{"id":52689,"date":"2022-07-18T09:00:33","date_gmt":"2022-07-18T13:00:33","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=52689"},"modified":"2023-07-12T17:23:32","modified_gmt":"2023-07-12T21:23:32","slug":"comprehensive-metabolic-panel","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/comprehensive-metabolic-panel\/","title":{"rendered":"What do your comprehensive metabolic panel test results mean?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">If you recently had a physical exam, your provider likely recommended a blood test called a comprehensive metabolic panel (CMP). This lab test is often ordered at an annual well visit. The results can help flag early warning signs for diabetes or issues with your liver and kidneys.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">With electronic medical records releasing results before your healthcare provider has a chance to explain the meaning, it may be difficult to accurately interpret the results. Be sure to check with your healthcare provider for individualized feedback.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What is a comprehensive metabolic panel?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">A comprehensive metabolic panel (CMP), also called a chemistry screen, chemistry panel, or chem-14, is a range of blood tests that help provide a better understanding of your body\u2019s chemistry. The test measures 14 different substances in your blood sample. It\u2019s the more thorough counterpart to the basic metabolic panel (BMP), a blood test that measures eight substances. The main focus of this group of lab tests is to evaluate your body\u2019s chemical balance and metabolism. It is used for the following reasons:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Preventive screening for medical issues<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diagnosing problems with blood sugar, kidney, or liver function<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Monitoring known chronic conditions<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u201cThe metabolic panel is one of the best routine lab tests to help your doctor figure out what&#8217;s going on,\u201d says <\/span><a href=\"https:\/\/www.westchesterhealth.com\/listing\/frank-j-contacessa-md\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Frank J. Contacessa<\/span><\/a><span style=\"font-weight: 400;\">, MD, an internist at Northwell Health Physician Partners Medicine in Armonk, New York. These lab results help your healthcare provider evaluate how medications you take regularly affect your body.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/normal-blood-glucose-levels\/\"><b>What are normal blood sugar levels?<\/b><\/a><b> | <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/blood-pressure-levels\/\"><b>Understanding blood pressure levels<\/b><\/a><\/p>\n<h3><span style=\"font-weight: 400;\">What tests are in a comprehensive metabolic panel?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The 14 different substances that are measured during a CMP test are:<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Glucose\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Calcium\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sodium\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Potassium\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bicarbonate\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chloride\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Blood urea nitrogen (BUN)\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Creatinine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Albumin\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Total protein\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Alkaline phosphatase (ALP)\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Alanine aminotransferase (ALT)\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Aspartate aminotransferase (AST)\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bilirubin\u00a0<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">\u201cWhen all the tests are analyzed together, it gives a good picture of overall health,\u201d says <\/span><a href=\"https:\/\/drwilliamli.com\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">William Li<\/span><\/a><span style=\"font-weight: 400;\">, MD, a physician, scientist, and author of <\/span><i><span style=\"font-weight: 400;\">Eat To Beat Disease<\/span><\/i><span style=\"font-weight: 400;\">. \u201cAny abnormal results can help identify where there may be problems with metabolism and direct a doctor to where to do a deeper dive.\u201d\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What does a comprehensive metabolic panel show?\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cA comprehensive metabolic panel may indicate kidney disease, liver disease, and gallbladder disease,\u201d Dr. Li says. \u201cIt can also show signs of cancer interfering with metabolic function, diabetes, pre-diabetes, and many more. The panel gives a snapshot of how things are going inside the body. It does not nail down a diagnosis. If there are any abnormalities, more tests will likely be needed.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A comprehensive metabolic panel blood test can be used to check the health and functioning of your organs. The following areas can be evaluated:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kidneys and liver health functioning<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Blood sugar levels<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Calcium levels\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Blood protein levels\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sodium, potassium, and chloride levels (electrolytes)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Protein levels<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fluid balance<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">For example, blood urea nitrogen (BUN) and creatinine are waste products eliminated by your kidneys. Higher-than-normal levels of either lab can indicate decreased kidney function. While potassium, sodium, carbon dioxide, and chloride provide information about electrolyte levels and if the acid-base balance of your body is off. Irregular glucose test results could be an early indicator of blood sugar problems or even prediabetes. Increased levels of ALP, ALT, or AST enzymes may indicate liver dysfunction.\u00a0<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/creatinine-levels\/\"><b>Creatinine: Blood test, normal range, and how to lower levels<\/b><\/a><b> | <\/b><a href=\"https:\/\/www.singlecare.com\/conditions\/kidney-infection-treatment-and-medications\"><b>Kidney Infection Treatment and Medications<\/b><\/a><\/p>\n<h2><span style=\"font-weight: 400;\">Comprehensive metabolic panel results<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Consult your healthcare provider to help read and interpret your CMP results. If you receive the results before you can consult with your healthcare provider, know that an abnormal result doesn\u2019t necessarily mean that you have a disease. It depends which values are off, how many, and how far outside the typical reference ranges your results fall.