Analyze  the folliwing lab results for a 43yr old male with type 2 diabetes and explain in detailed non-jargon english what it all means and include any input u have as well.


Glucose and Hemoglobin A1C
Glucose Fasting
Glucose Fasting 6.9 A 3.3-5.5 mmol/L 05/Oct/2024 18:30
Impaired fasting glucose.

Hemoglobin A1C/Total Hemoglobin
Hemoglobin A1C/Total Hemoglobin
12.5 A 4.5-5.9 % 05/Oct/2024 14:30
Therapeutic target for most adults with
type 1 or type 2 diabetes is <=7.0%. In
the frail elderly and patients who are
prone to hypoglycemia, target is <=8.5%.
A1c >=6.5% meets the criterion for type2 diabetes mellitus in adults.

Routine Chemistry
Creatinine & Glomerular Filtration Rate Predicted Panel

Creatinine 79 45-110 umol/L 05/Oct/2024 18:30
Glomerular Filtration Rate/1.73 Sq M Predicted
105 >=60 05/Oct/2024 18:30
Units for eGFR are mL/min/1.73sq.m
Kidney function estimate based on
assumption of a stable serum creatinine
concentration: diet, drugs, pregnancy,
clinical state and muscle mass can affect
accuracy of the estimate. Urinary ACR may
assist interpretation.
Urate
Urate 195 150-430 umol/L 05/Oct/2024 18:30
C Reactive Protein

C Reactive Protein (continued)
C Reactive Protein 2.5 <5.0 mg/L 05/Oct/2024 18:30
Test method: Abbott Alinity hs-CRP,
suitable for cardiovascular disease
assessment and detection of active
inflammation. CRP = >2.0 mg/L is a risk
enhancing factor for cardiovascular
disease, as defined in the Guidelines
of the American Heart Association and
the American College of Cardiology
(JACC 2019: 74: e177).
Alanine Aminotransferase
>
Alanine Aminotransferase 15 <50 U/L 05/Oct/2024 18:30
Gamma Glutamyl Transferase
>
Gamma Glutamyl Transferase 11 <65 U/L 05/Oct/2024 18:30
Lipids
Lipid Panel
>
Cholesterol 5.96 A 2.00-5.19 mmol/L 05/Oct/2024 18:30
Cholesterol In LDL 4.41 A 1.50-3.40 mmol/L 05/Oct/2024 18:30
The optimal LDL cholesterol level for
intermediate and high risk individuals
is <= 2.00 mmol/L. If triglycerides are
=> 1.50 mmol/L, consider monitoring of
alternate lipid targets non HDL-cholesterol
or apoB. For low risk individuals
with LDL cholesterol => 5.00 mmol/L,
target reduction of LDL cholesterol
=> 50 percent. See Can J Cardiol 2013
vol 29 pgs 151 to 167.
Cholesterol In HDL 1.16 >0.99 mmol/L 05/Oct/2024 18:30
Cholesterol Non HDL 4.80 mmol/L 05/Oct/2024 18:30
Non HDL-cholesterol is calculated from
total cholesterol and HDL-C and is not
affected by the fasting status of the
patient. The optimal non HDL-cholesterol
level for intermediate and high risk
individuals is <= 2.60 mmol/L. See Can J
Cardiol 2013 vol 29 pgs 151 to 167.
Cholesterol/Cholesterol In HDL
5.14 A <4.9 05/Oct/2024 18:30
Triglyceride 0.85 <2.21 mmol/L 05/Oct/2024 18:30
Thyroid Function
Thyroid Stimulating Hormone (TSH)
>
Thyroid Stimulating Hormone (TSH)
0.78 0.32-5.04 mU/L 05/Oct/2024 18:30
The FT4 and FT3 orders were cancelled
as per BC Guidelines. However, the
specimen will be stored for seven days.
Chemical Hematology
Ferritin
Ferritin 98 24-444 ug/L 05/Oct/2024 18:30
Adults >18 y:
<15 ug/L: diagnostic of iron deficiency
15-30 ug/L: probable iron deficiency
>30 ug/L: iron deficiency unlikely
>100 ug/L: normal iron stores
=>600 ug/L: consider test for iron overload
Urine Chemistry
Creatinine; Urine
Creatinine; Urine 12.3 mmol/L 05/Oct/2024 16:50
No reference range has been established
for this test.
Albumin; Urine
Albumin/Creatinine <1.0 <2.0 mg/mmol 05/Oct/2024 16:50
Note: Reference interval for albumin/creatinine
ratio as per BCMA/MSC guidelines.