Test Report Mr. S A Qader 72 Years / Male: Remarks: Elevated LA1c
Test Report Mr. S A Qader 72 Years / Male: Remarks: Elevated LA1c
TEST REPORT
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3-6-16 & 17, Street No. 19, Opp. Lane to Tanishq, Chandra Nagar, Himayatnagar, Hyderabad - 500029
TEST REPORT
DR. MANUGNA A
MD BIOCHEMISTRY
MC-2657 Registration No: TSMC/FMR/31118
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3-6-16 & 17, Street No. 19, Opp. Lane to Tanishq, Chandra Nagar, Himayatnagar, Hyderabad - 500029
TEST REPORT
Interpretation / Comments :
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• ADA Guidelines (2023) are adopted for the evaluation of diabetic status.
DR. MANUGNA A
MD BIOCHEMISTRY
MC-2657 Registration No: TSMC/FMR/31118
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3-6-16 & 17, Street No. 19, Opp. Lane to Tanishq, Chandra Nagar, Himayatnagar, Hyderabad - 500029
TEST REPORT
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3-6-16 & 17, Street No. 19, Opp. Lane to Tanishq, Chandra Nagar, Himayatnagar, Hyderabad - 500029
TEST REPORT
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3-6-16 & 17, Street No. 19, Opp. Lane to Tanishq, Chandra Nagar, Himayatnagar, Hyderabad - 500029
TEST REPORT
URIC ACID
Interpretation / Comments :
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• Useful for monitoring therapeutic management of gout and chemotherapeutic treatment of neoplasms.
DR. MANUGNA A
MD BIOCHEMISTRY
MC-2657 Registration No: TSMC/FMR/31118
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3-6-16 & 17, Street No. 19, Opp. Lane to Tanishq, Chandra Nagar, Himayatnagar, Hyderabad - 500029
TEST REPORT
UREA
Interpretation / Comments :
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• In conjunction with serum creatinine,urea level aids in differential diagnosis of pre-renal,renal and
post-renal hyperuremia.
DR. MANUGNA A
MD BIOCHEMISTRY
MC-2657 Registration No: TSMC/FMR/31118
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3-6-16 & 17, Street No. 19, Opp. Lane to Tanishq, Chandra Nagar, Himayatnagar, Hyderabad - 500029
TEST REPORT
CREATININE
e-GFR (Glomerular Filtration Rate) : 52.8 ml/min/1.73 m² Normal kidney function : >/= 90
Method: Calculation, CKD EPI equation (Please refer to Interpretations for
reference ranges of e-GFR in
different stages of CKD and also
average e-GFR based on age. )
Interpretation / Comments:
Stages of chronic kidney disease (CKD)
Stages Description e-GFR
1 Possible kidney damage (eg: Proteinuria) with normal kidney function >/= 90
2 Mild loss of kidney function 60 - 89
3a Mild to moderate loss of kidney function 45 - 59
3b Moderate to severe loss of kidney function 30 - 44
4 Severe loss of kidney function 15 - 29
5 Kidney failure < 15
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3-6-16 & 17, Street No. 19, Opp. Lane to Tanishq, Chandra Nagar, Himayatnagar, Hyderabad - 500029
TEST REPORT
CREATININE
• Serum Creatinine is useful in the diagnosis of renal insufficiency and is more specific and sensitive indicator of renal
disease than serum Urea /BUN.
• Use of simultaneous Urea / BUN and creatinine levels provide more information in the diagnosis of renal
insufficiency.
• GFR is generally considered the best index of overall kidney function.
• Chronic kidney disease is defined as the presence of persistent and usually progressive reduction in GFR.
• Repeated determination of GFR in conjunction with creatinine assay establish whether the patient has stable or
progressive disease.
• GFR is useful for people with chronic kidney disease (CKD) and those with risk factors for CKD (diabetes,
hypertension, cardiovascular disease and family history of kidney disease) to assess the kidney function.
• The CKD-EPI equation is the most widely used IDMS traceable equations for estimating GFR in patients above 18
years of age. This equation includes variables for age and gender, and it may be observed that Kidney may be involved
despite a serum creatinine concentration appearing to be within or just above the Biological Reference Interval. The
results of e-GFR by CKD-EPI equation are normalized to 1.73 m² body surface area. CKD-EPI equation is not valid
for individuals under 18 years of age.
• Limitations of CKD-EPI equation includes imprecise estimates in some individuals especially those suffering from
physiologic limitations of creatinine as filtration markers, thus showing large difference between measured GFR and
e-GFR (estimated GFR).
• Estimates for GFR based on serum creatinine will be less accurate for patients at the extremes of muscle mass (such as
frail elderly, critically ill, cancer patients) and also those with unusual diets, sudden acute renal failure, patients on
dialysis and patients with severe liver disease.
• Confirmatory tests with exogenous measured GFR or directly measured creatinine clearance should be performed for
such individuals.
• The influence of creatinine measurement imprecision at low creatinine conecentrations (and hence high e-GFR) has a
possible contribution to the variability at higher e-GFR values.
DR. MANUGNA A
MC-2657
MD BIOCHEMISTRY
Registration No: TSMC/FMR/31118
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3-6-16 & 17, Street No. 19, Opp. Lane to Tanishq, Chandra Nagar, Himayatnagar, Hyderabad - 500029
TEST REPORT
ELECTROLYTES
Interpretation / Comments :
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• Sodium : Levels of sodium when evaluated with electrolytes aid in assessing acid base balance, water balance and
water intoxication.
• Potassium : Useful in evaluation of electrolyte balance, cardiac arrhythmia, muscular weakness, hepatic
encephalopathy and renal failure.
• Chloride : Useful when assayed along with sodium, potassium and bicarbonate in assessment of electrolyte, acid base
and water balance.
DR. MANUGNA A
MC-2657
MD BIOCHEMISTRY
Registration No: TSMC/FMR/31118
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