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Reg. No.

: 5900 Registered: 31 May 2023 Sex : Female


For : Mrs. LOVELY Age : 44 Yrs.
Referred By : Dr. ANIL KUMAR SINGH MD,DNB,DM. Printed: 31-May-2023 17:39:33

Computer generated provisional report. Please collect hard copy.


DIABETIC PROFILE
Specimen Blood (Plasma)
TEST LAB. REFERENCE RESULT

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

Lab Opens at 7:30 AM


Reports : 7:30 PM to 8:30 PM THANKS FOR REFERRAL
This is a Pathological Interpretation. All Investigations have limitations dependent on Quality of Specimen and individual assay procedures. An isolated
laboratory assay never confirms the final diagnosis of the disease. Kindly co-relate clinically and with other related investigations.
No part of this report is permitted for reproduction in any form or by any means without written permission from SHAS TECH.
Reg. No. : 5900 Registered: 31 May 2023 Sex : Female
For : Mrs. LOVELY Age : 44 Yrs.

THYROID PROFILE
Referred By : Dr. ANIL KUMAR SINGH MD,DNB,DM. Printed: 31-May-2023 17:39:33

Computer generated provisional report. Please collect hard copy.


Specimen Blood (Serum)

TEST LAB. REFERENCE RESULT

US - TSH (3rd Generation) 0.34 - 5.50 µIU/ml. 5.26 µIU/ml.

Method CHEMILUMINESCENCE IMMUNOASSAY


Reagent Siemens.USA.

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)

3. Diagnosis of unknown Thyroid status

Hyperthyroid/Excessive therapy or suppression Hypothyroidism confirmed

HIGH LOW

fT4 & fT3 < ( < 0.40 ) US-TSH ( > 10 ) > fT4

A) If < 0.24 or > 10 more than once, no


NORMAL additional test is required. NORMAL
B) Normal US-TSH with HIGH/LOW fT4 ?
Iatrogenic/Secondary

? Subclinical hyperthyroid or excessive therapy ? Subclinical hypothyroidism

(Adapted from : Vermer and Ingbar, The Thyroid-A Fundamental And Clinical Text,7th Edition(1996),Lippincott-Raven.)

Done on Enhanced Lite Chemiluminescence ADVIA CENTAUR CP

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

Lab Opens at 7:30 AM


Reports : 7:30 PM to 8:30 PM THANKS FOR REFERRAL
This is a Pathological Interpretation. All Investigations have limitations dependent on Quality of Specimen and individual assay procedures. An isolated laboratory assay
never confirms the final diagnosis of the disease. Kindly co-relate clinically and with other related investigations.
No part of this report is permitted for reproduction in any form or by any means without written permission from SHAS TECH.

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