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Introduction

Diabetes is a group of conditions linked by an inability to produce enough insulin and/or to respond to insulin. This causes high blood glucose levels (hyperglycemia) and can lead to a number of acute and chronic health problems, some of them life-threatening.

Diabetes is fast gaining the status of a potential epidemic in India with more than 62 million diabetic individuals currently diagnosed with the disease.

People with diabetes are unable to process glucose, the body's primary energy source, effectively. Normally, after a meal, carbohydrates are broken down into glucose and other simple sugars. This causes blood glucose levels to rise and stimulates the pancreas to release insulin into the bloodstream. Insulin is a hormone produced by the beta cells in the pancreas. It regulates the transport of glucose into most of the body's cells and works with glucagon, another pancreatic hormone, to maintain blood glucose levels within a narrow range.

If someone is unable to produce enough insulin, or if the body's cells are resistant to its effects (insulin resistance), then less glucose is transported from the blood into cells. Blood glucose levels remain high but the body's cells "starve." This can cause both short-term and long-term health problems, depending on the severity of the insulin deficiency and/or resistance. Diabetics typically have to control their blood glucose levels on a daily basis and over time to avoid health problems and complications. Treatment, which may involve specialized diets, exercise and/or medications, including insulin, aims to ensure that blood glucose does not get too high or too low.

The goals of diabetes testing are to screen for high blood glucose levels (hyperglycemia), to detect and diagnose diabetes and prediabetes, to monitor and control glucose levels over time, and to detect and monitor complications.

Test included

• Blood Sugar Fasting
• Blood Sugar Post Prandial
• C-Peptide (FASTING)
• CBC
• Cholesterol Total
• Creatinine
• Electrolytes
• Glycosylated Haemoglobin (HbA1c)
• Insulin Antibody
• Insulin Test (Fasting)
• Insulin Test(PP)
• Microalbumin Level (Urine)
• Triglycerides
• Urine Routine



Blood Sugar Fasting
Glucose is the primary energy source for the body's cells and the only energy source for the brain and nervous system. A steady supply must be available for use, and a relatively constant level of glucose must be maintained in the blood. High levels of glucose most frequently indicate diabetes, but many other diseases and conditions can also cause elevated blood glucose. This test is done to determine
- If the blood glucose level is within a healthy range
- To screen for and diagnose diabetes and prediabetes and to monitor for high blood glucose (hyperglycemia) or low blood glucose (hypoglycemia)
- To check for glucose in your urine

Blood Sugar Post Prandial
A blood sugar post prandial test is a blood test that measures blood glucose levels following a meal. Also known as Postprandial Plasma Glucose Test (PPG) it show how tolerant the body is to glucose.

C-Peptide (FASTING)
C-peptide is a substance, a short chain of amino acids, that is released into the blood as a byproduct of the formation of insulin by the pancreas. This test helps to evaluate help evaluate insulin production by the beta cells in the pancreas or to help determine the cause of low blood glucose (hypoglycemia)

CBC
The complete blood count (CBC) is a test that evaluates the cells that circulate in the blood. Blood consists of three types of cells suspended in a fluid called plasma: white blood cells (WBCs), red blood cells (RBCs), and platelets (PLTs). This test is done to determine the general health status; to screen for, diagnose, or monitor any one of a variety of diseases and conditions that affect blood cells.

Cholesterol Total
Cholesterol is a substance (a steroid) that is essential for life. It forms the membranes for cells in all organs and tissues in the body. It is used to make hormones that are essential for development, growth, and reproduction. It forms bile acids that are needed to absorb nutrients from food. The test for cholesterol measures total cholesterol that is carried in the blood.

Creatinine
Creatinine is a waste product produced by muscles from the breakdown of a compound called creatine. Creatinine is removed from the body by the kidneys, which filter almost all of it from the blood and release it into the urine. This test measures the amount of creatinine in the blood and/or urine.

Electrolytes
Electrolytes are minerals that are found in body tissues and blood in the form of dissolved salts. This test is used to identify an electrolyte, fluid, or pH imbalance (acidosis or alkalosis)

Glycosylated Haemoglobin (HbA1c)
HbA1c, also called A1c or glycated hemoglobin, is hemoglobin with glucose attached. The A1c test evaluates the average amount of glucose in the blood over the last 2 to 3 months by measuring the percentage of glycated (glycosylated) hemoglobin. This test helps to identify those at an increased risk of developing diabetes and to help diagnose diabetes by monitoring a person's diabetes.

Insulin Antibody
Insulin Antibody is useful in assessing lower titers of autoantibody in patients with diabetes, detecting insulin autoantibody in patients who are prediabetic, and in detecting autoantibody in patients with other autoimmune disorders.

Insulin Test (Fasting)
Insulin is a hormone that is produced and stored in the beta cells of the pancreas. It is secreted in response to elevated blood glucose following a meal and is vital for the transportation and storage of glucose, the body's main source of energy. Insulin helps transport glucose from the blood to within cells, thus helping regulate blood glucose levels, and has a role in lipid metabolism. This test measures the amount of insulin in the blood and helps to evaluate: • Insulin production by the beta cells in the pancreas
• Diagnose the presence of an insulin-producing tumor in the islet cells of the pancreas (insulinoma)
• Determine the cause of low blood glucose (hypoglycemia)
• Identify insulin resistance, or to help determine when a type 2 diabetic might need to start taking insulin to supplement oral medications

Insulin Test (PP)
Insulin Post Prandial test is performed on a sample of blood to measure the level of Insulin in blood following a meal. It is performed to confirm Metabolic Syndrome and Prediabetes.

Microalbumin Level (Urine)
A sensitive test that is used to monitor people with diabetes for small amounts of albumin, the main blood protein, in the urine. Over time, diabetes can begin to affect kidney function and this test is an early indicator that diabetes has caused some kidney damage.

Triglycerides
Triglycerides are a form of fat and a major source of energy for the body. This test measures the amount of triglycerides in the blood.

Urine Routine
Urine samples are tested for glucose, protein, and ketones, often as part of a urinalysis to check the levels of glucose and/or protein or ketones present in the urine sample.

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