Personal Health Smart Report: R Aravind
Personal Health Smart Report: R Aravind
SMART REPORT
A comprehensive analysis of your health using
Blood, Physicals, and Health Questionnaire data
Prepared for
R Aravind
Basic Info Patient ID
Male /42 Yrs OKH1425357
Table of contents
Your smart report includes the following sections.
04 Wellness Recommendations 11
05 References 12
06 Lab Report
Disclaimer
• This is an electronically generated report and is not a • Analysis uses the attached blood test report and Well
substitute for medical advice. Being Index Questionnaire data, if present, and urine
of any allergies or intolerances. • Tata 1mg is not liable for any direct, indirect, special,
• If you are pregnant or lactating, some of the consequential, or other damages. This report cannot be
recommendations and analyzed information in the used for any medico-legal purposes. Partial reproduction
Smart Report may not directly apply to you. Please of the test results is not permitted. Also, TATA 1mg Labs is
consult a doctor regarding your test results and not responsible for any misinterpretation or misuse of the
recommendations. information.
Patient ID Date of Collection
OKH1425357 07/07/24
For
Doctor Summary For R Aravind
Good Health Gold Package with Smart Report Male /42 Yrs
Note This is an electronically generated summary of the attached report. It is advised to read this summary in conjunction with the
attached report and to correlate it clinically. For the trends section, the out of range values are highlighted with respect to the
bio reference range of respective reports.
Test Name Result, 07/07/24 Bio. Ref. Interval Trends (For last three tests)
Diabetes Profile
Glycosylated Hemoglobin
6.2 % 4 - 5.6
(HbA1c)
Lipid Profile
Page 3/12
Patient ID Date of Collection
OKH1425357 07/07/24
For
Doctor Summary For R Aravind
Good Health Gold Package with Smart Report Male /42 Yrs
Note This is an electronically generated summary of the attached report. It is advised to read this summary in conjunction with the
attached report and to correlate it clinically. For the trends section, the out of range values are highlighted with respect to the
bio reference range of respective reports.
Test Name Result, 07/07/24 Bio. Ref. Interval Trends (For last three tests)
Alanine Transaminase
37 U/L 10 - 49
(SGPT)
Page 4/12
Patient ID Date of Collection
OKH1425357 07/07/24
For
Doctor Summary For R Aravind
Good Health Gold Package with Smart Report Male /42 Yrs
Note This is an electronically generated summary of the attached report. It is advised to read this summary in conjunction with the
attached report and to correlate it clinically. For the trends section, the out of range values are highlighted with respect to the
bio reference range of respective reports.
Test Name Result, 07/07/24 Bio. Ref. Interval Trends (For last three tests)
Page 5/12
Patient ID Date of Collection
OKH1425357 07/07/24
For
Wellbeing Index R Aravind
Important Findings from your Wellbeing Index Male /42 Yrs
Physicals
Heart Age BP
Data not available Data not available
Disease Risks
Lifestyle Data
Page 6/12
Patient ID Date of Collection
OKH1425357 07/07/24
For
Important Parameters R Aravind
From your Good Health Gold Package with Smart Report Male /42 Yrs
Diabetes Profile
Measures the level of glucose in the body and helps identify the body's ability to process glucose. It
can be used for screnning as well as monitoring the treatment of diabetes.
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Patient ID Date of Collection
OKH1425357 07/07/24
For
Important Parameters R Aravind
From your Good Health Gold Package with Smart Report Male /42 Yrs
Range: 09 - 23 Range: 19.26 - 49.22 Range: 0.70 - 1.30 Range: 3.5 - 7.2
Sodium Potassium
141 mmol/L 4 mmol/L
Lipid Profile
Measures the amount of Cholesterol and Triglycerides in your blood. This gives an insight into the
health of heart and blood vessels.
