Pathology

WOMEN ADVANCE PACKAGE

GLUCOSE, FASTING (F)

Special Instruction : Minimum 8 hours fasting is mandatory.

Parameters covered : 1

Report Frequency : Daily

Overview

CBC (COMPLETE BLOOD COUNT) | BLOOD  SUGAR FASTING/ POST PRANDIAL | LFT (LIVER FUNCTION TEST) | RFT (RENAL FUNCTION TEST) | LIPID PROFILE | HbA1c-GLYCOSYLATED HEMOGLOBIN | VITAMIN B12 | VITAMIN D 25 – HYDROXY | TSH (THYROID STIMULATING HORMONE) | ULTRASENSITIVE | URINE ROUTINE | FSH(FOLLICLE STIMULATING HORMONE) | LH(LUTEINISING HORMONE) | PROLACTIN.

What is Women's Packages?

The Women’s Advanced Healthcare Package is an efficient screening program that contains a significant portion of urine and blood tests required for basic health.

Frequently Asked Questions

Here you can find answers for all the questions related to the test

1. What is CBC?

Answer : CBC stands for the Canadian Broadcasting Corporation. It is a crown corporation, owned and operated by the government of Canada, responsible for providing public broadcasting services in both English and French.

2. What does CBC broadcast?

Answer : CBC broadcasts a wide range of programming, including news, current affairs, drama, comedy, documentaries, sports, and more. They cover both local and national content.

3. How can I watch CBC programming?

Answer : CBC offers its programming through various platforms, including over-the-air television, cable and satellite providers, and streaming services. CBC Gem is their streaming platform where you can access their content online.

4. Is CBC free to watch?

Answer : CBC is a publicly funded broadcaster, and many of its services are available for free to Canadian residents. However, some premium content or streaming options may require a subscription or have associated fees.

5. How can I access CBC Gem?

Answer : CBC Gem is CBC’s streaming service. You can access it through their website or by downloading the CBC Gem app on various devices, including smartphones, tablets, and smart TVs.

6. Does CBC offer news services?

Answer : Yes, CBC provides comprehensive news coverage, including local, national, and international news. They have TV newscasts, radio news, and an online news website.

7. Can I watch CBC from outside Canada?

Answer : CBC’s online streaming service, CBC Gem, may be geo-restricted to Canada due to licensing agreements. If you’re outside Canada and want to access CBC content, you may need to use a VPN (Virtual Private Network) to bypass regional restrictions.

8. How can I contact CBC for inquiries or feedback?

Answer : You can contact CBC through their official website. They usually have contact information and feedback forms available for various departments and programs.

9. Is CBC available in French?

Answer : Yes, CBC provides services in both English and French. In French-speaking regions of Canada, it’s known as Radio-Canada, and they offer a wide range of programming in the French language.

10. Does CBC produce its own content?

Answer : Yes, CBC produces a significant amount of its own content, including news, television shows, and radio programs. They also collaborate with independent producers and acquire programming from other sources.

Fasting Blood Sugar Test

This measures your blood sugar after an overnight fast (not eating). A fasting blood sugar level of 99 mg/dL or lower is normal, 100 to 125 mg/dL indicates you have prediabetes, and 126 mg/dL or higher indicates you have diabetes.

1. How many hours fasting is required for blood sugar test?

Answer : a fasting blood glucose test (used to test for diabetes) – you may be asked to fast for 8 to 10 hours before the test. an iron blood test (used to diagnose conditions such as iron deficiency anaemia) – you may be asked to fast for 12 hours before the test.

2. What is normal sugar test in fasting?

Answer : The expected values for normal fasting blood glucose concentration are between 70 mg/dL (3.9 mmol/L) and 100 mg/dL (5.6 mmol/L). When fasting blood glucose is between 100 to 125 mg/dL (5.6 to 6.9 mmol/L) changes in lifestyle and monitoring glycemia are recommended.

3. What should a fasting blood sugar test be?

Answer : A fasting blood sugar level less than 100 mg/dL (5.6 mmol/L) is normal. A fasting blood sugar level from 100 to 125 mg/dL (5.6 to 6.9 mmol/L) is considered prediabetes. If it’s 126 mg/dL (7 mmol/L) or higher on two separate tests, you have diabetes. Glucose tolerance test.

4. Can I drink water before fasting blood sugar test?

Answer : If your health care provider has told you to fast before a blood test, it means you should not eat or drink anything, except water, for several hours before your test.

