what ds labs do i have to get?

i had ds surgery almost ten years ago, from a surgeon from out of town. and over the years i have lost contact with him and i havent had any labs done in several years. my primary care doc will order them for me, but i gotta tell him what to do.

so what labs do i ask for?

Let's see if this works. These are the ones vitalady got done in 2009 and my dietitian used it to update the ones she orders for her DS patients:

Not to be construed as medical advice.  www.Vitalady.com

1st Group (Every 3 to 6 months for life, as we are able)

* 8005               Comprehensive Metabolic profile: (sodium, potassium, chloride, glucose, BUN, creatinine, calcium, total protein, albumin, total bilirubin, alkaline phosphatase, aspartate aminotransferase) 10231)

* 7600               Lipid profile: (cholesterol, HDL, LDL, triglycerides, chol/HDL ratio)

* 84100             Phosphorous – Inorganic: (718)

* 84550             Uric Acid: (905)

* 85025             Hemogram with platelets: (1759)

* 83550             Ferritin: (457)

* 84446             Vitamin A: (921)

* 84052             Vitamin B-1: (Thiamin) (4052)

* 7065               Vitamin B-12 & Folate: (82607; 82746)

* 83937             Osteocalcin:

* 85610             PT:

* 86141             C Reactive Protein

* 84134             Pre-albumin:

* 10256             Hep panel: includes ALT (SPGT) & GGT)

* 83735             Magnesium:

* 7444               Thyroid panel: (T3U, T4, FTI, TSH) (84437; 84443; 84479; 84480)

* 7573               Iron: TIBC, % sat

* 84630             Zinc: (945)

* 8230               Vitamin D: (25-hydroxy) (680)

* 84207             Vitamin B-6: (Pyridoxine)

* 83970             Serum intact: PTH (Parathyroid Hormone)

* 84597             Vitamin K:

* 85730             PTT:

2ND GROUP (Annually, as long as the results were comfortably within normal limits for more than 2 years in a row)

* 593                 LDH:

* 83921             MMA:

* 84255             Selenium:

* 82525             Copper:

* 31789             Homocysteine, Cardio:

* 367                 Cortisol:

* 84590             Vitamin E:

For diabetics:

* 496                 HEMOGLOBIN A1C

POSSIBLE DIAGNOSIS CODES

269.2                Hypovitaminosis

269.8                Vitamin D deficiency

275.40              Calcium deficiency

266.2                Cyanocobalamin deficiency (B12)

281.1                other B12 deficiency anemia

281.0                Pernicious anemia

280.9                Iron-deficiency anemia

281.2                Folate deficiency anemia

285.9                Anemia, unspecified

269.3                Zinc deficiency

244.9                Hypothryoidism

250.0                Diabetes

401.9                Hypertension

276.9                Electrolyte and fluid disorders

272.0                Hypercholesterolemia

* 579.3              Surgical malabsorption*

* 579.8              Intestinal malabsorption *

* Bands or sleeves should not use these codes as they are not accurate.

* Some insurance companies will not pay for any procedure that uses these codes.

This is NOT medical advice, just my own targets for the main blood levels I watch.

Protein:             7's

Albumin:           4's

Pre-Albumin:     20-30's

Iron:                  80-100

Ferritin:             200-300

HGB:                12+

HCT:                 36+

Vit A:                60- 80

Vit D:                80-120

Calcium:           9.0-9.4

PTH:                 20-40

Vit B1:              Mid to top of range

Vit B6:              Mid to top of range

Magnesium:      Mid range (but also go by if we have leg/foot cramping)

Zinc:                 Mid range

Vit B12:            1000 +

Folate:              Top of range 20

AST (sgot):       Below 40

ALT (sgpt):        Below 40

We usually want to "meet or beat" pre-op levels. In some cases, higher is better, and in other cases (Cholesterol, PTH for example), lower is better.

The only things I personally don't mind being on the high end of “out of range” are Ferritin and B12. But that applies to me.

My doctors don't show interest in any of these until I am out of range. I am interested when I begin heading that direction.

Try to lump them into an annual scheduled physical to slide them by without any additional fees.