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cAbnormal results could mean a diagnosis of heart disease, kidney, or liver failure, or that you are dehydrated,\u201d says <\/span><a href=\"https:\/\/valleysleepcenter.com\/about-us\/our-providers\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Lulu Guo<\/span><\/a><span style=\"font-weight: 400;\">, MD, a family medicine physician at Valley Sleep Center in Arizona. <\/span><span style=\"font-weight: 400;\">There could be an error in the test, you might need to alter your diet, or just drink more water.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cAny abnormal values mean something is going on and needs more investigation to figure out what it is, and whether an intervention is needed,\u201d Dr. Li says. Your healthcare provider will probably want to do more tests to further determine what\u2019s going on. Every lab has a unique exact \u201cnormal range.\u201d<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th><strong><span class=\"title\">CMP results meaning <\/span><\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Test<\/b><\/td>\n<td><b>Normal Range<\/b><\/td>\n<td><b>Type of Test<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Albumin<\/span><\/td>\n<td><span style=\"font-weight: 400;\">3.4 to 5.4 g\/dL (34 to 54 g\/L)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Blood protein<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Alkaline phosphatase (ALP)\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">20 to 130 U\/L<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Liver test<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Alanine aminotransferase (ALT)\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">4 to 36 U\/L<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Liver test<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Aspartate aminotransferase (AST)\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">8 to 33 U\/L<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Liver test<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Bilirubin<\/span><\/td>\n<td><span style=\"font-weight: 400;\">0.1 to 1.2 mg\/dL (2 to 21 \u00b5mol\/L)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Liver test<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Blood urea nitrogen (BUN)\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">6 to 20 mg\/dL (2.14 to 7.14 mmol\/L)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Kidney test<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Calcium<\/span><\/td>\n<td><span style=\"font-weight: 400;\">8.5 to 10.2 mg\/dL (2.13 to 2.55 mmol\/L)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Electrolyte panel<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Carbon dioxide<\/span><\/td>\n<td><span style=\"font-weight: 400;\">23 to 29 mEq\/L (23 to 29 mmol\/L)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Electrolyte panel<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Chloride<\/span><\/td>\n<td><span style=\"font-weight: 400;\">96 to 106 mEq\/L (96 to 106 mmol\/L)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Electrolyte panel<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Creatinine<\/span><\/td>\n<td><span style=\"font-weight: 400;\">0.6 to 1.3 mg\/dL (53 to 114.9 \u00b5mol\/L)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Kidney test<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Glucose<\/span><\/td>\n<td><span style=\"font-weight: 400;\">70 to 100 mg\/dL (3.9 to 5.6 mmol\/L) when fasting; under 200 mg\/dl when not fasting<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Sugar metabolism<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Potassium<\/span><\/td>\n<td><span style=\"font-weight: 400;\">3.7 to 5.2 mEq\/L (3.70 to 5.20 mmol\/L)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Electrolyte panel<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Sodium<\/span><\/td>\n<td><span style=\"font-weight: 400;\">135 to 145 mEq\/L (135 to 145 mmol\/L)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Electrolyte panel<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Total protein<\/span><\/td>\n<td><span style=\"font-weight: 400;\">6.0 to 8.3 g\/dL (60 to 83 g\/L)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Blood protein<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">\u201cYou should ask your doctor why this comprehensive metabolic panel was performed, and what he or she was thinking or looking for,\u201d Dr. Li says. He further explains the importance of asking questions about your blood work. \u201cAsking questions will help you as a patient engage your doctors in a conversation about your comprehensive metabolic panel.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Here are some questions you can ask your provider about your comprehensive metabolic panel test results:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Are my results normal?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">What do my results mean?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">How do these results relate to my family history?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Should I make any lifestyle changes?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">What are the next steps?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do I need any other blood tests or any other types of tests?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do I need to repeat this comprehensive metabolic panel? If so, when?<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">You might need follow-up tests depending on your results. \u201cSometimes, your doctor will decide based on all the factors just to repeat the test in a few weeks or months to see if things have gotten better, stayed the same, or gotten worse,\u201d Dr. Li says. \u201cIf you are feeling ill, and have an abnormal comprehensive metabolic panel, chances are your doctor will be ordering some additional tests or scans.\u201d<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>If you recently had a physical exam, your provider likely recommended a blood test called a comprehensive metabolic panel (CMP). This lab test is often ordered at an annual well visit. The results can help flag early warning signs for diabetes or issues with your liver and kidneys. With electronic medical records releasing results before [&hellip;]<\/p>\n","protected":false},"author":135,"featured_media":52676,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[729,17777,8670],"coauthors":[20598],"class_list":["post-52689","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-doctor-visits","tag-mens-health","tag-womens-health","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Comprehensive metabolic panel: What it is, ranges, and results<\/title>\n<meta name=\"description\" content=\"A comprehensive metabolic panel measures 14 different substances to better understand your body chemistry. 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