Report
Report
Haemogram
1. HbA1c is used for monitoring diabetic control. It reflects the estimated average glucose (eAG).
2. HbA1c has been endorsed by clinical groups & ADA (American Diabetes Association) guidelines 2022, for diagnosis of
diabetes using a cut-off point of 6.5%.
3. Trends in HbA1c are a better indicator of diabetic control than a solitary test.
4. Low glycated haemoglobin(below 4%) in a non-diabetic individual are often associated with systemic inflammatory diseases,
chronic anaemia(especially severe iron deficiency & haemolytic), chronic renal failure and liver diseases. Clinical correlation
suggested.
5. To estimate the eAG from the HbA1C value, the following equation is used: eAG(mg/dl) = 28.7*A1c-46.7
6. Interference of Haemoglobinopathies in HbA1c estimation.
A. For HbF > 25%, an alternate platform (Fructosamine) is recommended for testing of HbA1c.
B. Homozygous hemoglobinopathy is detected, fructosamine is recommended for monitoring diabetic status
C. Heterozygous state detected (D10/ turbo is corrected for HbS and HbC trait).
7. In known diabetic patients, following values can be considered as a tool for monitoring the glycemic control. Excellent
Control - 6 to 7 %, Fair to Good Control - 7 to 8 %, Unsatisfactory Control - 8 to 10 % and Poor Control - More than 10 % .
Page 2 of 10
Mr. STEVE GARG Reference: Dr.PRABHAT ARYA VID: 230054000296258
C8/103 SRS RESIDANCY SECTOR 88 Sample Collected At: Registered On:
FARIDABAD,FARIDABAD, FARIDABAD Maa HealthCare
03/04/2023 09:28 AM
Tel No : 8700860083 SHOP NO 5960, HUDA MARKET,PART-
1,SECTOR 16A, FARIDABAD Collected On:
PIN No: 121002 HARYANA,121002 03/04/2023 9:30AM
PID NO: P542300316622 Sample Processed At: Metropolis Reported On:
Healthcare Ltd E-21, B1 Mohan Co-op Ind
Age: 25.0 Year(s) Sex: Male 03/04/2023 02:43 PM
Estate New Delhi-110044
Interpretation:
1. It indicates presence and intensity of an inflammatory process, never diagnostic of a specific disease. Changes are more
significant than a single abnormal test.
2. It is a prognostic test and used to monitor the course or response to treatment of diseases like tuberculosis, bacterial
endocarditis, acute rheumatic fever, rheumatoid arthritis, SLE, Hodgkins disease, temporal arteritis, polymyalgia rheumatica.
3. It is also increased in pregnancy, multiple myeloma, menstruation, and hypothyroidism.
Interpretation :
1. Vitamin D is a fat soluble vitamin and exists in two main forms as cholecalciferol(vitamin D3) which is synthesized in skin
from 7-dehydrocholesterol in response to sunlight exposure & Ergocalciferol(vitamin D2) present mainly in dietary
sources.Both cholecalciferol & Ergocalciferol are converted to 25(OH)vitamin D in liver.
2. Testing for 25(OH)vitamin D is recommended as it is the best indicator of vitamin D nutritional status as obtained from
sunlight exposure & dietary intake. For diagnosis of vitamin D deficiency it is recommended to have clinical correlation with
serum 25(OH)vitamin D, serum calcium, serum PTH & serum alkaline phosphatase.
3. During monitoring of oral vitamin D therapy- suggested testing of serum 25(OH)vitamin D is after 12 weeks or 3 mths of
treatment. However, the required dosage of vitamin D supplements & time to achieve sufficient vitamin D levels show
significant seasonal(especially winter) & individual variability depending on age, body fat, sun exposure, physical activity
,genetic factors(especially variable vitamin D receptor responses), associated liver or renal disease, malabsorption
syndromes and calcium or magnesium deficiency influencing the vitamin D metabolism Vitamin D toxicity is known but very
rare.kindly correlate clinically, repeat with fresh sample if indicated.
Abbreviation :
ECLIA : Electrochemiluminescence Immunoassay
• For diagnosis of vitamin D deficiency it is recommended to have clinical correlation with serum 25(OH)vitamin D and serum
PTH.An inverse relationship exists between PTH and 25(OH)D levels, Parathyroid hormone levels start to rise at 25(OH)D
levels below 31 ng/mL & usually decrease after the correction of vitamin D insufficiency.Thus, restoration of PTH and 25
(OH)D levels to normalcy after adequate vitamin D replacement therapy is a useful monitoring strategy.
• As a holistic & scientific approach for diagnosis and optimal treatment for vitamin D deficiency, Vitamin D plus profile (25
Hydroxy(OH) Vit D and PTH) is suggested.
Interpretation :
1. Measurement of CRP is useful for the detection and evaluation of infection, tissue injury, inflammatory disorders and
associated diseases .
2. High sensitivity CRP (hsCRP) measurements may be used as an independent risk marker for the identification of individual
at risk for future cardiovascular disease.
3. Increase in CRP values are non-Specific and should not be interpreted without a complete history.
Note :
If the test has been ordered for COVID-19 purpose, you may take one of the following profiles for further investigation under your
clinician’s advice.
1. Covid Monitor Initial profile (C0374) from Day 1 to Day 5
2. Covid Monitor maintenance profile (C0375) from Day 5 to Day 10
3. Covid Monitor Recovery profile (C0376) after discharge.
Page 8 of 10
Mr. STEVE GARG Reference: Dr.PRABHAT ARYA VID: 230054000296258
C8/103 SRS RESIDANCY SECTOR 88 Sample Collected At: Registered On:
FARIDABAD,FARIDABAD, FARIDABAD Maa HealthCare 03/04/2023 09:28 AM
Tel No : 8700860083 SHOP NO 5960, HUDA MARKET,PART- Collected On:
PIN No: 121002 1,SECTOR 16A, FARIDABAD
HARYANA,121002 03/04/2023 9:30AM
PID NO: P542300316622 Sample Processed At: Metropolis Reported On:
Age: 25.0 Year(s) Sex: Male Healthcare Ltd E-21, B1 Mohan Co-op 03/04/2023 02:43 PM
Ind Estate New Delhi-110044
-- End of Report --
Tests marked with NABL symbol are accredited by NABL vide Certificate no MC-2676; Validity till 04-04-2024
Page 10 of 10
Dr. Chakshu Bansal
M.D (Pathology)
(DMC Reg. No. - 66994)