5. Why fasting sugar is high?

Answer : High fasting blood sugar levels point to insulin resistance or diabetes, while abnormally low fasting blood sugar can be due to diabetes medications. Knowing when to test and what to look for can help people stay healthy, especially if they have diabetes or are at risk of developing the condition.

Liver function tests check the levels of certain enzymes and proteins in your blood. Levels that are higher or lower than usual can mean liver problems. The pattern and degree of elevation of these tests along with the overall clinical picture can provide hints to the underlying cause of these problems.

1. What is the main test for liver function?

Answer : The liver function tests typically include alanine transaminase (ALT) and aspartate transaminase (AST), alkaline phosphatase (ALP), gamma-glutamyl transferase (GGT), serum bilirubin, prothrombin time (PT), the international normalized ratio (INR), total protein and albumin.

2. What is the most accurate test for liver function?
 
Answer : Gamma-glutamyl transpeptidase test.
This test measures the level of gamma-glutamyl transpeptidase. This is an enzyme that is made in the liver, pancreas, and biliary tract. This test is often performed to assess liver function, to provide information about liver diseases, and to detect alcohol ingestion.
 
3. What are the two main liver function tests?
Total protein test.
 
Answer : A total protein test measures levels of protein in your blood. Your liver makes protein, and low protein levels may indicate that your liver isn’t functioning optimally. Bilirubin test. Bilirubin is a waste product that your liver deposits in bile.
 
4. How can I check my liver function?
 
Answer : Blood tests used to assess the liver are known as liver function tests. But liver function tests can be normal at many stages of liver disease. Blood tests can also detect if you have low levels of certain substances, such as a protein called serum albumin, which is made by the liver.
 
5. What CBC test shows liver function?
 
Answer : Serum bilirubin test: This test measures the levels of bilirubin in the blood. Bilirubin is produced by the liver and is excreted in the bile.
 

Renal function tests (RFT) are a collection of tests that may be performed to assess kidney (renal) function. These tests help calculate the amount of different elements, including many minerals, electrolytes, proteins, and glucose, in the blood or urine to determine the health status of the kidneys.

1. What is a RFT blood test?

Answer : Description. Renal Function Test (RFT), also called kidney function tests, are a group of tests performed to evaluate the functions of the kidneys. It helps diagnose inflammation, infection or damage in the kidneys.

2. What is a normal RFT creatinine level?

Answer : For adult men, 0.74 to 1.35 mg/dL (65.4 to 119.3 micromoles/L) For adult women, 0.59 to 1.04 mg/dL (52.2 to 91.9 micromoles/L)

3. Is RFT a fasting blood test?

Answer : Preparation: No preparation required. No preparation required.

4. Is uric acid included in RFT?

Answer : KFT test is also called the renal function test (RFT). The KFT test includes several parameters, such as: blood urea, blood urea nitrogen, creatinine, uric acid, sodium, potassium, chloride, calcium, and phosphorus.

5. Can I drink water before RFT test?
Before the test

Answer :For many renal panel tests, you will need to fast for 8 to 12 hours before your blood draw. During this time, you can only drink water. You cannot eat any food or drink other beverages.

A complete cholesterol test — also called a lipid panel or lipid profile — is a blood test that can measure the amount of cholesterol and triglycerides in your blood.

1. What is a normal lipid level?
 
Answer : Normal: Less than 200 mg/dL. Borderline high: 200 to 239 mg/dL. High: At or above 240 mg/dL.
 
2. Does lipid profile need fasting?
 
Answer : In most cases, you need to fast for 10 to12 hours before your lipid panel blood test. Fasting means not eating or drinking anything except water. In some cases, getting a lipid panel test without fasting is possible.
 
3. What are the 5 signs of high cholesterol?
 
Answer : You develop symptoms of heart disease, stroke, or atherosclerosis in other blood vessels, such as left-sided chest pain, pressure, or fullness; dizziness; unsteady gait; slurred speech; or pain in the lower legs. Any of these conditions may be linked to high cholesterol, and each requires medical help right away.
 
4. What are the 5 signs of high cholesterol?
 
Answer : You develop symptoms of heart disease, stroke, or atherosclerosis in other blood vessels, such as left-sided chest pain, pressure, or fullness; dizziness; unsteady gait; slurred speech; or pain in the lower legs. Any of these conditions may be linked to high cholesterol, and each requires medical help right away.
 
5. What if lipid profile is high?
 
Answer : A lipid profile also typically measures triglycerides, a type of fat in the blood. Having a high triglyceride level also can increase your risk of heart disease. Factors you can control — such as inactivity, obesity and an unhealthy diet — contribute to harmful cholesterol and triglyceride levels.
 
