Diabetes Tests: A1c, Microalbumin, Lipid, CMP, CBC

This diabetic value package includes blood and urine lab tests most commonly ordered by diabetics:  the Comprehensive Health Profile, the Hemoglobin A1c blood test and the Urine Microalbumin test.

The Hemoglobin A1c test tests for long term glucose levels. Molecules of glucose (sugar) in the blood bind to this fraction of hemoglobin, and stay bound to it for months. The higher the amount of blood glucose, the higher the amount of hemoglobin A1c, and according to its value, one can obtain the average blood sugar during the previous 8 to 12 weeks. The test indicates how well your diabetes has been controlled in the 2 to 3 months before the test. Information gained from this test can help determine whether your diabetes medication needs to be adjusted. It can also help your health professional estimate your risk of developing complications from diabetes, such as kidney failure, vision problems, and leg or foot numbness. The A1c level is directly related to complications from diabetes: the lower your A1c level, the lower your risk for complications.

Microalbumin Random Urine with Creatinine: Measurement of albumin levels in urine below the detection level of urine dipsticks. This test is useful in the management of patients with relatively early diabetes mellitus to assist in avoiding or delaying the onset of diabetic renal disease.

Physical exercise during the previous 24 hours can cause a transient elevation in microalbumin. Other variables, including infection, fever, congestive heart failure, marked hyperglycemia, and marked hypertension, can result in increased microalbumin levels.

The Comprehensive Health Profile has been our most ordered lab test for 30 years. The profile screens for cardiovascular risk, major organ function, anemia, diabetes, infection, blood disease, and other indications of illness. This is the blood test routinely ordered as part of an annual physical exam and it includes the components of a Comprehensive Metabolic Panel.

The Comprehensive Health Profile consists of the following groups of online blood tests:

  • Lipid Panel
  • Liver Tests
  • Kidney Panel
  • Minerals & Bone
  • Fluids & Electrolytes
  • Complete Blood Count
  • Diabetes Screen (glucose)

Preparation: fast 12 hours prior to this blood lab test, unless you are diabetic or pregnant. Fasting means abstaining from food and any non-water drinks. Do drink plenty of water while fasting and continue with any prescribed medications.

Estimated time to receive results is 1-2 days.

For a complete breakout of the 40+ tests that make up this Profile, please click the Additional Details tab.

Please be advised, that our services are strictly self pay and are not eligible for submission as a claim to your health insurance provider. However, you can submit the receipt for reimbursement to many Flexible Spending and Health Savings Accounts for reimbursement.

Sample Diabetes Test Package Result

These are not intended as diagnostic comments, but only to give you sufficient information for further discussion with your physician. It is important that you promptly consult your physician regarding any abnormal findings.

This diabetic value package includes the Comprehensive Health Profile, the Hemoglobin A1c blood test and the Urine Microalbumin test.

The Hemoglobin A1c test tests for long term glucose levels. Molecules of glucose (sugar) in the blood bind to this fraction of hemoglobin, and stay bound to it for months. The higher the amount of blood glucose, the higher the amount of hemoglobin A1c, and according to its value, one can obtain the average blood sugar during the previous 8 to 12 weeks. The test indicates how well your diabetes has been controlled in the 2 to 3 months before the test. Information gained from this test can help determine whether your diabetes medication needs to be adjusted. It can also help your health professional estimate your risk of developing complications from diabetes, such as kidney failure, vision problems, and leg or foot numbness. The A1c level is directly related to complications from diabetes: the lower your A1c level, the lower your risk for complications.

Microalbumin, Random Urine A microalbumin test checks urine for the presence of a protein called albumin. Albumin is normally found in the blood and filtered by the kidneys. When the kidneys are working properly, albumin is not present in the urine. But when the kidneys are damaged, small amounts of albumin leak into the urine. This condition is called microalbuminuria.

The Comprehensive Health Profile includes all of these tests:

Lipid Panel

  • Cholesterol: There are two main groups of fat in the blood, cholesterol and triglycerides. Increased cholesterol may lead to arteriosclerosis (hardening of the arteries), diabetes, thyroid, liver and pancreatic disease.
  • Triglycerides: This blood fat is also involved in arteriosclerosis, diabetes, thyroid, liver and pancreatic disease. They may be elevated in the 200-400 range if you have eaten within 10 hours of the blood draw. If your results are in this range and you did not fast, a repeat evaluation should be obtained.
  • HDL (High Density Lipoprotein) Cholesterol: This is the "good" fat-protein combination. The higher the value, the lower the risk of developing heart disease. HDL can be increased with regular aerobic exercise, monounsaturated fats such as olive and canola oils, and cessation of smoking. Mild use of alcohol (one or two glasses of wine per day) has been reported to increase HDL.
  • LDL (Low Density Lipoprotein) Cholesterol: This is the "bad" fat-protein combination, and the lower the LDL the better. The higher the LDL, the higher the risk of developing heart disease. This level can be decreased with reduction in fat intake, weight control, and regular exercise. Because this value is calculated using the triglyceride result, fasting is important for an accurate LDL, as well as triglyceride, result.

