Baby Number 2 / Maternal PKU journey 2

4 and 12 week blood profile

 

 

With each pregnancy my metabolic team sends out lab requisitions for a blood profile panel done veniusly from our arms.  These are typically done at intervals. The First is the day you find out or as soon as you can get to  lab. Then 12 weeks , 20 weeks and 32 weeks.

I did my initial blood work on December 4th and my 12 week blood work on Feb 4th.

They are just analyzing our amino acids, and nutrients etc to make sure we are getting enough formula and supplements and to see if any dietary changes need to be made.

Something we look at specifically for me is the ferritin. I have notoriously low ferritn and usually am iron deficient anemic. I always need to take iron supplements even when im not pregnant.

Currently I am taking Folic acid 1 mg, an Omega 369 and Ferrous Gluconate in conjunction with my formula. Because of my formula I dont need a prenatal vitamin.

Most of these results wont make sense to the average person but I like to share them as a part of my journey as well as to track my progress and any changes.

Here is my results from my first blood profile done on December 4th 2018

Hematology
WBC
5.7
4.0-10.0
10*9/L
RBC
4.78
3.50-5.00
10*12/L
Hemoglobin
150
115-155
g/L
Hematocrit
0.44
0.35-0.45
L/L
MCV
92
82-98
fl
MCH
31.4
27.5-33.5
pg
MCHC
342
300-370
g/L
RDW
11.6
11.5-14.5
%
Platelet Count
244
150-400
10*9/L
Differential
Neutrophils
3.1
2.0-7.5
10*9/L
Lymphocytes
2.3
1.0-4.0
10*9/L
Monocytes
0.3
0.1-0.8
10*9/L
Eosinophils
0.0
0.0-0.7
10*9/L
Basophils
0.0
0.0-0.2
10*9/L
Granulocytes Immature
0.0
0.0-0.1
10*9/L
For Hematology Reporting Changes and
RBC Morphology Grading, please visit
LifeLabs BC Website at
http://www.lifelabs.com/sites/content_
authoring/healthcare-providers/
Physician%20Newsletters/HCP%20Newsletter
%20June%202018%20FINAL.pdf
Biochemical Investigation of Anemias and Iron Overload
Ferritin
24
15-247
ug/L
Adults: <15: diagnostic of Iron Deficiency
15-50: Probable Iron Deficiency
51-100: Possible Iron Deficiency
>100: Iron Deficiency unlikely
persistently >600: Test for Iron overload

Children: <12: diagnosis of Iron Deficiency
http://www2.gov.bc.ca/gov/content/health/
practitioner-professional-resources/bc-
guidelines/iron-overload

General Chemistry
Albumin
46
35-50
g/L
Lipids
Cholesterol
4.76
2.00-5.19
mmol/L
LDL Cholesterol
2.96
1.50-3.40
mmol/L
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-cholest-
erol 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.
HDL Cholesterol
1.36
>1.19
mmol/L
New method effective September 17,2018,
with improved specificity and reduced
interferences in patients with liver
disease.

For further information please contact
the Bio-Chemist on call at 1-800-431-
7206.

Chol/HDL (Risk Ratio)
3.50
<4.4
Non HDL Cholesterol
3.40
mmol/L
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.
Triglycerides
0.96
<2.21
mmol/L
Homocysteine
7
<15
umol/L
Reproductive and Gonadal
Serum HCG
Chorionic gonadotrophin
Sent to Royal Inland Hospital.
Physicians may call 250-374-5111 for results.
Metals
Selenium
Selenium
1.60
1.20-2.09
umol/L
Bone Markers
25-Hydroxyvitamin D
100
75-150
nmol/L
This is the test of choice to assess
Vitamin D status when indicated. Testing
asymptomatic patients at low risk of
deficiency is not usually required in
view of the safety and low cost of
supplementation.
<25: deficient
25-74: insufficient
>200: toxic
Total 25-OH Vitamin D represents the sum of
25-Hydroxylated Vitamin D2 and Vitamin D3
species.

 

and to compare here are my 12 week labs from feb 4th 2019, The Plasma amino acids and my blood card are still pending so I will add those tomorrow when i get them.

 

Hematology
WBC
8.8
4.0-10.0
10*9/L
RBC
4.51
3.50-5.00
10*12/L
Hemoglobin
142
115-155
g/L
Hematocrit
0.42
0.35-0.45
L/L
MCV
92
82-98
fl
MCH
31.5
27.5-33.5
pg
MCHC
342
300-370
g/L
RDW
12.2
11.5-14.5
%
Platelet Count
229
150-400
10*9/L
Differential
Neutrophils
6.0
2.0-7.5
10*9/L
Lymphocytes
2.4
1.0-4.0
10*9/L
Monocytes
0.4
0.1-0.8
10*9/L
Eosinophils
0.0
0.0-0.7
10*9/L
Basophils
0.0
0.0-0.2
10*9/L
Granulocytes Immature
0.0
0.0-0.1
10*9/L
Biochemical Investigation of Anemias and Iron Overload
Ferritin
37
15-247
ug/L
Adults: <15: diagnostic of Iron Deficiency
15-50: Probable Iron Deficiency
51-100: Possible Iron Deficiency
>100: Iron Deficiency unlikely
persistently >600: Test for Iron overload

Children: <12: diagnosis of Iron Deficiency
http://www2.gov.bc.ca/gov/content/health/
practitioner-professional-resources/bc-
guidelines/iron-overload

General Chemistry
Albumin
40
35-50
g/L
Lipids
Cholesterol
4.71
2.00-5.19
mmol/L
HDL Cholesterol
1.57
>1.19
mmol/L
New method effective September 17,2018,
with improved specificity and reduced
interferences in patients with liver
disease.

For further information please contact
the Bio-Chemist on call at 1-800-431-
7206.

Chol/HDL (Risk Ratio)
3.00
<4.4
Non HDL Cholesterol
3.14
mmol/L
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.
Homocysteine
5

 

the plasma amino acids are frozen and spun and sent to the newborn screening laboratory in Vancouver along with my blood dot cards so they take a bit longer to get results back. When I am not pregnant I do blood dots once a month and on average they take 10 days to get results back. Now that I am pregnant I do them Mondays and Thursdays, drive them to the lab and they are couried through the intra lab mail and I get the results with in a few days. Usually I get Mondays results on Wednesday of the same week, and the Thursday results on Monday or Tuesday of the following week.  I will post a summery of my phe results and my tolerance changes at the end of each trimester so be sure to check back!

 

 


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