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Common blood tests and values

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Blood tests show whether the levels of different substances in your blood fall within a normal range.

For many blood substances, the normal range is the range of levels seen in 95 percent of healthy people in a certain group. For many tests, normal ranges are different depending on your age, gender, race, and other factors.

Many factors can cause your blood test levels to fall outside the normal range. Abnormal levels may be a sign of a disorder or disease. Other factors—such as diet, menstrual cycle, how much physical activity you do, how much alcohol you drink, and the medicines you take (both prescription and over-the-counter)—also can cause abnormal levels.

Your doctor should discuss any unusual or abnormal blood test results with you. These results may or may not suggest a health problem.

Blood tests alone can't be used to diagnose many diseases or medical problems. However, blood tests can help you and your doctor learn more about your health. Blood tests also can help find potential problems early, when treatments or lifestyle changes may work best.

To get accurate readings, be sure to follow your doctor’s instructions in preparing for tests. You may, for example, be asked not to eat and to drink only water for anywhere from a few hours to 12 hours beforehand. Please follow these instructions, or your results may be skewed, requiring additional tests or even unnecessary medications

Blood tests, sometimes called blood panels, are one of a physician’s most basic tools. Not that long ago, doctors diagnosed patients through observation and the patients’ answers to questions. Today, we have a wide range of testing options to choose from, with blood tests being among the most basic.

Blood tests allow a doctor to see a detailed analysis of the nutrients and waste products in your body as well as how various organs (e.g., kidneys and liver) are functioning. Below, I’ve explained some of the commonly measured indicators of health.

During a physical examination, your doctor will often draw blood for chemistry and complete blood count (CBC) tests as well as a lipid profile, which measures cholesterol and related elements. Here is a brief explanation of the abbreviations used in measurements followed by descriptions of several common test components.

Deciphering Blood Test Measurements

Blood tests use the metric measurement system and abbreviations such as the following:

cmm cells per cubic millimeter
fL (femtoliter) fraction of one-millionth of a liter
g/dL grams per deciliter
IU/L international units per liter
mEq/L milliequivalent per liter
mg/dL milligrams per deciliter
mL milliliter
mmol/L millimoles per liter
ng/mL nanograms per milliliter
pg (picograms) one-trillionth of a gram

CHEMISTRY PANEL (or METABOLIC PANEL)

ALT (alanine aminotransferase):

Healthy range: 8 to 37 IU/L

This test looks at levels of the liver enzyme ALT. When all’s well with your liver, your score on this test should be within range. Anything higher may indicate liver damage.

Albumin:

Healthy range: 3.9 to 5.0 g/dL

A protein made by the liver, albumin levels can be an indicator of liver or kidney problems.

A/G ratio (albumin/globulin ratio) or total protein test:

Healthy ratio: a bit over 1, favoring albumin

There are two types of protein your blood — albumin (see above) and globulin. The A/G ratio test compares levels of these proteins with one another. Elevated protein levels could indicate a health condition in need of attention.

Alkaline phosphatase:

Healthy range: 44 to 147 IU/L

This enzyme is involved in both liver and bone, so elevations may indicate problems with the liver or bone-related disease.

AST (aspartate aminotransferase):

Healthy range: 10 to 34 IU/L

This enzyme is found in heart and liver tissue, so elevations suggest problems may be occurring in one or both of those areas.

Bilirubin:

Healthy range: 0.1 to 1.9 mg/dL

This provides information about liver and kidney functions, problems in bile ducts, and anemia.

BUN (blood urea nitrogen):

Healthy range: 10 to 20 mg/dL

This is another measure of kidney and liver functions. High values may indicate a problem with kidney function. A number of medications and a diet high in protein can also raise BUN levels.

BUN/creatinine ratio:

Healthy ratio of BUN to creatinine: 10:1 to 20:1 (men and older individuals may be a bit higher)

This test shows if kidneys are eliminating waste properly. High levels of creatinine, a by-product of muscle contractions, are excreted through the kidneys and suggest reduced kidney function.

Calcium:

Healthy range: 9.0 to 10.5 mg/dL (the elderly typically score a bit lower)

Too much calcium in the bloodstream could indicate kidney problems; overly active thyroid or parathyroid glands; certain types of cancer, including lymphoma; problems with the pancreas; or a deficiency of vitamin D.

Chloride:

Healthy range: 98 to 106 mEq/L

This mineral is often measured as part of an electrolyte panel. A high-salt diet and/or certain medications are often responsible for elevations in chloride. Excess chloride may indicate an overly acidic environment in the body. It also could be a red flag for dehydration, multiple myeloma, kidney disorders, or adrenal gland dysfunction.

Creatinine:

Healthy range: 0.5 to 1.1 mg/dL for women; 0.6 to 1.2 mg/dL for men (the elderly may be slightly lower)

The kidneys process this waste product, so elevations could indicate a problem with kidney function.

Fasting glucose (blood sugar):

Healthy range: 70 to 99 mg/dL for the average adult (the elderly tend to score higher even when they are healthy)

Blood sugar levels can be affected by food or beverages you have ingested recently, your current stress levels, medications you may be taking, and the time of day. The fasting blood sugar test is done after at least 6 hours without food or drink other than water.