Range: 0 - 129.9
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Patient ID Date of Collection
OKH1425357 07/07/24
For
Important Parameters R Aravind
From your Good Health Gold Package with Smart Report Male /42 Yrs
Range: 0 - 34 Range: 10 - 49
Page 9/12
Patient ID Date of Collection
OKH1425357 07/07/24
For
Important Parameters R Aravind
From your Good Health Gold Package with Smart Report Male /42 Yrs
Crystals
Nil
Range: NIL
Page 10/12
Patient ID Date of Collection
OKH1425357 07/07/24
For
Recommendations R Aravind
Male /42 Yrs
Care for better health and wellbeing
Lifestyle
Exercise Do's
Page 11/12
Patient ID Date of Collection
OKH1425357 07/07/24
For
References R Aravind
Male /42 Yrs
From trusted sources
12 Smoking cessation
Age-friendly Primary Health Care Centres Toolkit. World Health Organization
13 Sleep Hygiene
Irish LA, et al. The role of sleep hygiene in promoting public health: A review of empirical evidence. Sleep Med Rev. 2015;22:23-36.
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PO No :PO2064551203-659
HAEMATOLOGY
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Test Name Result Unit Bio. Ref. Interval Method
Comment:
Interpretation: HbA1c%
≤5.6 Normal
5.7-6.4 At Risk For Diabetes
≥6.5 Diabetes
Comments:
A 3 to 6 monthly monitoring is recommended in diabetics. People with diabetes should get the test done more often if their blood
sugar stays too high or if their healthcare provider makes any change in the treatment plan. HbA1c concentration represent the
integrated values for blood glucose over the preceding 8-12 weeks and is not affected by daily glucose fluctuation, exercise &
recent food intake.
Please note, Glycemic goal should be individualized based on duration of diabetes, age/life expectancy, comorbid conditions,
known CVD or advanced microvascular complications, hypoglycemia unawareness, and individual patient considerations.
Factors that interfere with HbA1c Measurement: Hemoglobin variants, elevated fetal hemoglobin (HbF) and chemically modified
derivatives of hemoglobin (e.g. carbamylated Hb in patients with renal failure) can affect the accuracy of HbA1c measurements.
Factors that affect interpretation of HbA1c Measurement: Any condition that shortens erythrocyte survival or decrease mean
erythrocyte age (e. g., recovery from acute blood loss, hemolytic anemia, HbSS, HbCC, and HbSC) will falsely lower HbA1c test
results regardless of the assay method used. Iron deficiency anemia is associated with higher HbA1c.
Note: Presence of Hemoglobin variants and/or conditions that affect red cell turnover must be considered, particularly when the
HbA1c result does not correlate with the patient's blood glucose levels.
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PO No :PO2064551203-659
HAEMATOLOGY
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Test Name Result Unit Bio. Ref. Interval Method
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PO No :PO2064551203-659
HAEMATOLOGY
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Test Name Result Unit Bio. Ref. Interval Method
MPV 9.1 fL 6.5 - 12 Calculated
PDW 14.9 fL 9-17 Calculated
Comment:
As per the recommendation of International council for Standardization in Hematology, the differential leucocyte counts are
additionally being reported as absolute numbers of each cell in per unit volume of blood.
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BIOCHEMISTRY
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Test Name Result Unit Bio. Ref. Interval Method
Glucose - Fasting
Glucose - Fasting 105 mg/dL 70 - 99 Hexokinase
Comment:
Impaired glucose tolerance (IGT) fasting, means a person has an increased risk of developing type 2 diabetes but does not
have it yet. A level of 126 mg/dL or above, confirmed by repeating the test on another day, means a person has diabetes.