Liver Tests

  • Albumin, Globulin and Total Protein: Measures the amount and type of protein in your blood. They are a useful index of overall health and nutrition. Abnormal results are an indicator of under nutrition, liver or kidney disease, cirrhosis, multiple meyloma, sarcoid, amyloid, lupus, and/or major infections. Globulin is the "antibody" protein important for fighting disease. If one of these values is high, but the other values are within expected ranges, the result is probably not significant, but only your physician can confirm this.
  • Bilirubin: Primary pigment in bile. It is derived from hemoglobin and processed by the liver, and builds up when the liver is functioning poorly or when some other disorder reduces the normal flow of bile. It is increased also when there has been destruction of red blood cells.
  • AST & ALT: Injury to cells releases these enzymes into the blood. Liver disease and heart attacks, as well as serious physical injury can cause elevation of these values. Low values are probably not significant, but can only be confirmed by your physician.

Kidney Panel

  • Urea Nitrogen (BUN): A waste product of the liver excreted by the kidneys. High values may indicate kidney malfunction and/or dehydration
  • Creatinine: This is a waste product of muscle metabolism that is discarded by the kidney. It is elevated in kidney disease, muscle wasting disease, and sometimes the day after strenuous physical exercise.
  • BUN/Creatinine Ratio: Both BUN and creatinine are elevated in kidney failure, but they are elevated differently depending on the cause of the failure. This ratio helps determine the type of kidney failure.

Minerals & Bone

  • Calcium: screens for range of conditions relating to the bones, heart, nerves, kidneys, and teeth. Blood calcium levels do not directly tell how much calcium is in the bones, but rather, how much total calcium or ionized calcium is circulating in the blood.

Fluids & Electrolytes

  • Carbon Dioxide: Part of the electrolyte pane used to detect, evaluate and monitor electrolyte imbalances.
  • Sodium, Potassium, and Chloride: "Electrolytes" help make up the salt balance and acid/base balance in the body. They can be affected by diuretics or water pills, high blood pressure, heart failure, kidney and lung disease. The balance among these elements is important for proper functioning of the heart and brain.
  • Alkaline Phosphatase: A bone and liver enzyme. High values are associated with liver and gall-bladder disease. Expect to see higher values in adolescents and pregnant or breast feeding women. Low values are probably not significant, but can only be confirmed by your physician.

Complete Blood Count

  • White Blood Cell Count (WBC) - The infection fighting cells of the immune system found in the blood. Lowered or elevated levels may be associated with a disease process.
  • Red Blood Cell Count (RBC) - Measures the number of oxygen-carrying cells in the blood. Lowered levels associated with anemia, elevated levels associated with smoking and several diseases.
  • Hemoglobin (HGB) - Measures the amount of oxygen-carrying protein in the RBC. Significant increases or decreases can be seen in anemia or RBC disease.
  • Hematocrit (HCT) - Measures the oxygen-carrying capability of the blood by measuring the percentage of blood made-up of red blood cells. Significant decreases are one indicator of anemia.
  • MCV, MCH, MCHC, RDW - Collectively called "indices", these tests measure size and other characteristics of the red blood cells. They can be used to further define the causes of an anemia state. An isolated abnormal value probably has little clinical significance, but can only be confirmed by your physician.
  • Platelet Count - These are small packages of clotting materials in the blood. Too many cause problems with unnecessary clotting; too few may cause excessive bleeding. Certain conditions alter this count.
  • Lymphocytes, Monocytes, Neutrophils, Eosinophils - Different types of WBCs. They may be used to evaluate allergic reactions or differentiate between bacteria, viral or parasitic infections.

Diabetes

  • Glucose (sugar) - Fasting values are usually high in diabetes. Certain drugs, such as thyroid, diuretic, and birth control pills as well as recent intake of food, can elevate glucose levels.

For more Information on any of your lab test results

  • Consult your physician
  • Review the information on the independent, non-profit web site: www.labtestsonline.org

These are not intended as diagnostic comments, but only to give you sufficient information for further discussion with your physician. It is important that you promptly consult your physician regarding any abnormal findings.

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