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Finding Sources

Here is a full interpretation of both lab reports for Rahmathullah Kathar Thambi, 47-year-old male:

Lab Report Summary

Patient Details

Age/Sex: 47 years, Male
Referring Doctor: Dr. May Ghazi Al-Mutairi
Collected: 08-09 June 2026, Funaitees Clinic / Al Masayel Health Center

Biochemistry Panel

Test	Result	Reference Range	Status
Glucose (GLUC)	5.65 mmol/L	3.90 - 5.60	🔴 HIGH
Albumin	43.28 g/L	31 - 55	✅ Normal
Calcium	2.32 mmol/L	2.20 - 2.65	✅ Normal
Urea	3.20 mmol/L	2.5 - 6.6	✅ Normal
Creatinine	80.98 µmol/L	55 - 113	✅ Normal
Phosphorus	1.13 mmol/L	0.78 - 1.53	✅ Normal
Triglycerides	1.66 mmol/L	0.4 - 2.4	✅ Normal
Total Cholesterol	4.11 mmol/L	3.10 - 5.20	✅ Normal
Uric Acid	387.44 µmol/L	150 - 400	⚠️ Upper range
Total Bilirubin	18.47 µmol/L	3 - 20	✅ Normal
AST	12.63 U/L	10 - 42	✅ Normal
ALP	55.22 U/L	30 - 123	✅ Normal
ALT	14.42 U/L	10 - 60	✅ Normal
C-Calcium (corrected)	2.25 mmol/L	2.2 - 2.65	✅ Normal
Fe - Iron	27.8 µmol/L	6 - 26	🔴 HIGH

Hormone Panel

Test	Result	Reference Range	Status
TSH	2.09 uIU/mL	0.38 - 5.33	✅ Normal

Key Findings & Clinical Interpretation

1. 🔴 Elevated Glucose - 5.65 mmol/L (101.7 mg/dL)

This is a borderline/mildly elevated fasting glucose. For context:

Normal fasting glucose: < 5.6 mmol/L (100 mg/dL)
Impaired fasting glucose (prediabetes): 5.6 - 6.9 mmol/L (100 - 125 mg/dL)
Diabetes: ≥ 7.0 mmol/L (126 mg/dL)

This result places him at the lower boundary of prediabetes. A single reading is not diagnostic - this should be confirmed with a repeat fasting glucose or HbA1c test. Lifestyle modifications (diet, exercise, weight management) are recommended.

2. 🔴 Elevated Serum Iron - 27.8 µmol/L (ref: 6-26 µmol/L)

Iron is mildly elevated above the upper limit. This alone does not confirm iron overload - the full picture requires transferrin saturation (TSAT) and serum ferritin. Possible causes of mildly elevated serum iron include:

Recent red meat consumption before the test
Haemochromatosis (genetic iron overload) - less likely unless ferritin is also high
Iron supplementation
Liver disease - liver enzymes (AST/ALT/ALP) are all normal here, making this less likely

Recommendation: Check serum ferritin and TIBC (transferrin/iron-binding capacity) to assess true iron status.

3. ⚠️ Uric Acid - 387.44 µmol/L (upper end of normal)

This is within the reference range but near the upper limit. In males, hyperuricemia is typically defined at > 400-420 µmol/L. He is close to this threshold. According to Robbins Pathology, hyperuricemia above 6.8 mg/dL (400 µmol/L) is necessary for gout risk. At current levels there is no immediate concern, but worth monitoring - especially with dietary factors like red meat and alcohol.

4. ✅ Liver Function - Normal

All three liver enzymes (AST, ALT, ALP) and bilirubin are within normal range. Liver health appears good.

5. ✅ Kidney Function - Normal

Creatinine (80.98 µmol/L), urea (3.20 mmol/L) are both normal. Kidney function is preserved.

6. ✅ Lipid Panel - Normal

Total cholesterol (4.11 mmol/L) and triglycerides (1.66 mmol/L) are both within normal range. Cardiovascular risk from lipids is low.

7. ✅ TSH - Normal

Thyroid function is completely normal at 2.09 uIU/mL (mid-range).

Recommended Follow-up

Priority	Action
Important	Repeat fasting glucose + HbA1c to confirm/rule out prediabetes
Important	Check serum ferritin + TIBC to evaluate elevated iron
Monitor	Uric acid trend - dietary advice (reduce red meat, organ meats, shellfish, alcohol)
Lifestyle	Dietary review, physical activity, weight check

Disclaimer: This is an educational interpretation only and not a substitute for medical advice from the treating physician (Dr. May Ghazi Al-Mutairi), who has full clinical context for this patient.

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