IGT (2 hrs Post meal ), means a person has an increased risk of developing type 2 diabetes but does not have it yet. A 2-hour
glucose level of 200 mg/dL or above, confirmed by repeating the test on another day, means a person has diabetes
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PO No :PO2064551203-659
BIOCHEMISTRY
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Test Name Result Unit Bio. Ref. Interval Method
Lipid Profile
Cholesterol - Total 177 mg/dL Desirable <200, Enzymatic
Borderline High 200-239,
High >=240
Triglycerides 204 mg/dL Normal: <150, GPO
Borderline: 150 - 199,
High:200-499,
Very High>=500
Cholesterol - HDL 23 mg/dL Undesirable/high risk Elimination/catalase
<=40mg/dL
Desirable/low
risk>=60mg/dl
Cholesterol - LDL 114 mg/dL Desirable: <100 Calculated
Above desirable: 100 -
129
Borderline high : 130 -
159
High : 160 - 189
Very high : >=190
Cholesterol- VLDL 41 mg/dl <30 Calculated
Cholesterol : HDL Cholesterol 7.8 Ratio Desirable : 3.5-4.5 Calculated
High Risk : >5
LDL : HDL Cholesterol 5.00 Ratio Desirable : 2.5-3.0 Calculated
High risk : >3.5
Non HDL Cholesterol 154 mg/dl Desirable:< 130, Calculated
Above Desirable:130 -
159,
Borderline High:160 -
189,
High:190 - 219,
Very High: >= 220
Comment:
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PO No :PO2064551203-659
BIOCHEMISTRY
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Test Name Result Unit Bio. Ref. Interval Method
•Lipid profile measurements in the same patient can show physiological & analytical variations. It is recommended that 3 serial
samples 1 week apart may be tested.
•Indians are at a high risk of developing atherosclerotic cardiovascular disease (ASCVD); at a much earlier age and more severe
with high mortality. Dyslipidemia (abnormal lipid profile) is the major risk factor and found in almost 80% Indians.
•Total cholesterol is the total amount of cholesterol in blood comprising of HDL, LDL-C, and VLDL.
•LDL Cholesterol (LDL-C) or “bad”cholesterol contributes most significantly to atherosclerosis leading to heart disease or
stroke and is the primary target for reducing risk for cardiovascular disease.
•High-density lipoprotein (HDL) or “good” cholesterol can lower risk of heart disease and stroke.
•Triglyceride (TG) level also plays a major role in CVD. Indians are more prone to Atherogenic dyslipidemia, a condition
associated with high TG, low HDL-C and high LDL-C; this is associated with diabetes, metabolic syndrome and insulin resistance.
Hence high triglyceride levels also need to be treated.
•Non-HDL-Cholesterol (Non-HDLC) measures all plaque forming lipoproteins (e.g. remnants, LDL-C, VLDL, Lp(a), Apo-B).
Monitoring of Non-HDLC is important in patients with high TG (e.g. diabetics, obese persons) and those already on statin
therapy.
•Lipid Association of India (LAI-2020) recommends:-
Screening of all Indians above the age of 20 years for CVD risk factors, esp. lipid profile.
Identification of Risk factors: Age (male ≥45 years, female ≥55 years); Family h/o heart disease at younger age (<55 yrs
in males, <65 yrs in female), Smoking/tobacco use, High blood pressure, Low HDL (males <40 mg/dl and females
<50mg/dl).
Fasting lipid profile is not mandatory for screening. Both fasting and non-fasting lipid profiles are equally important for
managing Indian patients.
Non-HDLC should be calculated in every subject. LAI recommends LDL-C as the primary target and Non-HDLC as the co-
primary target for initiating drug therapy.
Lifestyle modifications are of first and foremost importance for management and prevention of dyslipidemia. Among low
risk groups, treatment is started only after 3 months of lifestyle changes.
Testing for Apolipoprotein B, hsCRP, Lp(a ) should be considered for patients in moderate risk group.
Newer treatment goals based on Risk Groups and values of LDL-C and Non-HDLC
•As per NCEP Expert Panel (2011) guidelines, universal screening for dyslipidemia is recommended for children between 9
- 11 yrs (repeat at 17-21 yrs). Screening is not recommended before the age of 2yrs. Above the age of 2 yrs, selective screening
is done in children with family history of premature CVD or risk factors like obesity, diabetes, and hypertension.
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PO No :PO2064551203-659
BIOCHEMISTRY
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Test Name Result Unit Bio. Ref. Interval Method
Note: Reference Interval as per National Cholesterol Education Program (NCEP) Report.
