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  2. High insulin; Dr. Kellon, please.

Re: High insulin; Dr. Kellon, please.

janieclougher@...
 

Good work on the case history!  I am flagging this for Dr. Kellon.  This may indeed be a case of "treat the horse, not the numbers" , but let's wait and see what Dr. Kellon says. Putting the relevant results here - the rest are within normal limits.

CBC

Tests Results Ref. Range Units

WBC 4.1 (LOW) 5.5-12.5 103/μL

RBC 5.7 (LOW) 7.00-12.00 106/μL

Hemoglobin 12.3 11.0-17.0 g/dL

Hematocrit 33 32.0-50.0 %

MCV 58 34-58 fL

MCH 21.6 (HIGH) 12-19 pg

MCHC 37.3 31-39 g/dL

Platelet Count 123 100-400 103/μL

Platelet count reflects the minimum number due to platelet

clumping.

Platelet EST Adequate

Differential Absolute %

Neutrophils 2870 70 2600-7500 /uL

Bands 0 0 0-300 /uL

Lymphocytes (LOW) 984 24 1500-7700 /uL

Monocytes 123 3 0-1000 /uL

Eosinophils 82 2 0-1000 /uL

Basophils 41 1 0-290 /uL


Phosphorus 1.6 (LOW) 2.0-5.0 mg/dL


1/20/15

Insulin

73.27

ulU/mL

10-40

1/20/15

Glucose

118

mg/dL

75-113

1/20/15

ACTH

20.6

pg/mL

9-35
 

 



Jaini (BSc,BVSc),Merlin,Maggie,Gypsy
BC09
EC moderator

https://groups.yahoo.com/neo/ groups/ECHistory/files/Jaini% 20Clougher%2C%20Smithers%20BC/


..........I know the ACTH showed her pretty solidly within the normal range, but could this be a "treat the horse, not the numbers" case?  Or should I leave that alone and explore the other tests first?  I just want to get this insulin down as soon as possible.  It's never been fully controlled, but it's never been this high before either.


Thank you!

Patty and Libby
Laurel, MD
May 2008
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