Comparison of comprehensive metabolic test (CMP) and basic (BMP)
The Basic Metabolic Panel (BMP) test and the Comprehensive Metabolic Panel (CMP) test are both blood tests that measure the levels of certain substances in your blood.
A doctor may order a basic metabolic panel test or a comprehensive metabolic panel test during a physical exam or checkup.. Abnormal levels of one or more substances in the blood may be the result of a treatable disease.. Follow GCORP LLC.
Basic metabolic panel test and comprehensive metabolic panel test
These tests are used for various reasons.... A basic metabolic panel test will give your doctor information about:
- Blood urea nitrogen (BUN) or the amount of nitrogen in the blood to measure kidney function
- creatinine, another indicator of kidney function
- Glucose or blood sugar (having high or low blood sugar can both indicate pancreatic problems)
- Carbon dioxide (CO2) or bicarbonate, a gas that can indicate kidney or lung problems
- Calcium, which can indicate bone, kidney, or thyroid problems (although sometimes absent on a baseline metabolic panel test)
- Sodium and potassium, minerals that show the overall balance of your body fluids
- Chloride, an electrolyte that shows fluid balance
Comprehensive metabolic panel testing, including all previous tests as well as tests for:
- Albumin, a protein that can indicate liver or kidney problems
- Total protein, which makes up the total level of blood protein
- Alkaline phosphatase (ALP), a liver enzyme that can indicate liver or bone disease
- Alanine aminotransferase (ALT or SGPT), an enzyme in your kidneys and liver that can indicate liver damage
- aspartate aminotransferase (AST or SGOT), an enzyme in liver and heart cells that can also indicate liver damage
- Bilirubin is created when your liver naturally breaks down red blood cells
For more information on how to collect blood samples, how to understand the test results and the cost of these tests, read on.
See more: List of best hematology doctors
How and where is the blood test sample collected?
Many medical centers are licensed to collect blood tests.... But most likely, your doctor will refer you to a laboratory that specializes in blood tests.
To get a blood sample (for basic metabolic panel testing and comprehensive metabolic panel testing), your doctor or lab technician will take a small amount of blood from you using a needle and store it in a tube for analysis. This procedure is known as a venipuncture.
Before doing any of these basic metabolic panel or comprehensive metabolic panel tests, you should be fasting. What you eat and drink can affect the levels of many substances in the blood, and fasting ensures an accurate measurement without the influence of food.
If you are sensitive to needles or the blood scene, ask someone to take you to the lab so you can return safely afterwards.
What are these tests used for?
Basic metabolic panel testing is primarily used to check for:
- Electrolyte imbalance Abnormal blood sugar
- How filtered is your blood
Abnormal levels can indicate kidney or heart diseases.
A comprehensive metabolic panel test also measures the levels of substances produced by your liver. This can show:
- How well is your liver working ?..
- How much protein is in your blood ?..
Other measurements in the comprehensive metabolic panel test:
Additional substances measured by the Comprehensive Metabolic Panel test essentially allow a detailed observation of liver function and its relationship to bones and other organs. This test may be preferred over the basal metabolic panel test:
- Your doctor believes you may have liver disease
- You have already been treated for liver disease and your doctor wants to monitor the results of the treatment
How do I read the test results?
Basic metabolic panel test results are as follows.... High or low levels of any of these components can indicate an underlying disease.
Don't miss this post to find out how long it takes to get the results of the Basic Metabolic Panel and Comprehensive Metabolic Panel tests.
Blood urea nitrogen (BUN)
High levels may mean you have kidney problems, which could include kidney failure or glomerulonephritis, an infection of the part of your kidney's blood filters (glomeruli).
Low levels of blood urea nitrogen can mean you are not getting enough protein in your diet or you have liver disease.
creatinine
A high level may mean you have muscle or kidney disease or preeclampsia, a dangerous condition that can occur during pregnancy.
A low level may mean that your muscles are abnormally weak.
Blood sugar
Level Low could mean that the thyroid, pituitary or adrenal glands are not working properly.
Albumin
Having high albumin is not normal.... Its low level can be caused by not getting enough protein, suffering from liver or kidney diseases, or recent bariatric surgery to lose weight.
carbon dioxide
A high level could mean you are not breathing properly or have problems with your metabolism or hormones.
Low levels may mean you have kidney disease, toxins in your blood, or too much acid in your body (acidosis).
Calcium
A high amount can mean a type of parathyroid gland cancer.
Level Low may mean:
- Pancreas problems
- Liver or kidney failure Parathyroid dysfunction
- Vitamin D deficiency in your blood
Sodium
Level High can mean having:
- Cushing's syndrome, which is caused by having too much cortisol in the blood for a long time
- Diabetes insipidus, a type of diabetes that causes excessive thirst and urination more than usual
Level Low can mean that you:
- They are dehydrated
- You have recently vomited
- You have kidney, heart or liver failure
- Having syndrome of inappropriate hormone secretion (SIADH)
- You have Addison's disease, this disease occurs when the adrenal gland does not receive enough hormones
Potassium
Amount High may mean you have kidney disease or heart function problems.
Low levels can be caused by hormonal problems or the use of diuretics to help eliminate excess fluid.
Chloride
Levels High could mean that your kidneys are not filtering enough acid from the body.
Low levels can be caused by Addison's disease, dehydration or congestive heart failure (CHF).
Alkaline phosphatase
Level Top can show the following:
- Paget's disease
- obstruction of bile ducts Gallbladder inflammation Gallstones
- Hepatitis
- Cirrhosis
Level Low may be caused by:
- Heart surgery
- Zinc deficiency
- Malnutrition
- disorders of bone metabolism
Alanine transaminase
Level Top can show the following:
- Hepatitis liver cancer
- Cirrhosis
- Hepatic damage
Low level is normal alanine transaminase.
aspartate transaminase
A high level of aspartate transaminase can indicate the following:
- mononucleosis (or single)
- Hepatitis
- Cirrhosis Pancreatitis
- Heart diseases
Level AST Low is normal.
bilirubin
top level can represent the following:
- Gilbert syndrome is a harmless condition in which your body does not produce enough enzymes to reduce bilirubin levels
- Abnormal destruction of red blood cells (hemolysis)
- drug side reactions
- Hepatitis
- obstruction of bile ducts
Read more about the bilirubin test.
Final speech
Comprehensive metabolic panel testing is done for extra liver substances, so if your doctor is not concerned about your liver function, you may not need a comprehensive metabolic panel test.. If you want an overview of the essential metabolic components of your blood, a basic metabolic panel test is sufficient.
If your doctor suspects liver disease or finds abnormal values on your baseline metabolic panel test, you may need a composite metabolic panel test to rule out an underlying condition that needs treatment.
Source: Healthline
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