Phosphorus:

Healthy range: 2.4 to 4.1 mg/dL

Phosphorus plays an important role in bone health and is related to calcium levels. Too much phosphorus could indicate a problem with kidneys or the parathyroid gland. Alcohol abuse, long-term antacid use, excessive intake of diuretics or vitamin D, and malnutrition can also elevate phosphorus levels.

Potassium:

Healthy range: 3.7 to 5.2 mEq/L

This mineral is essential for relaying nerve impulses, maintaining proper muscle functions, and regulating heartbeats. Diuretics, drugs that are often taken for high blood pressure, can cause low levels of potassium.

Sodium:

Healthy range: 135 to 145 mEq/L

Another member of the electrolyte family, the mineral sodium helps your body balance water levels and helps with nerve impulses and muscle contractions. Irregularities in sodium levels may indicate dehydration; disorders of the adrenal glands; excessive intake of salt, corticosteroids, or pain-relieving medications; or problems with the liver or kidneys.

( Courtesy: http://www.newportnaturalhealth.com/ )

--------------------

Result Ranges for Common Blood Tests

This section presents the result ranges for some of the most common blood tests.

NOTE: All values in this section are for adults only. They don't apply to children. Talk to your child's doctor about values on blood tests for children.

Complete Blood Count ( CBC)

The table below shows some normal ranges for different parts of the complete blood count (CBC). Some of the normal ranges are different for men and women. Other factors, such as age and race, also may affect normal ranges.

Your doctor should discuss your results with you. He or she will advise you further if your results are outside the normal range for your group.

Test

Normal Range Results*

Red blood cell (varies with altitude) Male: 5 to 6 million cells/mcL
Female: 4 to 5 million cells/mcL
White blood cell 4,500 to 10,000 cells/mcL
Platelets 140,000 to 450,000 cells/mcL
Hemoglobin (varies with altitude) Male: 14 to 17 gm/dL
Female: 12 to 15 gm/dL
Hematocrit (varies with altitude) Male: 41% to 50%
Female: 36% to 44%
Mean corpuscular volume 80 to 95 femtoliter

* Cells/mcL = cells per microliter; gm/dL = grams per deciliter

Blood Glucose

This table shows the ranges for blood glucose levels after 8 to 12 hours of fasting (not eating). It shows the normal range and the abnormal ranges that are a sign of prediabetes or diabetes.

Plasma Glucose Results (mg/dL)*

Diagnosis

99 and below Normal
100 to 125 Prediabetes
126 and above Diabetes

* mg/dL = milligrams per deciliter.
The test is repeated on another day to confirm the results.

Lipoprotein Panel

The table below shows ranges for total cholesterol, LDL ("bad") cholesterol, and HDL ("good") cholesterol levels after 9 to 12 hours of fasting. High blood cholesterol is a risk factor for coronary heart disease.

Your doctor should discuss your results with you. He or she will advise you further if your results are outside the desirable range.

Total Cholesterol Level

Total Cholesterol Category

Less than 200 mg/dL Desirable
200–239 mg/dL Borderline high
240 mg/dL and above High

 

LDL Cholesterol Level

LDL Cholesterol Category

Less than 100 mg/dL Optimal
100–129 mg/dL Near optimal/above optimal
130–159 mg/dL Borderline high
160–189 mg/dL High
190 mg/dL and above Very high

 

HDL Cholesterol Level

HDL Cholesterol Category

Less than 40 mg/dL A major risk factor for heart disease
40–59 mg/dL The higher, the better
60 mg/dL and above Considered protective against heart disease

 ( Courtesy: http://www.nhlbi.nih.gov/ )

Thyroid:

While not part of the standard blood panel, I often order thyroid tests for my patients, especially if they report fatigue and weight gain, or weight loss and feelings of nervousness or hyperactivity. Some physicians dismiss borderline low or high tests, but I’ve found that these can be very helpful for identifying problems with the thyroid gland. Here are the ranges I look for in thyroid tests:

  Test Normal Range
Thyroid-stimulating hormone (TSH) 0.3 to 3
Total T4 (total thyroxine) 4.5 to 12.5
Free T4 (free thyroxine) 0.7 to 2.0
Total T3 (total triiodothyronine) 80 to 220
Free T3 (free triiodothyronine) 2.3 to 4.2

If your test shows you are below the minimum numbers, you may be suffering from hypothyroidism, or low thyroid. If your scores are above the normal range, you may have an overly active thyroid, or hyperthyroidism. In either case, your physician can advise you on appropriate medication. You may also want to read my earlier newsletter on thyroid issues.

Vitamin D: Normal range: 30 to 74 ng/mL

Regular readers know I often recommend supplemental vitamin D, since deficiencies are very common. Too little vitamin D can put you at risk for broken bones, heart disease, cancer, and a host of other ailments. Our bodies can make vitamin D, but only when bare skin, free of sunblock and lotions, is exposed to sunlight. And even then, people of color and older individuals may not be able to manufacture sufficient quantities for optimal health. The best way to determine if you need supplements is to have a vitamin D test, known as 25-hydroxyvitamin D. Here again, doctors don’t always agree on how to interpret the results. My own preference is to see readings in the normal range.

More Tests & ranges for blood tests

Units

Ions and trace metals

Included here are also related binding proteins, like ferritin and transferrin for iron, and ceruloplasmin for copper.

