How to Read a Blood Test: Understanding Your Lab Results

Blood test reports are easier to understand with a few basic principles.

Reference Ranges

  • Each test has a normal range based on 95% of healthy people
  • Ranges vary by lab, age, sex
  • Outside range = flagged H (high) or L (low)

Key Principles

  • Outside range is not always bad
  • One abnormal value rarely means anything alone
  • Patterns across multiple values are more meaningful
  • Trends matter more than single values

Most Important Numbers

  • Hemoglobin — oxygen (low = anemia)
  • WBC — immune activity
  • Platelets — clotting
  • Glucose — blood sugar
  • Creatinine/eGFR — kidneys
  • ALT/AST — liver
  • Sodium/Potassium — electrolytes
  • LDL — cardiovascular risk

Red Flags Needing Prompt Attention

  • Hemoglobin below 7 g/dL
  • WBC above 30,000 or below 2,000
  • Platelets below 50,000
  • Potassium above 6.0 or below 2.8
  • Glucose above 400 or below 50
  • Sodium below 120

Questions for Your Provider

  • Which values are outside range and how far?
  • Is this new compared to my previous results?
  • What could be causing this?
  • Do we need more tests?
  • When should we recheck?

Important

  • Always discuss results with a qualified healthcare provider — online interpretation is educational, not diagnostic
Source: NLM MedlinePlus, American Association for Clinical Chemistry.

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