">, which can be a sign of kidney disease and other serious conditions.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bacteria, which can be a sign of a bacterial infection.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Amorphous crystals, which form in the urine and can become kidney stones.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Epithelial cells, which are cells on bodily surfaces that can slough off and end up in your urine. High numbers can indicate you might have a urinary tract infection or liver disease.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Having small amounts of these substances is normal \u2014 your results might say \u201coccasional\u201d or \u201cfew,\u201d instead of a number \u2014 but if your provider is concerned, they might order further testing.<\/span><\/p>\n<hr class=\"squiggle\" \/>\n<h3><span style=\"color: #333399;\">Blood tests\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Your blood is a rich source of health data. Doctors use blood tests to identify signs of conditions including <\/span>anemia, iron deficiency, heart disease, high cholesterol and autoimmune or bone marrow disorders. Blood tests can also provide insight into major organs, including the kidneys, liver and lungs, and how well they&#8217;re functioning.<\/p>\n<p><span style=\"font-weight: 400;\">If your doctor orders basic blood tests to gauge your overall state of health, here are some of the results you might see:\u00a0<\/span><\/p>\n<p>A <em style=\"color: #666699; font-weight: bold;\">complete blood count (CBC) <\/em>is a panel that measures the concentration of cells that make up your blood.<\/p>\n<ul>\n<li><b>RBC <\/b>is the number of red blood cells, which carry oxygen from the lungs. Healthy blood contains many more red blood cells than white ones.<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>WBC <\/b>is the\u00a0number of <span style=\"font-weight: 400;\">white blood cells, which fight infection.<\/span>\u00a0(Your doctor might also order a <strong><em><span style=\"color: #666699;\">CBC differential panel, <\/span><\/em><\/strong>which shows the makeup of different types of white blood cells.)<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Platelets<\/b><span style=\"font-weight: 400;\"> (Plt), also called thrombocytes, are cell fragments that help prevent clotting. This value is presented as the number (in thousands) of platelets per microliter of blood.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Hemoglobin<\/b><span style=\"font-weight: 400;\"> (Hgb or Hb) is a protein molecule that helps red blood cells carry oxygen; the amount of hemoglobin in your blood indicates how well your body is transporting oxygen.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Hematocrit<\/b><span style=\"font-weight: 400;\"> (Hct or Ht) is the percentage of your blood that&#8217;s composed of red blood cells.<\/span><\/li>\n<\/ul>\n<p>A<span style=\"color: #666699;\"><strong><em> lipid panel <\/em><\/strong><\/span>analyzes the amount of cholesterol and other<span style=\"font-weight: 400;\"> types of fats in your blood, collectively called lipids. <\/span><span style=\"font-weight: 400;\">High levels of certain types of cholesterol can cause heart disease.<\/span>\u00a0<span style=\"font-weight: 400;\">High cholesterol is also linked to conditions including diabetes, alcoholism and hypothyroidism. A standard panel measures:<\/span><\/p>\n<ul>\n<li><b>Total cholesterol, <\/b>the sum of all the cholesterol found in your blood<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Low-density lipoprotein (LDL), <\/b>your <span style=\"font-weight: 400;\">\u201cbad cholesterol\u201d<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>High-density lipoprotein (HDL), <\/b>your <span style=\"font-weight: 400;\">\u201cgood cholesterol\u201d<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Triglycerides, <\/b><span style=\"font-weight: 400;\">a type of fat found in blood, derived mainly from food\u00a0<\/span><\/li>\n<\/ul>\n<p>Your results will be expressed in <span style=\"font-weight: 400;\">milligrams of cholesterol per deciliter of blood (mg\/dL). They might be <\/span><span style=\"font-weight: 400;\">presented on a chart showing normal, borderline high and high values, for context.<\/span><\/p>\n<p>A<strong><em><span style=\"color: #000080;\"><span style=\"color: #666699;\"> basic metabolic panel (BMP)<\/span><\/span><\/em><\/strong><span style=\"color: #000080;\">, <\/span><span style=\"color: #000000;\">also called an<\/span><strong><em><span style=\"color: #000080;\"><span style=\"color: #666699;\"> electrolyte panel<\/span><\/span><\/em><\/strong><span style=\"color: #000080;\">, <\/span>measures <span style=\"font-weight: 400;\">eight different substances in your blood:<\/span><\/p>\n<ul>\n<li><b data-stringify-type=\"bold\">Urea nitrogen<\/b> is a natural waste product. Measuring it can help assess kidney functioning.<\/li>\n<li><b>Carbon dioxide (CO2) <\/b><span style=\"font-weight: 400;\">is a waste product created when you expend energy. Measuring it can help assess kidney and lung functioning.<\/span><\/li>\n<li><b>Creatinine<\/b><span style=\"font-weight: 400;\"> is a<\/span> <span style=\"font-weight: 400;\">by-product of creatine, a compound broken down by muscles.<\/span> <span style=\"font-weight: 400;\">Creatinine-dense blood can be a sign of kidney malfunction.