Test Lower limit Upper limit Unit Comments
Sodium (Na) 135,[6] 137[7][3] 145,[7][3] 147[6] mmol/L or mEq/L[6]  
310,[8] 320[8] 330,[8] 340[8] mg/dl
Potassium (K) 3.5,[6][3] 3.6[7] 5.0,[6][7][3] 5.1 mmol/L or mEq/L[6] See hypokalemia
or hyperkalemia
14[9] 20[9] mg/dl
Chloride (Cl) 95,[6] 98,[10] 100[3] 105,[6] 106,[10] 110[3] mmol/L or mEq/L[6]  
340[11] 370[11] mg/dl
Ionized calcium (Ca) 1.03,[12] 1.10[3] 1.23,[12] 1.30[3] mmol/L
4.1,[13] 4.4[13] 4.9,[13] 5.2[13] mg/dL
Total calcium (Ca) 2.1,[6][14] 2.2[3] 2.5,[14][3] 2.6,[14] 2.8[6] mmol/L
8.4,[6] 8.5[15] 10.2,[6] 10.5[15] mg/dL
Total serum iron (TSI) - male 65,[16] 76[7] 176,[16] 198[7] µg/dL
11.6,[17][18] 13.6[18] 30,[17] 32,[18] 35[18] μmol/L
Total serum iron (TSI) - female 26,[7] 50[16] 170[7][16] µg/dL
4.6,[18] 8.9[17] 30.4[17] μmol/L
Total serum iron (TSI) - newborns 100[16] 250[16] µg/dL
18[18] 45[18] µmol/L
Total serum iron (TSI) - children 50[16] 120[16] µg/dL
9[18] 21[18] µmol/L
Total iron-binding capacity (TIBC) 240,[16] 262[7] 450,[16] 474[7] μg/dL
43,[18] 47[18] 81,[18] 85[18] µmol/L
Transferrin 190,[19] 194,[3] 204[7] 326,[3] 330,[19] 360[7] mg/dL  
25[20] 45[20] μmol/L
Transferrin saturation 20[16] 50[16]  %  
Ferritin - Male 12[21] 300[21] ng/mL  
27[22] 670[22] pmol/L
Ferritin - Female 12[21] 150[21] ng/mL  
27[22] 330[22] pmol/L
Ammonia 10,[23] 20[24] 35,[23] 65[24] μmol/L  
17,[25] 34[25] 60,[25] 110[25] μg/dL
Copper 70[15] 150[15] µg/dL  
11[26] 24[26] μmol/L  
Ceruloplasmin 15[15] 60[15] mg/dL  
1[27] 4[27] μmol/L  
Phosphate (HPO42−) 0.8 1.5[28] mmol/L
Inorganic phosphorus (serum) 1.0[6] 1.5[6] mmol/L
3.0[6] 4.5[6] mg/dL
Copper (Cu) 11[29] 24 μmol/L
Zinc (Zn) 60,[30] 72[31] 110,[31] 130[30] μg/dL
9.2,[32] 11[3] 17,[3] 20[32] µmol/L
Magnesium 1.5,[15] 1.7[33] 2.0,[15] 2.3[33] mEq/L or mg/dL
0.6,[34] 0.7[3] 0.82,[34] 0.95[3] mmol/L

Acid-base and blood gases

If arterial/venous is not specified for an acid-base or blood gas value, then it generally refers to arterial, and not venous which otherwise is standard for other blood tests.

Acid-base and blood gases are among the few blood constituents that exhibit substantial difference between arterial and venous values.[4] Still, pH, bicarbonate and base excess show a high level of inter-method reliability between arterial and venous tests, so arterial and venous values are roughly equivalent for these.[35]

Test Arterial/Venous Lower limit Upper limit Unit Comments
pH Arterial 7.34,[7] 7.35[6] 7.44,[7] 7.45[6]  
Venous 7.31[36] 7.41[36]
[H+] Arterial 36[6] 44[6] nmol/L
3.6[37] 4.4[37] ng/dL
Base excess Arterial & venous[36] -3[36] +3[36] mEq/L
oxygen partial pressure (pO2) Arterial pO2 10,[6] 11[38] 13,[38] 14[6] kPa
75,[6][7] 83[15] 100,[7] 105[6] mmHg or torr
Venous 4.0[38] 5.3[38] kPa
30[36] 40[36] mmHg or torr
Oxygen saturation Arterial 94,[36] 95,[10] 96[15] 100[10][15]  %
Venous Approximately 75[10]
Carbon dioxide partial pressure (PCO2) Arterial PaCO2 4.4,[6] 4.7[38] 5.9,[6] 6.0[38] kPa  
33,[6] 35[7] 44,[6] 45[7] mmHg or torr
Venous 5.5[38] 6.8[38] kPa
41[36] 51[36] mmHg or torr
Absolute content of carbon dioxide (CO2) Arterial 23[36] 30[36] mmol/L
100[39] 132[39] mg/dL
Bicarbonate (HCO3-) Arterial & venous 18[15] 23[15] mmol/L  
110[40] 140[40] mg/dL
Standard bicarbonate (SBCe) Arterial & venous 21, 22[6] 27, 28[6] mmol/L or mEq/L[6]
134[40] 170[40] mg/dL

