concern over blood tests

Hi everyone-yes lately I have still been a lurker but I am glad to see everyone is still doing well-I am now 6 months pregnant and I asked for a copy of my last blood draw from March well 2 things have me concerned even though my doc didnt seem that concerned and was wanting to get everyones imput who may have one : ) As I recall this blood draw was NOT done fasting-why I dont know but it wasnt, either way here are the 2 items of concern: 1) My glucose was at 35 when the normal range is 65-99 and 2)BUN/creatinine ratio was 33 when the normal range is 6-25 Has anyone had something similiar and or have any advice-I am calling my primary doc in the am to get my complete blood work done with him and once I get those results I am going to compare, talk with him as well as my bariatric doc and then of coarse my OB-thanks for listening and any and all responses : )

Lori, Your glucose will bottom out if you ate something high sugar content (sugar, refined carbs etc) before the test. Usually the surage spikes and then bottoms out a few hours later. BUN has to do with the processing of protein in our body. It should be looked at in conjunction with your protein level. Did they draw for protein? I just went through a whole bloodwork mess - endocrinologist to bariatric surgeon to ob to high risk ob - they all worked it out for me. Just communicate with the docs and tell them your concerns. If you are not tracking your labs yourself, I highly suggest you start. The docs look at the normal range and go from there. I track my own numbers in an excel spreadsheet and can easily identify when something is askew compared to MY normal levels not the rest of the world. here is a list of labs that are "recommended" for WLS patients. * 10231 - comprehensive metabolic profile (sodium, potassium, chloride, glucose,BUN, creatinine, calcium, total protein, albumin, total bilirubin, alkaline phosphatase, aspartate aminotransferase) * 84134 - pre-albumin * 7600 - lipid profile (cholesterol, HDL, LDL, triglycerides, chol/HDL ratio) * 10256 - (hep panel, includes ALT (SPGT) & GGT) * 593 - LDH * 718 - phosphorous - inorganic * 83735 - magnesium * 905 - uric acid *7444 - thyroid panel (T3U, T4, FTI, TSH) * 1759 - hemogram with platelets * 7573 - iron, TIBC, % sat * 457 - ferritin * 945 - zinc * 921 - vitamin A * 680 - D (25-hydroxy) * 4052 - vitamin B-1 (thiamin) * 84207 - vitamin B-6 (Pyridoxine) * 7065 - B-12 & folate * 83970 - serum intact PTH *31789 - homocysteine, cardio * 83921 - MMA * 367 - cortisol * 84255 - selenium For diabetics: *496 - HEMOGLOBIN A1C DIAGNOSIS CODES: 269.2 hypovitaminosis 244.9 hypothryoidism 268 vitamin D deficiency 250.0 diabetes 401.9 hypertension 276.9 electrolyte and fluid disorders 579.8 calcium malabsorption 579.8 intestinal malabsorption 272.0 hypercholesterolemia 275.40 calcium deficiency 266.2 cyanocobalamin deficiency 280.9 iron-deficiency anemia 269.3 zinc deficiency 281.0 pernicious anemia 281.2 folate deficiency anemia 281.1 other B12 deficiency anemia 285.9 anemia, unspecified By preference, do not use *579.3 surgical malabsorption*

Thanks so so much for the info I am going to make sure I get the above list done and I am definately going to track myself-the excell spreadsheet is a great idea!!!