6. What if triglycerides are high?
 
Answer : High triglycerides are often a sign of other conditions that increase the risk of heart disease and stroke, including obesity and metabolic syndrome — a cluster of conditions that includes too much fat around the waist, high blood pressure, high triglycerides, high blood sugar and abnormal cholesterol levels.

1. What is HbA1c?

Answer : HbA1c, or glycated hemoglobin, is a form of hemoglobin that is chemically linked to glucose in the blood. It provides a long-term indicator of average blood glucose levels over the past 2-3 months. This test is commonly used to monitor and manage diabetes.

2. Why is HbA1c important?

Answer : HbA1c is important because it reflects average blood glucose levels over an extended period. It offers a more stable and reliable measure compared to daily blood glucose monitoring, providing healthcare professionals with valuable information to assess long-term glycemic control and adjust treatment plans for individuals with diabetes.

3. What are the target HbA1c levels for people with diabetes?

Answer : Target HbA1c levels vary depending on individual health factors and the type of diabetes. However, in general, the American Diabetes Association recommends an HbA1c target of less than 7% for most adults with diabetes. Your healthcare provider will determine an appropriate target based on your specific health condition and needs.

4. How often should HbA1c be tested?

Answer : The frequency of HbA1c testing depends on the individual’s diabetes management plan. For people with well-controlled diabetes, testing may be done every 6 months. For those with less stable blood glucose levels or medication adjustments, more frequent testing every 3 months may be recommended.

5. Can factors other than blood glucose affect HbA1c results?

Answer : Yes, certain factors can influence HbA1c results. Conditions that affect red blood cell lifespan, such as anemia or certain blood disorders, can impact HbA1c readings. Additionally, pregnancy and certain medical treatments may affect the accuracy of the test. It’s essential to discuss these factors with your healthcare provider for a more accurate interpretation of your HbA1c results.

6. How can HbA1c levels be lowered?

Answer : Lifestyle modifications, such as a healthy diet, regular exercise, and weight management, can contribute to better glycemic control and lower HbA1c levels. Medications prescribed by a healthcare provider, including oral medications or insulin, may also be necessary. It’s crucial to work closely with your healthcare team to develop a personalized treatment plan to manage and lower HbA1c levels effectively.

1. What is Vitamin B12, and why is it important?

Answer : Vitamin B12, also known as cobalamin, is a water-soluble vitamin that plays a crucial role in various bodily functions. It is essential for the formation of red blood cells, DNA synthesis, neurological function, and the maintenance of the nervous system. Since the body cannot produce Vitamin B12 on its own, it must be obtained through diet or supplements.

2. What are the primary sources of Vitamin B12?

Answer : Vitamin B12 is primarily found in animal-based foods such as meat, fish, poultry, eggs, and dairy products. Some fortified foods and supplements also provide Vitamin B12, especially for individuals following vegetarian or vegan diets, as plant-based foods do not naturally contain significant amounts of this vitamin.

3. Who is at risk of Vitamin B12 deficiency?

Answer : Individuals at a higher risk of Vitamin B12 deficiency include older adults, vegetarians and vegans, individuals with gastrointestinal disorders that affect nutrient absorption (such as celiac disease or Crohn’s disease), and those who have undergone certain types of gastrointestinal surgery. Additionally, chronic use of certain medications, like proton pump inhibitors or metformin, can interfere with B12 absorption.

4. What are the symptoms of Vitamin B12 deficiency?

Answer : Symptoms of Vitamin B12 deficiency can include fatigue, weakness, anemia, neurological issues such as tingling or numbness in the hands and feet, difficulty walking, and cognitive disturbances. If left untreated, severe Vitamin B12 deficiency can lead to irreversible neurological damage.

5. How is Vitamin B12 deficiency diagnosed?

Answer : Blood tests, such as measuring serum B12 levels and other related markers, are commonly used to diagnose Vitamin B12 deficiency. In some cases, additional tests like a complete blood count (CBC) or tests for specific antibodies may be conducted to determine the cause of the deficiency.

6. How is Vitamin B12 deficiency treated?

Answer : Treatment for Vitamin B12 deficiency typically involves B12 supplementation through injections or oral supplements. In cases where the deficiency is due to an underlying medical condition affecting absorption, addressing that condition may also be necessary. It’s essential to work with a healthcare professional to determine the appropriate treatment based on the severity and cause of the deficiency.