 Liver function

Test Patient type Lower limit Upper limit Unit Comments
Total Protein   60,[6] 63[7] 78,[6] 82,[7] 84[15] g/L see hypoproteinemia
Albumin   35[6][41] 48,[7] 55[6] g/L see hypoalbuminemia
3.5[7] 4.8,[7] 5.5[6] U/L  
540[42] 740[42] μmol/L
Globulins   23[6] 35[6] g/L  
Total Bilirubin   1.7,[43] 2,[6] 3.4,[43] 5[3] 17,[6][43] 22,[43] 25[3] μmol/L  
0.1,[6] 0.2,[7] 0.29[44] 1.0,[6][15] 1.3,[7] 1.4[44] mg/dL
Direct/Conjugated Bilirubin   0.0[6] or N/A[3] 5,[6] 7[43][3] μmol/L  
0[6][7] 0.3,[6][7] 0.4[15] mg/dL
Alanine transaminase (ALT/ALAT[3])   5,[45] 7,[7] 8[6] 20,[6] 21,[10] 56[7] U/L Also called serum glutamic pyruvic transaminase (SGPT)
Female 0.15[3] 0.75[3] µkat/L
Male 0.15[3] 1.1[3]
Aspartate transaminase (AST/ASAT[3]) Female 6[46] 34[46] IU/L Also called
serum glutamic oxaloacetic transaminase (SGOT)
0.25[3] 0.60[3] µkat/L
Male 8[46] 40[46] IU/L
0.25[3] 0.75[3] µkat/L
Alkaline phosphatase (ALP) Female 42[45] 98[45] U/L  
Male 53[45] 128[45]  
(Enzyme activity) 0.6[3] 1.8[3] µkat/L
Gamma glutamyl transferase (GGT)   5,[45] 8[7] 40,[45] 78[7] U/L  
Women   0.63[47] µkat/L
Men   0.92[47] µkat/L

Cardiac tests

Test Patient type Lower limit Upper limit Unit Comments
Creatine kinase (CK) male 24,[48] 38,[7] 60[45] 174,[15] 320[45] U/L
or ng/mL
 
0.42[49] 1.5[49] µkat/L
female 24,[48] 38,[7] 96[15] 140,[15] 200[45] U/L
or ng/mL
 
0.17[49] 1.17[49] µkat/L
CK-MB   0 3,[7] 3.8,[3] 5[45] ng/mL or μg/L[3]  
Myoglobin Female 1[50] 66[50] ng/mL or µg/L
Male 17[50] 106[50]
Cutoffs and ranges for troponin types, 12 hrs after onset of pain
Test Lower limit Upper limit Unit Comments
Troponin-I   0.2[51] ng/mL or μg/L Upper limit of normal
0.2[51] 1.0[51] ng/mL or μg/L Acute Coronary Syndrome
0.4[52] 2.0[52] ng/mL or μg/L Moderately increased[52]
1.0,[51] 1.5[53] n/a[51][53] ng/mL or μg/L Myocardial Infarction likely
Troponin-T   0.02[51] ng/mL or μg/L Upper limit of normal
0.02[51] 0.10[51] ng/mL or μg/L Acute Coronary Syndrome
0.10[51] n/a[51] ng/mL or μg/L Myocardial Infarction likely
Brain natriuretic peptide (BNP)
 
Interpretation Range / Cutoff
Congestive heart failure unlikely < 100 pg/mL[54][55]
"Gray zone" 100-500 pg/mL[54][55]
Congestive heart failure likely >500 pg/mL[54][55]
NT-proBNP
 
Interpretation Age Cutoff
Congestive heart failure likely < 75years > 125 pg/mL[49]
>75 years >450pg/mL[49]

Lipids

Test Patient type Lower limit Upper limit Unit Therapeutic target
Triglycerides 10 – 39 years 54[15] 110[15] mg/dL < 100 mg/dL[56]
or 1.1[56] mmol/L
0.61[57] 1.2[57] mmol/L
40 – 59 years 70[15] 150[15] mg/dL
0.77[57] 1.7[57] mmol/L
> 60 years 80[15] 150[15] mg/dL
0.9[57] 1.7[57] mmol/L
Total cholesterol   3.0,[58] 3.6[6][58] 5.0,[3][59] 6.5[6] mmol/L < 3.9[56]
120,[7] 140[6] 200,[7] 250[6] mg/dL < 150[56]
HDL cholesterol female 1.0,[60] 1.2,[3] 1.3[58] 2.2[60] mmol/L > 1.0[60] or 1.6[58]  mmol/L
> 40[61] or 60[62] mg/dL
40,[61] 50[63] 86[61] mg/dL
HDL cholesterol male 0.9[60][3] 2.0[60] mmol/L
35[61] 80[61] mg/dL
LDL cholesterol
(Not valid when
triglycerides >5.0 mmol/L)
  2.0,[60] 2.4[59] 3.0,[59][3] 3.4[60] mmol/L < 2.5[60]
80,[61] 94[61] 120,[61] 130[61] mg/dL < 100[61]
LDL/HDL quotient   n/a 5[3] (unitless)

