In addition of regular test of FBS,PPBS and RBS,
1)Which tests are required for a diabetic person?
2)Can we categorize these tests as essential,regular and optional?
3)What should be respective frequencies of these tests in a year?
4)What pre-cautions are needed for these test?
5)Is it useful to go for these tests each time in the same lab?
Please reply!
As a type II patient for last 15 years I will put my comments as follows:
1. First determine , how is your diabetes , is it in control or slightly higher side or higher side ? Secondly do you have any other ailment like blood pressure ?
If the answers are yes to higher diabetes with other disorders then first you need to take medication and check your sugar level fortnightly at home and alternate months in LAB.
You may change the LAB if you yourself find it uncomfortable . I would go where equipments are modern.
Once in a year full clinical check up would help and for tests doctors would ask you how to come prepared for the test.
Lastly instead of worrying too much we have to take care.
All the best
Dear cnt22,Thanks a lot for your reply.No doubt,you have a long experience of diabetes.People like you are hope and inspiration for me as I am just learning to manage diabetes.
My diabetes is of type-II.
Following are mine tests reports:
Test date:26.08.2015 (more than 2 months ago)
FBS-107.9 and PPBS (2 hrs)-144.7
Ser cholesterol-136,HDL-50,LDL-65,VLDL-21,Trig-140,Blood
urea-24.6,Creat-1.1,HbA1c-7.65,Albumin-Nil,Urine Ph-6
Please give your valuable comment on the above report!
From helping hands in this forum,especially Anup Ji,I learned useful things to manage my diabetes.I do not take any medicine except an ayurvedic churna twice a day.Now,I follow low-carb diet with some good fats (Virgin coconut oil,Coconut milk,Cheese and Black coffee with no sugar) and I am feeling better.
I request you to further clarify the following:
1)What is full clinical check up?
2)How do you manage your diabetes?
I will be thankful to your for the same.
Dear Anup JI,I am always thankful to you for all your support!
Now,I follow low-carb diet with some good fats (Virgin coconut oil,Coconut milk and Cheese) and also black coffee with no sugar and I am feeling much better.
However,my present situation is much better than past but I still monitor my blood sugar level regularly.I request you to go through the following:
Date:05.11.2015
FBS ( 9 hrs after dinner)-91,PPBS (30 min)-145,PPBS (1hr)-130,PPBS (1 hr 30 min)-114 and PPBS (2 hrs)-106
On the basis of similar tests conducted during breakfast,lunch and dinner on several consecutive days with different food items (as par Low Carb-High Fat diet), the following results are obtained:
FBS-From 85 to 100 and PPBS (30 min-1hr)-125 to 155 and PPBS (1hr-2 hrs)-100 to 125
Min-85 & Max-155
Now,I request you to clarify the following:
1)Is my blood sugar under control?
or I need more attention.
2)Is it possible to get better results in the future?
by following the same diet and life style.
3)Can I expect more improvement in my eye sight?
as other complications have been gone off.
4)Further weight reduction would be useful?
at present my weight is 90 kg and height is 188 cm.
5)How can I manage my diabetes in a better way?
shall I go for medicines.
Dear champak045,Thanks a lot for your detailed reply!
RBS is random blood sugar.
Following are mine tests reports:
Test date:26.08.2015 (more than 2 months ago)
FBS-107.9 and PPBS (2 hrs)-144.7
Ser cholesterol-136,HDL-50,LDL-65,VLDL-21,Trig-140,Blood
urea-24.6,Creat-1.1,HbA1c-7.65,Albumin-Nil,Urine Ph-6
Please give your valuable suggestions on the basis of above report!
Yes,it is Rs 500 at my place too!
So sad!
It is too much in USA!
Got it!
Thanks a lot,once again!
Thanks a lot!
In addition to FBS,PPBS,you may check for Lipid Profile(i.e. Good Cholestrol HDL and Bad Cholestrol LDL) once in 6 months(if problem may be once in 3 months),Serum Creatinine-for kidney function(once in 6 months).
Thanks a lot for your advice!Please go through following:
Patient details:Age-44 years,Gender-Male,Height-188 cm,Weight-90 kg
Diabetic since 2009 (approx 6 years)
Today's blood pressure readings:110/70
Please go through these reports and clarify the following:
1)How is the overall health condition?
2)Is there improvement in overall health?
3)Is there need of further attention?
*Test date:18.05.2015
HbA1c-6.98
Serum Cholesterol-106,HDL-48,LDL-40,VLDL-18,Triglycerides-138,Blood Urea-27.8,Creatinine-1.2,Urine specific gravity-1.03,pH-6+
**Test date:26.08.2015
HbA1c-7.65
Serum Cholesterol-136,HDL-50,LDL-65,VLDL-21,Triglycerides-140,Blood Urea-24.6,Creatinine-1.1,Urine specific gravity-1.02,pH-6
***Test date:16.11.2015
HbA1c-6.56
Serum Cholesterol-168,HDL-48,LDL-96,VLDL-24,Triglycerides-116,Blood Urea-19.2,Creatinine-1.0,Urine specific gravity-1.02,pH-6+
I guess this is case of IR.....
Look at TG to HDL ratios.
on 18/5/2015-----HBa1c 6.98 and TG to HDL------ 2.87
on 26.08.2015----HBa1c 7.65 and TG to HDL------2.80
on 16.11.2015----HBa1c 6.56and TG to HDL------2.41
As soon as ratio of TG to HDL falls under 2 HBa1c improves...
As Anupjee rightly mentioned...this ratio is indicative of insulin resistance.As that improves your body will utilize available insulin more efficiently and HBa1c will fall.
As far as Laboratory is concerned,please look for NABL accredited laboratory.
Diabetes
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