Thorough blood tests can help you and your healthcare team understand what is going on inside your body and whether or not your treatment plan is working well as it should.
Below are the lab tests that we monitor regularly here at Renal Team Singapore. Please take note that the target range unit set here may be different from other hospitals and labs.
|Anaemia Management Lab
Do I have enough red blood cells and iron to feel my best?
|Name of Test||Target Range|
|Ferritin||≥100 and <800µg/ml|
|TSAT (Transferrin Saturation)||20-50%|
|Bone Disease Management
Am I at risk of developing renal bone disease?
|Calcium (Serum)||8.8-10.4 mg/dl or 2.2-2.6mmol/L|
|Phosphate (Inorganic)||< 5.5 mg/dL or 1.82mmol/L|
|Calcium Phosphate Product (Ca x PO4 )||<60|
|Intact Parathyroid Hormone (iPTH)||15-30 pmol/L or 150-300pg/ml|
How are my muscles and nerves working?
|Bicarbonate||>20 and <24 mmol/L (Pre-dx)|
How is my diabetic risk and is it well-controlled?
|Blood Glucose Level||>4.0 and <9.0 mmol/L or <180 mg/dL|
|Dialysis Adequacy Management
How am I responding to dialysis?
|Urea Reduction Ratio (URR)||>65% (for Haemodialysis)|
|Creatinine Clearance Ratio (CCR)||>60% (for CAPD)>63% (for APD)|
|Kt/V for Haemodialysis||>1.4 ( for non-diabetic dialysis patient) >1.6 (for diabetic dialysis patient)|
|Kt/V for Peritoneal Dialysis||>2.0 /week (for CAPD)>2.1 /week (for APD)|
What is my nutrition status?
|Creatinine (pre-dialysis)||variable on body mass & sex|
|Creatinine (post-dialysis)||<5.0 mg/dL or <442 µmol/L|
|Total Cholesterol||200-240 mg/dL or 5.1-6.1 mmol/ L|
|HDL Cholesterol||40-60 mg /dL or 1.0-2.0 mmol/L|
|LDL Cholesterol||<130 mg/dL or <3.334mmol/L|
|Triglycerides||<200 mg/dL or <1.89mmol/L|
|Total Cholesterol/HDL ratio||3.5-4.5|
|Uric acid||3.0 – 7.0 mg/dL|
What is my virology status on a routinary basis?
(These virology tests are conducted routinely and is a requirement under Singapore’s Ministry of Health Infection Control Guidelines)
You can use this lab test reference guide by:
Understanding your lab test will enable you to manage your haemodialysis more effectively. By taking an active role in your kidney dialysis treatments, the fears and anxieties that may be bothering you will slowly be reduced.