Tumour markers

Test Cutoff Unit Comments
Alpha fetoprotein (AFP) 44[7] ng/mL or µg/L  
Beta Human chorionic gonadotrophin (bHCG) 5[7] IU/l or mU/ml in male and non-pregnant female
CA19-9 40[7] U/ml  
CA-125 30,[64] 35[65] kU/L or U/mL
Carcinoembryonic antigen (CEA)
non-smokers at 50 years
3.4,[3] 3.6[66] μg/l  
Carcinoembryonic antigen (CEA)
non-smokers at 70 years
4.1[66] μg/l  
Carcinoembryonic antigen (CEA) - smokers 5[67] μg/l  
Prostate specific antigen (PSA) 2.5,[3] 4[7] μg/L[7][3] or ng/mL[15] below age 45 <2.5 μg/L
PAP 3[15] units/dL (Bodansky units)  
Calcitonin
 
5,[68] 15[68] ng/L or pg/mL Cutoff against medullary thyroid cancer[68]

 Endocrinology

 Thyroid hormones

Test Patient type Lower limit Upper limit Unit
Thyroid stimulating hormone
(TSH or thyrotropin)
Adults -
standard range
0.3,[3] 0.4,[7] 0.5,[15] 0.6[69] 4.0,[3] 4.5,[7] 6.0[15] mIU/L or μIU/mL
Adults -
optimal range
0.3,[70] 0.5[71] 2.0,[71] 3.0[70] mIU/L or μIU/mL
Infants 1.3[72] 19[72] mIU/L or μIU/mL
Free thyroxine (FT4)
 
Normal adult 0.7,[73] 0.8[7] 1.4,[73] 1.5,[7] 1.8[74] ng/dL
9,[75][3] 10,[76] 12[77] 18,[3][75] 23[77] pmol/L
Child/Adolescent
31 d - 18 y
0.8[73] 2.0[73] ng/dL
10[75] 26[75] pmol/L
Pregnant 0.5[73] 1.0[73] ng/dL
6.5[75] 13[75] pmol/L
Total thyroxine   4,[76] 5.5[7] 11,[76] 12.3[7] μg/dL
60[76][77] 140,[76] 160[77] nmol/L
Free triiodothyronine (FT3) Normal adult 0.2[76] 0.5[76] ng/dL
3.1[78] 7.7[78] pmol/L
Children 2-16 y 0.1[79] 0.6[79] ng/dL
1.5[78] 9.2[78] pmol/L
Total triiodothyronine   60,[7] 75[76] 175,[76] 181[7] ng/dL
0.9,[3] 1.1[76] 2.5,[3] 2.7[76] nmol/L
Thyroxine-binding globulin (TBG)   12[7] 30[7] mg/L
Thyroglobulin (Tg)   1.5[76] 30[76] pmol/L
1[76] 20[76] μg/L

Sex hormones

 
Test Patient type Lower limit Upper limit Unit
Dihydrotestosterone adult male 30[81] 85[81] ng/dL
Testosterone Male, overall 8,[82] 10[83] 27,[82] 35[83] nmol/L
230,[84] 300[85] 780[84] - 1000[85] ng/dL
Male < 50 years 10[3] 45[3] nmol/L
290[84] 1300[84] ng/dL
Male > 50 years 6.2[3] 26[3] nmol/L
180[84] 740[84] ng/dL
Female 0.7[83] 2.8[83] - 3.0[3] nmol/L
20[85] 80[85] - 85[84] ng/dL
17-Hydroxyprogesterone male 0.06[15] 3.0[15] mg/L
0.18[86] 9.1[86] µmol/l
Female (Follicular phase) 0.2[15] 1.0[15] mg/L
0.6[86] 3.0[86] µmol/l
Follicle-stimulating
hormone
(FSH)
 
Prepubertal <1[87] 3[87] IU/L
Adult male 1[87] 8[87]
Adult female (follicular
and luteal phase)
1[87] 11[87]
Adult female (Ovulation) 6[87]
95% PI (standard)
26[87]
95% PI)
5[88]
90% PI (used in diagram)
15[88]
(90% PI)
Post-menopausal female 30[87] 118[87]
Luteinizing hormone (LH)
 
Female, peak 20[88]
90% PI (used in diagram)
75[88]
(90% PI)
IU/L
Female, post-menopausal 15[89] 60[89]
Male aged 18+ 2[90] 9[90]
Estradiol
(an estrogen)
 
Adult male 50[91] 200[91] pmol/L
14[92] 55[92] pg/mL
Adult female (day 5 of follicular phase,
and luteal phase)
70[91] 500,[91] 600[91] pmol/L
19[92] 140,[92] 160[92] pg/mL
Adult female - free (not protein bound) 0.5[93] 9[93] pg/mL
1.7[93] 33[93] pmol/L
Post-menopausal female N/A[91] < 130[91] pmol/L
N/A[92] < 35[92] pg/mL
Progesterone
 
Female in mid-luteal phase (day 21-23) 17,[88] 35[94] 92[94] nmol/L
6,[88] 11[95] 29[95] ng/mL
Androstenedione Adult male and female 60[89] 270[89] ng/dL
Post-menopausal female   < 180[89]
Prepubertal   < 60[89]
Dehydroepiandrosterone sulfate Adult male and female 30[96] 400[96] µg/dL
SHBG
 
Adult female 40[97] 120[97] nmol/L
Adult male 20[97] 60[97]
Anti-Müllerian hormone (AMH)
 
