Well, I went to the clinic on Wednesday afternoon, trying to do a walk-in, and unfortunately the doctor I was seeing doesn't work there anymore. His last day was Saturday. So, I had to make an appointment for another doctor there on Friday afternoon. While I was there I went to medical records to get copies of my labs and look at them myself.
Here are the results:
"CBC With Differential/Platelet"
WBC 3.5 Low (4.0-10.5)
RBC 6.02 High (4.10-5.60)
Hemoglobin 17.4 High (12.5-17.0)
Hematocrit 50.1 High (36.0-50.0)
MCV 83 (80-98)
MCH 28.9 (27.0-34.0)
MCHC 34.7 (32.0-36.0)
RDW 14.4 (11.7-15.0)
Platelets 207 (140-415)
Neutrophils 45 (40-74)
Lymphs 38 (14-46)
Monocytes 11 (4-13)
Eos 5 (0-7)
Basos 1 (0-3)
Neutrophils (Absolute) 1.6 Low (1.8-7.8)
Lymphs (Absolute) 1.3 (0.7-4.5)
Monocytes (Absolute) 0.4 (0.1-1.0)
Eos (Absolute) 0.2 (0.0-0.4)
Baso (Absolute) 0.0 (0.0-0.2)
Immature Granulocytes 0 (0-1)
Immature Grans (Abs) 0.0 (0.0-0.1)
"Comp. Metabolic Panel (14)"
Glucose, Serum 74 (65-99)
BUN 13 (6-20)
Creatinine, Serum 0.81 (0.76-1.27)
eGFR If NonAfricn Am 124 ( >59 )
eGFR If Africn Am 143 ( >59 )
BUN/Creatinine Ratio 16 (8-19)
Sodium, Serum 136 (135-145)
Potassium, Serum 3.6 (3.5-5.2)
Chloride, Serum 92 Low (97-108)
Carbon Dioxide, Total 20 (20-32)
Calcium, Serum 9.7 (8.7-10.2)
Protein, Total, Serum 8.8 High (6.0-8.5)
Albumin, Serum 5.2 (3.5-5.5)
Globulin, Total 3.6 (1.5-4.5)
A/G Ratio 1.4 (1.1-2.5)
Bilirubin, Total 0.6 (0.0-1.2)
Alkaline Phosphatase, S 120 (25-150)
AST (SGOT) 30 (0-40)
ALT (SGPT) 41 (0-55)
"Insulin, Free and Total, Serum"
Insulin, Total - Test not performed.
Insulin, Free - Quantity was not sufficient for analysis
Urinalysis Gross Exam
Specific Gravity <=1.005 Abnormal (1.005-1.030)
pH 6.5 (5.0-7.5)
WBC Esterase Negative
Ketones 2+ Abnormal
Urobilinogen, Semi-Qn 0.2 (0.0-1.9)
(My note: Other urine tests were negative/normal)
Cholesterol, Total 275 HIGH (100-199)
Triglycerides 114 (0-149)
HDL Cholesterol 54 ( >39)
According to ATP-III Guidelines, HDL-C >59 mg/dL is considered a negative risk factor for CHD.
VLDL Cholesterol Cal 23 (5-40)
LDL Cholesterol 198 HIGH (0-99)
TSH 2.160 (0.450-4.500)
T4, Free (Direct) 1.79 HIGH (0.82-1.77)
Quantity was not sufficient for analysis.
TEST: 140350 Insulin, Free and Total, Serum
Catecholamine Frac, P
Norepinephine, P1 366 (0-874)
Epinephrine, P1 121 HIGH (0-62)
Dopamine, P1 40 (0-48)
"Metanephrines, Frac., P1. Free"
Normetanephrine, P1 114 (0-145)
Metanephrine, P1 45 (0-62)
Concentrations of Normetanephrine between 146 and 487 pg/mL, and Metanephrine between 63 and 255 pg/mL are considered indeterminate. Follow-up biochemical testing is recommended when patient levels fall within this indeterminate range. These tests include repeat testing of plasma/urinary fractionated metanephrines and plasma catecholamines.
Aldosterone 2.5 (0.0-30.0)
Renin Activity, Plasma 1.77
Adult Normal Salt
Na= 0 - 30 8.82 - 23.86
Na= 30 - 75 4.09 - 7.73
Na= 75 - 150 1.44 - 2.80
Na= >150 0.39 - 1.31
Aldos/Renin Ratio 1.4 (0.0-30.0)
"Hgb A1c with eAG Estimation"
Hemoglobin A1c 5.2 (4.8-5.6)
Estim. Avg Glu (eAG) 103 mg/dL (My note: Yeah right.)
Unfortunately, my fasting insulin tests, the main ones I wanted to see didn't come in because either the clinic here or the lab doing the analysis messed up. Not enough blood was drawn according to the results. Man that pisses me off. So I'm going to have the doctor order it again tomorrow so I can go in Saturday morning fasting and take it again. It was really hard last time, a lot of anxiety, etc. Hopefully I have an easier time this time.
My aldosterone, according to the results, is within range, but I actually think it's really low. I don't see how it can be "0.0" and still be within range. I also have a low sodium diet, which adds to it.
My TSH is within range, I wonder if it's swinging because it was 4.160 in December. Both numbers where within range, according to the doc, but I disagree. My Free T4 was a little high. Poor conversion maybe? Due to low cortisol? Low selenium? Something else perhaps?
Anyways, I really wish they would have messed up on something other than the serum insulin test. I really want to rule out insulinoma(s). A lot of things make sense with that diagnosis, and removal of those is an instant improvement, but I'd honestly rather not be opened up and cut up. I don't trust the surgeons, especially around here. They botched up simple surgeries of a couple of people I know around here.
Has everyone here with hypoglycemia cleared themselves of insulinomas? Had at least the fasting serum insulin test? It's an expensive test apparently, but this hypoglycemia is a nightmare.
If I come up high insulin, the next step is CT scan, with contrast I believe. I wonder how I'm going to do that because they don't want you to eat like 4-6 hours prior if I remember correctly. Not possible for me. Maybe with a glucose IV, but I fear that having glucose in my veins will kick up so much insulin it'll put me out. Maybe it won't in my veins, but I try to stay far away from the glucose tablets. I've never tried them but have a bad feeling.
My cholesterol is pretty high, but I'm honestly not too worried about that.
I've had some bad problems lately though. My hypoglycemia is worse lately. I think I'm reacting to salmon again. It's felt low all day, and like I'm all full of insulin. Sometimes I feel all insulinated, and today I really feel like that. I hope I'm not becoming like those people who no matter what they eat it stays low and dropping. I'm all suffering at every meal, I can feel my body fighting against some resistance trying to raise the blood sugar.
Been constipated for like 13 days. Finally went something yesterday. I've been doing all these twists and sucking in my stomach, stomach massages. Don't want it to back up out my stomach and be unable to eat. God forbid! Really bloated. Those twists and such seem to be helping a little though.
Looking forward to your replies.
EDIT: Just added some details.