Diabetes checkup list tests that detect diabetes

Diabetes is very common problem in india

Diabetes checkup list tests that detect diabetes

 

Diabetes or diabetes is one of the most common physical problems.The situation can be easily controlled by increasing the information about diabetes and its screening test.Then whether the type of diabetes is type 1, type 2, gestational (linked to pregnancy), or pre-diabetes.They can be detected by examining blood in different ways. In this article, we are giving information about the different investigations related to diabetes detection blood

Fasting plasma glucose test:

As the name suggests, this test is done when you are hungry, that is, you have not eaten anything for at least 8 hours.So the Fasting Plasma Glucose (FPG) test is done before the morning breakfast.

In this test, the blood is removed from the tip of one of your fingers and it is put on a strip in a glucometer.In another way, the technician extracts blood from the vein in your arm. The FPG test shows how much sugar is in your blood during the test.

However, researchers say that if your FPG is less than 100, but in the range of 91-99 mg / dL, then you are at risk of having type 2 diabetes.

Postprandial blood sugar test (after meals):

Postprandial blood sugar test (PPBS) is done after performing FPG test and eating breakfast. Usually this test is done two hours after breakfast in the morning.With the help of a lancet, you can test it by taking the blood out of the tip of your finger itself (the lancet comes with a glucometer).The blood is put on a strip attached to the glucometer. If there is a lab near you, then the technician there can extract blood from the vein of your arm (arm).If you already have any disease, or you have taken any medicine before the PPBS test, then please inform the doctor about it, as it may affect the results of your examination.

Oral glucose tolerance test (OGTT)

Glucose tolerance test or oral glucose tolerance test (OGTT) shows how a person responds to glucose after fasting, whether their body is able to fully absorb glucose or No.In other words, it tests the insulin resistance in your body. This is a standard test for type 2 diabetes information.

The technician extracts blood from the vein of your arm twice; The first time when you have not eaten anything overnight and the second time after drinking something sweet, which is given to you during the test.

So, this investigation has two steps:

First you have an FPG test (after being hungry overnight)

After the FPG test, you are given a drink mixed with sugar solution. Then after 2 hours (or 30 to 60 minutes), sugar is tested in your blood.

If after 2 hours the test shows a reading of 140–199 mg / dl, it means that you have pre-diabetes, and if you have a reading of more than 200 mg / dl, then you have diabetes.

Random plasma glucose test:

The Random Plasma Glucose (RPG) test also measures the level of sugar in your blood, but this test does not include any specific time or food-related restrictions.This is called a random test, because it can be done at any time of the day and there is no worry about when and what you ate.In this test too, the blood is removed from the tip of your finger and it is put on a strip attached to the glucometer. A reading of 200 mg / dL or higher means that you have diabetes.

RPG is also beneficial to check the risk of diabetes in early pregnancy, gestational diabetes is called gestational diabetes.Although gestational diabetes occurs after 20 weeks of gestation, an RPG test done in the first three months can tell whether there will be diabetes in pregnant women later.

Therefore, it is advisable to have gestational diabetes checked in the first three months of pregnancy, especially if you fall in any of the following areas:

You are 35 years or older

You are overweight or obese, especially your stomach.

Your BMI is less than 25 kg / m2 before pregnancy, but the weight gain during pregnancy

Have high blood pressure

Has a history of type 2 diabetes in the family

Have polycystic ovary syndrome (PCOS)

Have had an abortion before Gestational diabetes may have occurred during the first pregnancy.

Your BMI is less than 25 kg / m2 before pregnancy, but the weight gain during pregnancy

HbA1c is also called glycated hemoglobin or just A1c. HbA1c is by far the most accurate test to detect diabetes.In this investigation, the level of sugar in your blood is known in the last 2-3 months. This information is important, because if the level of HbA1c is high, the risk of diabetes related problems can

If the results of the A1C test are 6.5% or more, then diabetes is sure to happen. If the results are in the range of 5.7% -6.4% then there are pre-diabetes conditions. Less than 5.7% means you do not have diabetes.

Benefits of HBA1C Test:

You do not have to meet time or food restrictions or other requirements to get HBA 1c test done. Whereas to check FPG or OGTT, you have to take care of time or food related restrictions.This investigation also provides information about other complications related to diabetes or problems, especially heart and nerve diseases. In addition, HbA1c also gives complete information about unbalanced lipid profile, ie high cholesterol, high amount of 'bad' LDL cholesterol and low amount of 'good' cholesterol.

Shortcomings of HbA1c Test:

The HbA1c test measures your blood sugar in a different way. For example, if you had high blood sugar in a few weeks immediately before the test, the results of this test will definitely be affected. Even if your glucose level has been normal 2 to 3 months before the test. Apart from this, the results of HbA1c test also vary according to age and race. Therefore, it is necessary for children to perform Random Plasma Glucose (RPG) test, Oral Glucose tolerance test (OGTT) in addition to HbA1c.

Who should not undergo HBA1C test:

Those who have cirrhosis do not benefit from the HB1AC test. Cirrhosis is a liver disease in which healthy liver cells are destroyed, and are replaced by succulent tissue (injured tissue or tissue).Because of this, the lever stops working later and the insulin stops, which increases the level of sugar in the blood. People who have cirrhosis have iron deficiency in their body, which reduces the life of red blood cells (red blood cells) and results of HB1AC test are false.

The results of the HbA1c test are not accurate in people who are recovering from a high blood pressure, or whose kidney stops functioning, or whose body has been bloody.

Hemoglobin named HbA is found in most people. According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), the hemoglobin commonly found in many people in India is HBS, HBC or HBE, even for such people, it is not a reliable test.

Fructozamine test (glycated serum protein or glycated albumin test):

The Fructozamine (FA) test checks the level of sugar in the blood in the last 2-3 weeks. The mixing of sugar with the protein present in the blood creates an FA. If the level of FA increases, the level of sugar in the blood will also be higher.Since 80% of fructozamine contains a protein called albumin, the glycated albumin test also comes under it.One advantage of this test as compared to HbA1c is that the changes in blood sugar level in it are quickly recognized, which can lead to early treatment.When the concentration of albumin is 5 g / dL, the normal range of fructozamine is 200–285 mmol / L.