13–45 years 0.7[98] 20[98] ng/mL

[edit] Other hormones

Test Patient type Lower limit Upper limit Unit
Adrenocorticotropic hormone (ACTH)   4.4[99] 18,[100] 22[99] pmol/L
20[7] 80,[101] 100[7] pg/mL
Cortisol 09:00 am 140[102] 700[102] nmol/L
5[103] 25[103] μg/dL
Midnight 80[102] 350[102] nmol/L
2.9[103] 13[103] μg/dL
Growth hormone (fasting)   0 5[6] ng/mL
Growth hormone (arginine stimulation)   7[6] n/a ng/mL
IGF-1
 
Female, 20 yrs 110[104] 420[104] ng/mL
Female, 75 yrs 55[104] 220[104]
Male, 20 yrs 160[104] 390[104]
Male, 75 yrs 48[104] 200[104]
Prolactin
 
Female 71,[105] 105[105] 348,[105] 548[105] mIU/L
3.4,[105] 3.9[105] 16.4,[105] 20.3[105] µg/L
Male 58,[105] 89[105] 277,[105] 365[105] mIU/L
2.7,[105] 3.3[105] 13.0,[105] 13.5[105] µg/L
Parathyroid hormone (PTH)   10,[106] 17[107] 65,[106] 70[107] pg/mL
  1.1,[3] 1.8[108] 6.9,[3] 7.5[108] pmol/L
25-hydroxycholecalciferol (a vitamin D)
-Standard reference range
  8,[15][109] 9[109] 40,[109] 80[15] ng/mL
20,[110] 23[111] 95,[111] 150[110] nmol/L
25-hydroxycholecalciferol
-Therapeutic target range
  30,[112] 40[113] 65,[113] 100[112] ng/mL
85,[56] 100[113] 120,[56] 160[113] nmol/L
Plasma renin activity   0.29,[114] 1.9[115] 3.7[114][115] ng/(mL*hour)
  3.3,[116] 21[117] 41[116][117] mcU/mL
Aldosterone
 
Adult   19,[116] 34.0[116] ng/dL
  530,[118] 940[118] pmol/L
Aldosterone-to-renin ratio
 
Adult   13.1,[119] 35.0[119] ng/dl per ng/(mL·h)
  360,[119] 970[119] pmol/liter per µg/(L·h)

[edit] Vitamins

Also including the vitamin B12)-related enzyme homocysteine.

Test Patient type Standard range Unit Optimal range
Lower limit Upper limit Lower limit Upper limit
Vitamin A   30[15] 65[15] µg/dL    
Vitamin B9
(Folic acid/Folate) - Serum
Age > 1year 3.0[120] 16[120] ng/mL or μg/L 5[121]  
6.8[122] 36[122] nmol/l 11[122]  
Vitamin B9
(Folic acid/Folate) - Red blood cells
  200[120] 600[120] ng/mL or μg/L    
  450[122] 1400[122] nmol/L    
Pregnant     ng/mL or μg/L 400[120]  
    nmol/L 900[120]  
Vitamin B12 (Cobalamin)   130,[123] 160[124] 700,[123] 950[124] ng/L    
  100,[125] 120[3] 520,[125] 700[3] pmol/L    
Homocysteine
 
  3.3,[126] 5.9[126] 7.2,[126] 15.3[126] μmol/L   6.3[56]
  45,[127] 80[127] 100,[127] 210[127] μg/dL   85[56]
Vitamin C (Ascorbic acid)   0.4[15] 1.5[15] mg/dL 0.9[56]  
23[128] 85[128] μmol/L 50[56]  
25-hydroxycholecalciferol (a vitamin D)   8,[15][109] 9[109] 40,[109] 80[15] ng/mL 30,[112] 40[113] 65,[113] 100[112]
20,[110] 23[111] 95,[111] 150[110] nmol/L 85,[56] 100[113] 120,[56] 160[113]
Vitamin E       μmol/L 28[56]  
    mg/dL 1.2[56]  

[edit] Toxins

Test Limit type Limit Unit
Lead Optimal health range < 20[10] or 40[15] µg/dL
Blood ethanol content Limit for drunk driving 0,[129] 0.2,[129] 0.8[129] or g/L
17.4[130] mmol/L

[edit] Hematology

[edit] Red blood cells

These values (except Hemoglobin in plasma) are for total blood and not only blood plasma.

