Just to remind myself and inform others, these are my latest test results from 30th March 2017 when I am pretty sure I had been in nutritional ketosis since early January. Not using QUOTE box because I find it hard to read and have become used to skipping it anyway.
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Coded entry Serum TSH level 2.92 miu/L [0.27 - 4.2]
Coded entry Serum cholesterol/HDL ratio 4.47 mmol/mmol
Coded entry Serum HDL cholesterol level 1.78 mmol/L [0.9 - 1.45]
Coded entry Serum triglyceride levels 1.44 mmol/L [0.3 - 2.3]
Coded entry Serum cholesterol level 7.95 mmol/L
Coded entry Serum free T4 level 17.1 pmol/L [12 - 22]
Coded entry Haemoglobin A1c level - IFCC standardised 40 mmol/mol - HbA1c levl - IFCC standardised HbA1c levl - IFCC standardised, (TMcC327) - Normal - No Action
Coded entry Serum lipid levels - Serum lipids, (AMS327) - pn Dr CS
Coded entry Thyroid function test - Thyroid function test, (AMS327) - Normal - No Action
Coded entry Serum HDL cholesterol level - Serum HDL cholesterol level, (AMS327) - pn Dr CS
Coded entry Haemoglobin A1c level 5.8 % [4 - 6.3] - Haemoglobin A1c level, (TMcC327) - Normal - No Action, Please note, there has been a change in current HPLC, HbA1c standardisation resulting in a uniform lowering, of results across the analytical range by:, NGSP HbA1c 0.1 - 0.3 %, IFCC HbA1c 1 - 3 mmol/mol, Please take this into consideration when interpreting, HbA1c results., An HbA1c of 48 mmol/mol (6.5%) is recommended as the, cut point for diagnosing diabetes. A value of less than, 48 mmol/mol (6.5%) does not exclude diabetes diagnosed, using glucose tests.
Coded entry Serum LDL cholesterol level 5.51 mmol/L - Serum LDL cholesterol level, (AMS327) - pn Dr CS, Consider the possibility of FH (familial, hypercholesterolaemia), especially if there is, personal/family history of premature CHD (MI <60 in, first degree relative or <50 in second-degree, relative). All with FH should be offered a referral to, the Lipid Clinic for confirmation of diagnosis and, initiation of cascade testing. NICE guideline 71.
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The surgery has switched from EMIS to Systemonline to align with other practices they are collaborating with.
The format of the report is new and has some additional information but is very poor compared to the EMIS system which gave me wonderful analytics of historical test results plus the ability to print them out and export them.
Anyway, highlighted certain areas.
Please note the comments about the lowering of HbA1c results by changes in standardisation.
The fly in the ointment of my blood lipids is the high LDL level which in turn puts the TC to HDL ratio out of normal. If my LDL measurement was lower all the other figures would be peachy. This test was fasting (by my choice, not declared as such). Note the triggers to get the GP to have a quiet word with me.
As I have said, since it doesn't give a FBG number I can't check against the formula.