Comment:
BUN is directly related to protein intake and nitrogen metabolism and inversely related to the rate of excretion of urea.Blood
urea nitrogen (BUN) levels reflect the balance between the production and excretion of urea. Increased levels are seen in renal
failure (acute or chronic), urinary tract obstruction, dehydration, shock, burns, CHF, GI bleeding, nephrotoxic drugs. Decreased
levels are seen in hepatic failure, nephrotic syndrome, cachexia (low-protein and high-carbohydrate diets).
Urea is a non-proteinous nitrogen compound formed in the liver from ammonia as an end product of protein metabolism. Urea
diffuses freely into extracellular and intracellular fluid and is ultimately excreted by the kidneys. Increased levels are found in
acute renal failure, chronic glomerulonephritis, congestive heart failure, decreased renal perfusion, diabetes, excessive protein
ingestion, gastrointestinal (GI) bleeding, hyperalimentation, hypovolemia, ketoacidosis, muscle wasting from starvation,
neoplasms, pyelonephritis, shock, urinary tract obstruction, nephrotoxic drugs. Decreased levels are seen in inadequate dietary
protein, low-protein/high-carbohydrate diet, malabsorption syndromes, pregnancy, severe liver disease, certain drugs.
Creatinine is catabolic product of creatinine phosphate, which is excreted by filtration through the glomerulus and by tubular
secretion. Creatinine clearance is an acceptable clinical measure of glomerular filtration rate (GFR). Increased levels are seen in
acute/chronic renal failure, urinary tract obstruction, hypothyroidism, nephrotoxic drugs, shock, dehydration, congestive heart
failure, diabetes. Decreased levels are found in muscular dystrophy.
BUN/Creatinine ratio (normally 12:1–20:1) is decreased in acute tubular necrosis, advanced liver disease, low protein intake,
and following hemodialysis. BUN/Creatinine ratio is increased in dehydration, GI bleeding, and increased catabolism.
Uric acid levels show diurnal variation. The level is usually higher in the morning and lower in the evening. Increased levels are
seen in starvation, strenuous exercise, malnutrition, or lead poisoning, gout, renal disorders, increased breakdown of body cells
in some cancers (including leukemia, lymphoma, and multiple myeloma) or cancer treatments, hemolytic anemia, sickle cell
anemia, or heart failure, pre-eclampsia, liver disease (cirrhosis), obesity, psoriasis, hypothyroidism, low blood levels of
parathyroid hormone (PTH), certain drugs, foods that are very high in purines - such as organ meats, red meats, some seafood
and beer. Decreased levels are seen in liver disease, Wilson's disease, Syndrome of inappropriate antidiuretic hormone (SIADH),
certain drugs.
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CLINICAL PATHOLOGY
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Test Name Result Unit Bio. Ref. Interval Method
Comment:
•Note: Pre-test condition to be observed while submitting the sample-first void, mid stream urine, collected in a clean, dry, sterile
container is recommended for routine urine analysis, avoid contamination with any discharge from vaginal, urethra, perineum,
Avoid prolonged transit time & undue exposure to sunlight.
•During interpretation, points to be considered are Negative nitrite test does not exclude the urinary tract infections. Trace
proteinuria can be seen with many physiological conditions like prolonged recumbency, exercise, high protein diet. False positive
reactions for bile pigments, proteins, glucose and nitrites can be caused by peroxidase like activity by disinfectants, therapeutic
dyes, ascorbic acid and certain drugs.• Urine microscopy is done in centrifuged urine specimens
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PO No :PO2064551203-659
BIOCHEMISTRY
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Test Name Result Unit Bio. Ref. Interval Method
Comment:
Useful for screening liver damage in suspected infections, digestive disorders, alcohol intake or certain drugs.
Raised ALT, AST indicate hepatocellular disease. ALT (more liver-specific) activity higher than AST in acute or chronic viral
hepatitis, autoimmune, hemochromatosis, medications/toxins etc, while higher AST activity in alcoholic hepatitis,
cirrhosis and non-hepatic causes like hemolysis, myopathy, thyroid disease, exercise etc. SGOT/SGPT ratio >1 seen in
alcoholic cirrhosis, metastasis; high ratio in cirrhosis correlates with the grade of fibrosis.