Test Patient Lower limit Upper limit Unit Comments
Hemoglobin (Hb) male 2.0,[131] 2.1[6] 2.5,[131] 2.7[6] mmol/L Higher in neonates, lower in children.
130,[3] 132,[7] 135[6] 162,[7] 170,[3] 175[6] g/L
female 1.8,[131] 1.9[6] 2.3,[131] 2.5[6][131] mmol/L Sex difference negligible until adulthood.
120[3][6][7] 150,[3] 152,[7] 160[6][15] g/L
Hemoglobin in plasma   0.16[6] 0.62[6] μmol/L Normally diminutive compared with inside red blood cells
  1 4 mg/dL
Glycosylated hemoglobin (HbA1c) < 50 years 3.6[3] 5.0[3]  % of Hb  
> 50 years 3.9[3] 5.3[3]
Haptoglobin < 50 years 0.35[3] 1.9[3] g/L
> 50 years 0.47[3] 2.1[3]
Hematocrit (Hct) male 0.39,[3] 0.4,[7] 0.41,[6] 0.45[15] 0.50,[3] 0.52,[7] 0.53,[6] 0.62[15]    
female 0.35,[3] 0.36,[6] 0.37[7][15] 0.46,[6][7][3] 0.48[15]    
Child 0.31[7] 0.43[7]    
Mean cell volume (MCV) Male 76,[15] 82[7] 100,[15] 102[7] fL Cells are larger in neonates, though smaller in other children.
Female 78[7] 101[7] fL
Red blood cell distribution width (RDW)   11.5[7] 14.5[7]  %  
Mean cell hemoglobin (MCH)   0.39[6] 0.54[6] fmol/cell
25,[6] 27[15][3] 32,[15] 33,[3] 35[6] pg/cell  
Mean corpuscular hemoglobin concentration (MCHC)   31,[7] 32[15][3] 35,[7] 36[15][3] g/dL or %[note 1]
  4.8,[132] 5.0[132] 5.4,[132] 5.6[132] mmol/L
Erythrocytes/Red blood cells (RBC) male 4.2,[15] 4.3[6][7][3] 5.7,[3] 5.9,[6] 6.2,[7] 6.9[15] x1012/L
or
mln/mm3
 
Female 3.5,[6] 3.8,[7] 3.9[3] 5.1,[3] 5.5[6][7]  
Infant/Child 3.8[7] 5.5[7]  
Reticulocytes Adult 26[3] 130[3] x109/L  
Adult 0.5[6][7] 1.5[6][7]  % of RBC  
Newborn 1.1[7] 4.5[7]  % of RBC  
Infant 0.5[7] 3.1[7]  % of RBC  

[edit] White blood cells

These values are for total blood and not only blood plasma.

Test Patient type Lower limit Upper limit Unit
White Blood Cell Count (WBC) Adult 3.5,[3] 3.9,[133] 4.1,[7] 4.5[6] 9.0,[3] 10.0,[133] 10.9,[7] 11[6]
  • x109/L
  • x103/mm3 or
  • x103/μL
Newborn 9[134] 30[134]
1 year old 6[134] 18[134]
Neutrophil granulocytes
(A.K.A. grans, polys, PMNs, or segs)
Adult 1.3,[3] 1.8,[133] 2[134] 5.4,[3] 7,[133] 8[134] x109/L
45-54[6] 62,[6] 74  % of WBC
Newborn 6[134] 26[134] x109/L
Neutrophilic band forms Adult   0.7[134] x109/L
3[6] 5[6]  % of WBC
Lymphocytes Adult 0.7,[3] 1.0[133][134] 3.5,[133] 3.9,[3] 4.8[134] x109/L
16-25[6] 33,[6] 45  % of WBC
Newborn 2[134] 11[134] x109/L
Monocytes Adult 0.1,[3] 0.2[135][123] 0.8[123][134][3] x109/L
3,[6] 4.0 7,[6] 10  % of WBC
Newborn 0.4[134] 3.1[134] x109/L
Mononuclear leukocytes
(Lymphocytes + monocytes)
Adult 1.5 5 x109/L
20 35  % of WBC
CD4+ cells Adult 0.4,[7] 0.5[10] 1.5,[10] 1.8[7] x109/L
Eosinophil granulocytes Adult 0.0,[3] 0.04[123] 0.44,[123] 0.45,[134] 0.5[3] x109/L
1[6] 3,[6] 7  % of WBC
Newborn 0.02[134] 0.85[134] x109/L
Basophil granulocytes Adult 40[133] 100,[123][3] 200,[134] 900[133] x106/L
0.0 0.75,[6] 2  % of WBC
Newborn   0.64[134] x109/L

[edit] Coagulation

Test Lower limit Upper limit Unit Comments
Thrombocyte/Platelet count (Plt) 140,[7] 150[6][3] 350,[15][3] 400,[6] 450[7] x109/L or
x1000/µL
Mean platelet volume (MPV) 7.4[136] 10.4[136] fL
Prothrombin time (PT) 10,[10] 11,[6][137] 12[7] 13,[10] 13.5,[137] 14,[7] 15[6] s PT reference varies between laboratory kits - INR is standardised
INR 0.9[3] 1.2[3]   The INR is a corrected ratio of a patient's PT to normal
Activated partial thromboplastin time (APTT) 18,[7] 30[10][3] 28,[7] 42,[3] 45[10] s  
Thrombin clotting time (TCT) 11 18 s  
Fibrinogen 1.7,[7] 2.0[3] 3.6,[3] 4.2[7] g/L  
Antithrombin 0.80[3] 1.2[3] kIU/L
Bleeding time 2 9 minutes  
Viscosity 1.5[138] 1.72[138] cP  

[edit] Immunology

[edit] Acute phase proteins

Acute phase proteins are markers of inflammation.