<\/span><\/li>\n<li><b>Glucose <\/b><span style=\"font-weight: 400;\">comes from the carbs we eat<\/span><span style=\"font-weight: 400;\">. Measuring blood glucose levels can help assess pancreatic functioning and screen for diabetes and hypoglycemia.<\/span><\/li>\n<li><b>Chloride, <\/b><span style=\"font-weight: 400;\">which<\/span> <span style=\"font-weight: 400;\">comes from salt, is an electrolyte that helps balance bodily fluids. Abnormal amounts can indicate digestive or intestinal issues.<\/span><\/li>\n<li><b>Potassium <\/b><span style=\"font-weight: 400;\">is a mineral and an electrolyte; it&#8217;s important for nerve and muscle function. Abnormal amounts can <span style=\"color: #000000;\">indicate kidney disease.<\/span><\/span><\/li>\n<li><b>Sodium <\/b>is a<span style=\"font-weight: 400;\">nother mineral and electrolyte that&#8217;s found in food and important for nerve and muscle function. Low levels can indicate a condition called <\/span><a href=\"https:\/\/www.kidney.org\/atoz\/content\/hyponatremia\"><span style=\"font-weight: 400;\">hyponatremia;<\/span><\/a> <span style=\"color: #000000;\">high levels can indicate the\u00a0 opposite problem, <a style=\"color: #000000;\" href=\"https:\/\/www.merckmanuals.com\/home\/hormonal-and-metabolic-disorders\/electrolyte-balance\/hypernatremia-high-level-of-sodium-in-the-blood\">hypernatremia.<\/a><\/span><\/li>\n<li><b>Calcium, <\/b><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">a mineral consumed through food and supplements, strengthens bones and teeth. Low or high levels can be a sign of issues including bone and thyroid disease and kidney malfunction.<\/span><\/span><\/li>\n<\/ul>\n<hr class=\"squiggle\" \/>\n<h2>Should you fast before receiving a lab test?<\/h2>\n<p><span style=\"font-weight: 400;\">Your provider <\/span><span style=\"font-weight: 400;\">should tell you whether or not to fast before a specific test. In general, fasting isn\u2019t considered as critical as it once was.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.mcgill.ca\/oss\/article\/health\/fasting-blood-tests-are-becoming-less-routine\"><span style=\"font-weight: 400;\">New research<\/span><\/a><span style=\"font-weight: 400;\"> suggests eating normal-sized meals before blood tests doesn\u2019t impact lab results, like levels of cholesterol and triglycerides, as much as previously thought. Other studies show that <\/span><a href=\"https:\/\/www.health.harvard.edu\/heart-health\/farewell-to-fasting-before-a-cholesterol-test\"><span style=\"font-weight: 400;\">fasting before cholesterol tests<\/span><\/a><span style=\"font-weight: 400;\"> has little effect on predicting future heart problems<\/span><span style=\"font-weight: 400;\">. And a 2020 study <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7258390\/\"><span style=\"font-weight: 400;\">found no significant impact<\/span><\/a><span style=\"font-weight: 400;\"> of black coffee on metabolic blood test results.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Not to mention, &#8220;people\u2019s lives are moving faster now,\u201d says Catherine Reed, a laboratory director at a Massachusetts hospital. \u201cWe\u2019d much rather have them get their labs while they see their provider, sort of a one-stop-shop, rather than try to schedule that time back into their life on a day where they\u2019ve fasted.\u201d<\/span><\/p>\n<h2>Should you Google your lab results?<\/h2>\n<p><span style=\"font-weight: 400;\">Advanced technology has made lab testing more efficient, but quick turnaround times mean that a patient might read their results before their provider has time to review them or add notes with useful context.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cIt\u2019s okay to check the internet!\u201d Beauzile says. \u201cBut we are here to clarify things, to reassure, and to take action.\u201d\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you\u2019re concerned about a result, you can always send a message to your medical team. \u201cYour provider is going to put your results in perspective with your whole medical history,\u201d Reed adds.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The next time your labs land in the patient portal, don\u2019t freak out. Instead, use that time to understand what the results mean.<\/span> <span style=\"font-weight: 400;\">The values tell you what&#8217;s going on in your body today, so you can care for it for years to come.\u00a0<\/span><\/p>\n<hr \/>\n<h1 class=\"p1\" style=\"text-align: center;\"><span class=\"s1\">Ready to book a doctor&#8217;s appointment? Visit <a href=\"https:\/\/www.zocdoc.com\/\"><span class=\"s2\">Zocdoc.<\/span><\/a><\/span><\/h1>\n","protected":false},"excerpt":{"rendered":"<p>What do all those percentages, ratios and mysterious abbreviations mean? Here&#8217;s what to know. <\/p>\n","protected":false},"author":67,"featured_media":19240,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[227],"tags":[103,108,33,81,56,69],"class_list":["post-19239","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guides","tag-prep","tag-doctors-and-patients","tag-healthcare","tag-preventive-care","tag-primary-care","tag-the-psychology-of-being-a-patient","reviewer-dr-nassim-assefi"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>A Pretty Thorough Guide to Reading Lab Results - Guides<\/title>\n<meta name=\"description\" content=\"What do all those percentages, ratios and mysterious abbreviations mean? 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