OneTrackHealth Mobile App
Blood Test Results Help Guide

This Blood Test Results Help Guide provides you with the references that were used to determine the appropriate test ranges specifically for people with chronic kidney disease (CKD) who are on dialysis. The organizations that provide guidance to nephrologists to determine the ranges include the National Kidney Foundation (NKF) Kidney disease outcome quality initiative (KDOQI (TM)), The Kidney disease improving global outcome (KDIGO), and Up to Date (R) which provides evidence-based, point-of-care clinical decision support to help your physician make care decisions with confidence.

 

The default test ranges have also been confirmed by our Nephrologist consultant. Although we take care and are confident in our reference and test ranges which have been confirmed by our Nephrologist consultant, we provide them for educational and informational use only or in consultation with your licensed provider. Always consult your licensed healthcare provider based on any information we provide.

The OneTrackHealth Mobile Application is designed with three test result viewing options.

  • The first dashboard view shows each test type in a semi -circle. Each semi-circle shows the average of the last 3 test results (maximum).

    • Each semi-circle/test type and is color coded: gray means no results entered, green means you are on track and within the test result ranges for that specific test, and red means you are off track and not within that specific test result range.

    • If you are off-track with a red color code, an indicator arrow will be displayed showing you how far above or below you are from the test range for that specific test.

  • The second dashboard shows test results by month (with a default view of 4 months) also in green/red color coding. You can change the date range for this view as you like. The light green coloring on graph indicates when you are within the set range for each test.

 

  • Below the monthly view is the long-term view (with the default view set at one year of test results). You can change the date range for this view as you like.

  • Customizable features: You can add new test types with the ranges you choose with the same green (on/track) and red (off/track) color coding. You can also edit the default test types (we recommend only doing this after consultation with your nephrologist or other healthcare provider).

Blood Test Range References for people with Chronic Kidney Disease who are on Dialysis

Below are the blood test ranges and the associated references for the default tests that are included in the OneTrackHealth mobile phone application. You are able to change these test ranges if you would like in the app itself. We recommend you consult with your nephrologist before making any changes.

Hemoglobin

Hemoglobin is the oxygen carrying protein found in red blood cells (RBCs) that carries oxygen from the lungs to the tissues of the body including heart, brain and muscles which help you function normally. When Hgb levels are low, you can feel weak and tired. Anemia is a condition that occurs when you have a lower than normal amount of red blood cells (RBCs) or hemoglobin (Hgb) in the bloodstream.

It is important to keep track of Hgb levels as too low or too high Hgb levels can be dangerous for a person on dialysis and can lead to cardiovascular problems. 

References for hemoglobin test result ranges in the OneTrackHealth mobile app.

The default blood test result range for serum hemoglobin is 10-11.5 g/dL and was determined using the following references: Up to Date(R) which provides evidence-based, point-of-care clinical decision support to help your physician make care decisions with confidence, NKF website, and was confirmed by nephrologist consultant. Please consult with your nephrologist to confirm or change the range to match their recommendations.

Calcium

Calcium is an abundant mineral found in the body that helps support strong bones.  Maintenance of normal calcium balance and serum calcium levels depend on integrated regulation of calcium absorption and secretion by the intestinal tract, the excretion of calcium by the kidney, and calcium release from and calcium deposition into bone.  

It is important to keep track of calcium levels to reduce the risk of bone fractures. In order to maintain the recommended levels, be aware of your calcium intake. Some foods are naturally high in calcium while others that are not natural sources of calcium have it added to them.

References for Calcium test result ranges in the OneTrackHealth mobile app:

The default blood test result range for serum calcium is 8.4-10.2 mg/dL and was taken from the NKF KDOQI (TM) (Kidney Disease Outcome Quality Initiative) Guidelines and confirmed by nephrologist consultant. Please consult with your nephrologist to confirm or change the range to match their recommendations.

Phosphorus

Phosphorus is an abundant mineral found in the body and in many foods that helps support strong bones and is involved in cellular functions throughout the body. When the kidneys are not functioning, they are unable to remove extra phosphorus in your blood, this excess phosphorus in combination with calcium loss causes soft tissue calcification including vascular calcifications. Calcification of coronary arteries, cardiac valves, and pulmonary tissues produces cardiac disease, the leading cause of death in people with CKD. 

 

It is therefore important to prevent this from occurring and maintain serum phosphorus levels within the normal range.

 

References for Phosphorus test result ranges in the OneTrackHealth mobile app:

The default blood test result range for serum phosphorus is 3.5-5.5 mg/dL and was taken from the NKF KDOQI (TM) (Kidney Disease Outcome Quality Initiative) Guidelines, and confirmed by nephrologist consultant. Please consult with your nephrologist to confirm or change the range to match their recommendations. 

Potassium

Potassium is a mineral found in many of the foods you eat. It plays a role in keeping your heartbeat regular and your muscles functioning. When the kidneys are not functioning, they are unable to remove potassium in your blood. If your potassium becomes too high, it can cause an irregular heartbeat or a heart attack. 

 

References for Potassium test result ranges in the OneTrackHealth mobile app:

The default blood test result range for serum potassium is 3.5-5.5 mmol/L and was taken from the NKF (National Kidney Foundation) and KDIGO (Kidney disease improving global outcome) recommendations and confirmed by nephrologist consultant. Please consult with your nephrologist to confirm or change the range to match their recommendations. 

Albumin

Serum albumin is the most common protein found in your blood and is involved in maintaining many functions in the body. It is made in your liver, but a diet high in protein is important to make the appropriate amount in your body. When albumin is too low, you may get swelling from the buildup of fluid in your feet, ankles, hands, around your eyes, lower back, or other parts of your body. Serum albumin levels have been used extensively to assess the nutritional status of people with CKD on dialysis as malnutrition is common.  

References for Albumin test result ranges in the OneTrackHealth mobile app:

The default blood test result for serum albumin minimum range of 3.8 mg/dl is included on recommendation of consultant nephrologist. The default maximum range of 4.0 mg/dl or higher is taken from the NKF KDOQI (TM) (Kidney Disease Outcome Quality Initiative) Guidelines, and confirmed by nephrologist consultant. Please consult with your nephrologist to confirm or change the range to match their recommendations.