Test Patient Lower limit Upper limit Unit Comments
Erythrocyte sedimentation rate
(ESR)
Male 0 Age÷2[139] mm/hr ESR increases with age and tends to be higher in females.[140]
Female (Age+10)÷2[139]
C-reactive protein (CRP) n/a   5,[141][3] 6[142] mg/L  
  200,[143] 240[143] nmol/L
Alpha 1-antitrypsin (AAT)   20,[144] 22[145] 38,[145] 53[144] μmol/L  
  89,[146] 97[3] 170,[3] 230[146] mg/dL  

[edit] Isotypes of antibodies

Test Patient Lower limit Upper limit Unit Comments
IgA Adult 70,[3] 110[147] 360,[3] 560[147] mg/dL
IgD 0.5[147] 3.0[147]
IgE 0.01[147] 0.04[147]
IgG 800[147] 1800[147]
IgM 54[147] 220[147]

[edit] Autoantibodies

Autoantibodies are usually absent or very low, so instead of being given in standard reference ranges, the values usually denote where they are said to be present, or whether the test is a positive test. There may also be an equivocal interval, where it is uncertain whether there is a significantly increased level. All included values[148] are given for the ELISA test.

Test Negative Equivocal Positive Unit
anti-SS-A (Ro) < 15[149] 15-25[149] > 25[149] Units
per
millilitre
(U/mL)
anti-SS-B (La) < 3[149] 3 – 4[149] > 4[149]
Anti ds-DNA < 40[149] 40 – 60[149] > 60[149]
Anti ss-DNA < 8[149] 8 - 10[149] > 10[149]
Anti-histone antibodies < 25[149] n/a[149] > 25[149]
Cytoplasmic/classical
anti-neutrophil cytoplasmic
antibodies
(c-ANCA)
< 20[149] 21 - 30[149] > 30[149]
Perinuclear
anti-neutrophil cytoplasmic
antibodies (p-ANCA)
< 5[149] n/a > 5[149]
Anti-mitochondrial antibodies (AMA) < 10[149] n/a[149] > 10[149]
Rheumatoid factor (RF) < 20 20 - 30 > 30[7]
Antistreptolysin O titre
(ASOT) in
preschoolers
    > 100
ASOT at school age > 250[7]
ASOT in adults > 125[7]
Test Negative Low/weak positive Moderate positive High/strong positive Unit
Anti-phospholipid IgG < 20[149] 20 –30[149] 31 – 50[149] > 51[149] GPLU/ml[149]
Anti-phospholipid IgM < 1.5[149] 1.5 –2.5[149] 2 – 9.9[149] > 10[149] MPL /ml[149]
Anti-phospholipid IgA < 10[149] 10 -20[149] 21 – 30[149] > 31[149] arb U/ml[149]
Anti-citrullinated protein antibodies < 20[149] 20 – 39[149] 40 - 59[149] > 60[149] EU[149]

[edit] Other enzymes and proteins

Test Lower limit Upper limit Unit Comments
Lactate dehydrogenase (LDH) 50[15] 150[15] U/L  
0.4[45] 1.7[45] μmol/L  
1.8[3] 3.4[3] µkat/L < 70 years old[3]
Amylase 25,[6] 30,[7] 53[15] 110,[7] 120,[150] 123,[15] 125,[6] 190[45] U/L  
0.15[3] 1.1[3] µkat/L  
200[143] 240[143] nmol/L
D-dimer n/a 500[151] ng/mL Higher in pregnant women[152]
0.5[3] mg/L
Lipase 7,[7] 10,[15] 23[45] 60,[7] 150,[15] 208[45] U/L  
Angiotensin-converting enzyme (ACE) 23[45] 57[45] U/L  
Acid phosphatase   3.0[45] ng/mL  
Eosinophil cationic protein (ECP) 2.3[3] 16[3] µg/L

[edit] Other electrolytes and metabolites

Electrolytes and Metabolites: For iron and copper, some related proteins are also included.

Test Patient type Lower limit Upper limit Unit Comments
Osmolality   275,[6] 280,[15] 281[3] 295,[6] 296,[15] 297[3] mOsm/kg Plasma weight excludes solutes
Osmolarity   Slightly less than osmolality mOsm/l Plasma volume includes solutes
Urea   3.0[153] 7.0[153] mmol/L BUN - blood urea nitrogen
7[6] 18,[6] 21[7] mg/dL
* Uric acid[7]   0.18[6] 0.48[6] mmol/L  
Female 2.0[15] 7.0[15] mg/dL  
Male 2.1[15] 8.5[15] mg/dL  
Creatinine male 60,[3] 68[154] 90,[3] 118[154] μmol/L May be complemented with creatinine clearance
0.7,[155] 0.8[155] 1.0,[155] 1.3[155] mg/dL
female 50,[3] 68[154] 90,[3] 98[154] μmol/L
0.6,[155] 0.8[155] 1.0,[155] 1.1[155] mg/dL
BUN/Creatinine Ratio   5[15] 35[15] -
Plasma glucose (fasting)   3.8,[6] 4.0[3] 6.0,[3] 6.1[156] mmol/L See also glycosylated hemoglobin (in hematology)
65,[7] 70,[6] 72[157] 100,[156] 110[15] mg/dL
Full blood glucose (fasting)   3.3[3] 5.6[3] mmol/L
60[157] 100[157] mg/dL
Lactate (Venous)   4.5[15] 19.8[15] mg/dL  
0.5[158] 2.2[158] mmol/L  
Lactate (Arterial)   4.5[15] 14.4[15] mg/dL  
0.5[158] 1.6[158] mmol/L  
Pyruvate   300[15] 900[15] μg/dL  
34[159] 102[159] μmol/L

[edit] See also

( Courtesy: Wikkipedia )

Articles:

 

 

 

Refer: http://nihseniorhealth.gov/alpha.html  

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