1. What is Vitamin D 25-hydroxy?

Answer : Vitamin D 25-hydroxy is the storage form of vitamin D in the body. It is a precursor to the active form of vitamin D, which plays a crucial role in calcium and phosphorus metabolism, bone health, and immune function.

2. Why is Vitamin D 25-hydroxy measured?

Answer : Measuring Vitamin D 25-hydroxy levels is a common way to assess a person’s vitamin D status. It helps determine if an individual has sufficient vitamin D levels for optimal health, as well as to diagnose deficiencies or excesses.

3. What are the optimal levels of Vitamin D 25-hydroxy?

Answer : Optimal levels can vary, but generally, a blood level of 20 to 50 nanograms per milliliter (ng/mL) is considered adequate for most people. Levels below 20 ng/mL may indicate a deficiency, while levels above 50 ng/mL might suggest excess intake.

4. How is Vitamin D 25-hydroxy measured?

Answer : The most common way to measure Vitamin D 25-hydroxy is through a blood test. The blood sample is usually taken from a vein in the arm, and the results are reported in ng/mL or nmol/L.

5. What are the symptoms of Vitamin D 25-hydroxy deficiency?

Answer : Symptoms of vitamin D deficiency can include bone pain, muscle weakness, fatigue, and an increased susceptibility to infections. In severe cases, it can lead to conditions like rickets in children or osteomalacia in adults.

TSH stands for “thyroid stimulating hormone ,” and the test measures how much of this hormone is in your blood. TSH is produced by the pituitary gland in your brain, which tells your thyroid to make and release other key hormones that your body needs to function.

1. What happens if TSH level is high?
 
Answer : If you have too much TSH, it may indicate that your thyroid isn’t making enough thyroid hormone. This condition is called hypothyroidism, or underactive thyroid. A number of conditions can cause hypothyroidism, including Hashimoto’s disease. About 5% of adults in the United States have hypothyroidism.
 
2. How to reduce TSH?
 
Answer : This may include a selenium-rich, sugar-free, or gluten-free diet, as well as taking vitamin B supplements and probiotics. It’s important to talk to your doctor before trying natural remedies. The standard treatment for hypothyroidism is taking daily thyroid hormone replacement medication.
 
3. What is a normal TSH level?

Answer : Normal values are from 0.4 to 4.0 mIU/L for those with no symptoms of an under- or over-active thyroid. Some people with a TSH value over 2.0 mIU/L, who have no signs or symptoms suggestive of an under-active thyroid, may develop hypothyroidism sometime in the future.
 
4. What causes TSH to increase?
 
Answer : Causes of high TSH levels
One of the most common causes of hypothyroidism with a high TSH level is chronic autoimmune thyroiditis, also known as Hashimoto’s thyroiditis. White blood cells begin to attack the thyroid gland, which decreases the amount of thyroid hormone it produces.
 
5. Is TSH 2.38 normal?
 
Answer : The normal range for TSH is generally between 0.4 mU/L and 4.0 mU/L.1 As with most medical conditions and tests, however, there are exceptions to this rule.

1. What is a urine routine test?

Answer : A urine routine test, also known as urinalysis, is a diagnostic examination of urine to evaluate various aspects of kidney function, hydration, and detect potential abnormalities. It involves analyzing physical, chemical, and microscopic properties of urine.

2. Why is a urine routine test performed?

Answer : Urine routine tests are conducted for various reasons, including routine health check-ups, diagnosis of urinary tract infections (UTIs), kidney disorders, diabetes, and monitoring certain medical conditions or treatments. It helps healthcare providers assess kidney function, detect signs of infections, and identify abnormal substances in the urine.

3. What does a urine routine test detect?

Answer : A urine routine test can detect a range of parameters, including the presence of red and white blood cells, proteins, glucose, ketones, bilirubin, and other substances. It can also assess the pH and specific gravity of the urine, providing valuable information about hydration and overall kidney function.

4. How is a urine sample collected for the test?

Answer : Typically, a clean-catch midstream urine sample is collected for a urine routine test. Patients are instructed to clean the genital area and collect a midstream portion of urine in a sterile container. This helps minimize external contamination and provides a more accurate representation of the urine composition.

5. What does it mean if abnormalities are found in the urine test results?

Answer : Abnormalities in urine test results can indicate various health issues. For example, the presence of bacteria and white blood cells may suggest a urinary tract infection, while the presence of glucose may be a sign of diabetes. Elevated levels of proteins or blood cells could indicate kidney problems or other conditions.

