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Plasma Glucose
Fasting 70-110 mg/dl 132.10 mg/dl.
2 Hours Meal + Medicine < 140 mg/dl 144.30 mg/dl.
Method Hexokinase
Reagent Vitros II Dry Chemistry System.
Comments : Diagnostic criteria for Diabetes Mellitus (WHO / ADA 2019)
a) In symptomatic subjects : Diagnosis can be based on a single random venous plasma glucose value of more than 200 mg/dl. Alternatively, diagnosis can be based
on a single fasting, venous plasma glucose value of more than 130 mg/dl. For fasting glucose measurements, the duration of fast should be between 8 - 14 hrs.
Diabetics are advised not to alter Diet/Drug prior to assay.
b) In Asymptomatic subjects : Diagnosis must be based on two samples on different days, both of which must be in the diabetic range. If these levels are not
diagnostic, a 75 gms. Oral glucose tolerance test is indicated. The patient is diabetic if the glucose value is more than 200 mg/dl. at 2 hrs.
c) Borderline results : Impaired fasting Glycaemia is defined as a fasting plasma glucose of 100 - 130 mg/dl. In these cases, an Oral glucose tolerance test is
indicated to exclude Diabetes. Impaired glucose tolerance is defined as Fasting plasma glucose in the non-diabetic range ie, less than 130 mg/dl., but a 2 hrs. Oral
glucose tolerance test is in the range of 140 - 200 mg/dl. Patients with impaired Glucose tolerance are not at risk of micro-vascular disease, but are at higher risk of
macro-vascular events than normo-glycaemic patients.
d) Unreliable tests : Glycosuria and finger-prick tests should not be relied on to make a diagnosis. Measurement of Glycosylated Haemoglobin (HbA1c) is
recommended to diagnose Diabetes, if HbA1c >= 6.5%. (WHO 2009)
Dr. S. Mukherjee
MBBS (Hons.) Ranchi, M.D. (Path & Bact.),
FCCP, MCGP HAEMATOLOGY (Apollo Hyderabad)
Collection Point: Ashiyana Nagar, Phase-1, Opp. Children's Park // PC Colony, Near Gayatri Mandir, Kankarbagh // Nawab Bahadur Rd, Paschim Darwaza, Patna City
THYROID PROFILE
Referred By : Dr. ANIL KUMAR SINGH MD,DNB,DM. Printed: 31-May-2023 17:39:33
Comments :
1. An impaired THYROID FUNCTION TEST may be due to Hyper/Hypothyroidism, Thyroiditis, Auto Immune Thyroid disease, Sick Euthyroid Syndrome, Nephrosis, Severe
Infections, Acute Psychiatric Conditions, Stress, elderly persons, Pregnancy & Drugs (Aspirin, Amiodarone, Amphetamines, Phenothiazines, Phenytoin, Steroids,
Oestrogens, Frusemide, Co-Trimoxazole, Diazepams, Lithium etc.)
2. A false low/normal response in THYROID FUNCTION TEST may be seen with Hypopituitarism, Sick Euthyroid Syndrome & Dysthyroid eye disease. (Pg. 802, A Text
Book of Clinical Medicine, Kumar & Clark, Edition : 1994)
HIGH LOW
fT4 & fT3 < ( < 0.40 ) US-TSH ( > 10 ) > fT4
(Adapted from : Vermer and Ingbar, The Thyroid-A Fundamental And Clinical Text,7th Edition(1996),Lippincott-Raven.)
Dr. S. Mukherjee
MBBS (Hons.) Ranchi, M.D. (Path & Bact.),
FCCP, MCGP HAEMATOLOGY (Apollo Hyderabad)
Collection Point: Ashiyana Nagar, Phase-1, Opp. Children's Park // PC Colony, Near Gayatri Mandir, Kankarbagh // Nawab Bahadur Rd, Paschim Darwaza, Patna City