Mild isolated raised ALT, AST (<2 times normal) levels may require only repeat testing; usually resolve in 1/3rd cases. Most
common cause in asymptomatic cases is Fatty liver disease esp. in patients with metabolic syndrome (MASLD). Some
drugs (like paracetamol, statins), herbal supplements, energy drinks, and antibiotics may cause liver injury.
Elevated alkaline phosphatase and GGT indicate cholestatic disease like bile duct obstruction, primary biliary cirrhosis,
primary sclerosing cholangitis or infiltrating diseases of the liver. Also high in other causes like bone disease, pregnancy,
CRF, malignancies, congestive heart failure etc.
High bilirubin indicates jaundice either due to RBC breakdown, liver damage by infections, toxins; or cholestasis due to gall
stones, tumors etc.
High protein levels seen in dehydration (inadequate intake or excessive water loss) in severe vomiting, diarrhea, etc or
increased production seen in inflammation, some hematopoietic neoplasms. Low protein and albumin seen in impaired
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PO No :PO2064551203-659
BIOCHEMISTRY
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Test Name Result Unit Bio. Ref. Interval Method
synthesis (liver disease) or decreased intake, tissue damage, malabsorption and increased renal excretion.
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PO No :PO2064551203-659
Immunology
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Test Name Result Unit Bio. Ref. Interval Method
Thyroid Profile
T3, Total 1.23 ng/mL 0.60-1.81 CLIA
T4, Total 9.5 µg/dl 4.5-12.6 CLIA
Thyroid Stimulating Hormone - Ultra 3.344 uIU/ml 0.55-4.78 CLIA
Sensitive
Comment:
Below mentioned are the guidelines for pregnancy related reference ranges for TSH, total T3 & Total T4.
Pregnancy
TSH (μIU/mL) (as per
American Thyroid Total T3 (ng/mL) Total T4(μg/dL)
Association )
1st trimester 0.1-2.5 0.81-1.90 7.33-14.8
2nd trimester 0.2-3.0 1.00-2.60 7.93-16.1
3rd trimester 0.3-3.0 1.00-2.60 6.95-15.7
TSH levels are subject to circadian variation, reaching peak levels between 2 - 4.a.m. and at a minimum between 6-10 pm
.
The variation is of the order of 50%, hence time of the day has influence on the measured serum TSH concentrations.
TSH is secreted in a dual fashion: Intermittent pulses constitute 60-70% of total amount, background continuous secretion
is 30-40%.These pulses occur regularly every 1-3 hrs.
Total T3 & T4 concentrations are altered by physiological or pathological changes in thyroxine binding globulin (TBG)
capacity .
The determination of free T3 & free T4 has the advantage of being independent of changes in the concentrations and
binding properties of the binding proteins.
Changes in thyroid status are typically associated with concordant changes in T3, T4 and TSH levels.
Unexpectedly abnormal or discordant thyroid test values may be seen with some rare, but clinically significant conditions
such as central hypothyroidism, TSH-secreting pituitary tumors, thyroid hormone resistance, or the presence of
heterophilic antibodies (HAMA) or thyroid hormone autoantibodies.
For diagnostic purposes, results should be used in conjunction with other data.
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Immunology
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Test Name Result Unit Bio. Ref. Interval Method
TSH T3 T4 Interpretation
High Normal Normal Subclinical Hypothyroidism
Low Normal Normal Subclinical Hyperthyroidism
High High High Secondary Hyperthyroidism
Low High/Normal High/Normal Hyperthyroidism
Non thyroidal illness / Secondary
Low Low Low Hypothyroidism
Disclaimer: Results relate only to the sample received. Test results marked "BOLD" indicate abnormal results i.e. higher or lower than normal. All
lab test results are subject to clinical interpretation by a qualified medical professional. This report cannot be used for any medico-legal purposes.
Partial reproduction of the test results is not permitted. Also, TATA 1mg Labs is not responsible for any misinterpretation or misuse of the
information. The test reports alone may not be conclusive of the disease/condition, hence clinical correlation is necessary. Reports should be
vetted by a qualified doctor only.
Page 12 of 12
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