1. What is FSH?

Answer: FSH, or Follicle-Stimulating Hormone, is a gonadotropin hormone produced by the pituitary gland. In females, it stimulates the growth and development of ovarian follicles in the ovaries. In males, it plays a role in the production of sperm.

2. How is FSH measured?

Answer: FSH levels are typically measured through a blood test. Blood samples are taken, usually on specific days of the menstrual cycle for females, to assess the levels of FSH. Abnormal levels may indicate issues with fertility or reproductive health.

3. What is the role of FSH in the menstrual cycle?

Answer: In females, FSH is essential for the development and maturation of ovarian follicles. It stimulates the growth of follicles in the ovaries, and as the follicles mature, they release estrogen. This, in turn, helps regulate the menstrual cycle.

4. How does FSH affect fertility?

Answer: FSH is a key regulator of fertility. In women, it is necessary for the development of eggs in the ovaries. In men, FSH stimulates the production of sperm. Imbalances in FSH levels can contribute to fertility issues, such as irregular menstrual cycles or problems with sperm production.

5. What are normal FSH levels?

Answer: Normal FSH levels can vary depending on age, sex, and reproductive status. In females, FSH levels fluctuate during the menstrual cycle, with higher levels during the follicular phase. Elevated or low FSH levels at certain times may indicate issues with fertility or reproductive health. Normal ranges can be determined through blood tests and consultation with a healthcare provider.

6. How is FSH related to menopause?

Answer: FSH levels play a significant role in the menopausal transition. As a woman approaches menopause, the ovaries produce fewer eggs, leading to decreased estrogen production. In response, the pituitary gland increases FSH production to stimulate the ovaries. Elevated FSH levels are often used as a marker for menopause, and testing may be done to assess a woman’s reproductive status.

1. What is LH?

Answer: LH is a hormone released by the pituitary gland that plays a crucial role in regulating the reproductive system. In women, it triggers ovulation, and in men, it stimulates the production of testosterone.

2. How is LH related to the menstrual cycle?

Answer: LH surge occurs midway through the menstrual cycle, triggering the release of an egg from the ovary. This surge is often used in ovulation predictor kits. Luteinizing Hormone (LH) Levels:

3. What do high LH levels indicate?

Answer: Elevated LH levels in the blood may indicate conditions like polycystic ovary syndrome (PCOS) or primary ovarian failure.

4. What causes low LH levels?

Answer: Low LH levels may be associated with conditions like hypothalamic dysfunction or pituitary disorders.Luteinizing Hormone (LH) Testing:

5. How is LH tested?

Answer: LH levels can be measured through blood tests or urine tests. In fertility monitoring, home ovulation predictor kits detect the LH surge in urine. Luteinizing Hormone (LH) and Pregnancy:

6. Can LH levels indicate pregnancy?

Answer: While LH itself doesn’t indicate pregnancy, tracking LH surges can help identify the most fertile period. Pregnancy tests, however, detect human chorionic gonadotropin (hCG), a hormone produced during pregnancy.

1. What is prolactin, and what does it do?

Answer : Prolactin is a hormone produced by the pituitary gland, a small gland at the base of the brain. Its primary function is to stimulate breast development and milk production in women. However, it also has other effects, such as influencing the immune system and regulating the menstrual cycle.

2. What causes high prolactin levels?

Answer : Elevated levels of prolactin, known as hyperprolactinemia, can be caused by various factors. The most common causes include pregnancy, breastfeeding, certain medications (e.g., antipsychotics, antidepressants, and some hypertension drugs), pituitary tumors (prolactinomas), and hypothalamus disorders.

3. What are the symptoms of high prolactin levels?

Answer : Symptoms of elevated prolactin levels may include irregular menstrual periods or amenorrhea (absence of menstruation) in women, galactorrhea (production of breast milk in non-pregnant and non-breastfeeding women), infertility, and in some cases, symptoms related to the underlying cause, such as headaches or visual disturbances in the case of a pituitary tumor.

4. How is hyperprolactinemia diagnosed?

Answer : Hyperprolactinemia is typically diagnosed through blood tests that measure the levels of prolactin in the blood. Imaging studies, such as magnetic resonance imaging (MRI), may be performed to identify the cause, especially if a pituitary tumor is suspected.

5. How is hyperprolactinemia treated?

Answer : The treatment of hyperprolactinemia depends on its underlying cause. If a medication is causing elevated prolactin levels, adjusting or discontinuing the medication may be recommended. In the case of a prolactinoma, medications such as dopamine agonists (e.g., cabergoline or bromocriptine) are often prescribed to lower prolactin levels and reduce tumor size.

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