Labreportnew (8) - 3

Patient Name : Mr.
BALU KHADE Specimen Drawn ON : 29/Mar/2024 03:20PM

Age/Gender : 52 Y 0 M 0 D /M Specimen Received ON : 29/Mar/2024 03:27PM
UHID/MR No : APUN.0000026531 Report Date : 29/Mar/2024 04:31PM
Visit ID : MPUN26531 Client Code : PUNE268
Ref Doctor : Dr.SELF Barcode No : B4967222
Client Name : AYUSHMAN BHAVA DIAGNOSTICS Ref Customer : SELF
DEPARTMENT OF HAEMATOLOGY
432CPN090BIO-T D PLUS
Test Name Result Unit Bio. Ref. Range Method
HBA1C
Sample Type : WHOLE BLOOD EDTA
HbA1c (ngsp) 11.5 % Non diabetic adults >=18 years HPLC
<5.7~At risk (Prediabetes) 5.7 -
6.4~Diagnosing Diabetes >= 6.5
HbA1c (IFCC) 101.92 mmol/mol HPLC
Estimated Average Glucose 283.4 mg/dl Calculated
Interpretation:
As per American Diabetes Association (ADA)
Reference Group HbA1c in %
Non diabetic adults >=18 years <5.7
At risk (Prediabetes) 5.7 – 6.4
Diagnosing Diabetes >=6.5
Note:
1, Since HbA1c reflects long term fluctuation in the blood glucose concentration , a diabetic patient who is recently under
good control may still have a high concentration of HbA1c . Converse is true for a diabetic previously under good control
but now proply controlled.
2, Target goals of <7.0% may be beneficial in patients with short duration of diabetes , long life expectancy and no
significant cardiovascular disease. In patients with significant complications of diabetes ,limit life expectancy or extensive co-
morbid conditions, targeting a goal of <7.0 % may not be appropriate.
Comment :
HBA1c provides an index of average blood glucose levels over the past 8 – 12 weeks and is a much better indicator of long
term glycemic control as compared to blood and urinary glucose determinations.
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Patient Name : Mr.BALU KHADE Specimen Drawn ON : 29/Mar/2024 03:20PM
COMPLETE BLOOD COUNT (CBC)

RBC Count 4.99 Millions/cumm 4.5-5.5 Impedance Variation
Haemoglobin (HB) 15.7 g/dl 13.0-17.0 Spectrophotometry
Haematocrit (PCV) 46.9 % 40.0-50.0 Analogical Integration
MCV 93.99 fL 83-101 Calculated
MCH 31.46 pg 27.0-32.0 Calculated
MCHC 33.48 g/dL 27.0-48.0 Calculated
RDW-CV 13.6 % 11.5-14.0 Calculated
Platelet Count 268 x1000/uL 150-410 Impedance Variation
Total WBC Count 8670 /cumm 4000-10000 Impedance Variation
MPV 9.50 % 9.1-11.9 Calculated
PDW 16.00 % 9.0-15.0 Calculated
PCT 0.26 % 0.18-0.39 Calculated

Differential Leucocyte Count
Neutrophil 63.9 % 40.0-80.0 flow cytometry/manual
Lymphocyte 27.0 % 20.0-40.0 flow cytometry/manual
Monocytes 4.8 % 2-10 flow cytometry/manual
Eosinophils 4.1 % 01-06 Flow cytometry/manual
Basophils 0.2 % 0-1 Flow cytometry/manual
Absolute Neutrophils 5.54 1000/µL 2.00-7.00
Absolute Lymphocytes 2.34 1000/µL 1.00-3.00
Absolute Monocytes 0.42 1000/µL 0.20-1.00
Absolute Eosinophils 0.36 1000/µL 0.02-0.50
Absolute Basophils 0.02 1000/µL 0.02-0.10
Neutrophil-Lymphocyte Ratio 2.37 Calculated
Lymphocyte-Monocyte Ratio 6 Calculated
Platelet-Lymphocyte Ratio 10 Calculated
DEPARTMENT OF BIOCHEMISTRY
GLUCOSE FASTING
Sample Type : Sod.Fluoride - F
Glucose Fasting 353.2 mg/dl 70.0 - 110.0 GOD-POD
Interpretation (In accordance with the American diabetes association guidelines):

· A fasting plasma glucose level below 110 mg/dL is considered normal.
· A fasting plasma glucose level between 100-126 mg/dL is considered as glucose intolerant or pre diabetic. A fasting and
post-prandial blood sugar test (after consumption of 75 gm of glucose) is recommended for all such patients.
· A fasting plasma glucose level of above 126 mg/dL is highly suggestive of a diabetic state. A repeat fasting test is
strongly recommended for all such patients. A fasting plasma glucose level in excess of 126 mg/dL on both the occasions is
confirmatory of a diabetic state.
Blood Glucose Post Prandial 371.0 mg/dl 90-140 Hexokinase
This test helps in diagnosing and managing diabetes mellitus and other carbohydrate metabolism disorders including
gestational diabetes, neonatal hypoglycemia, idiopathic hypoglycemia,etc.
-Fasting plasma or serum glucose > or =126 mg/dL after an 8-hour fast
-2-Hour plasma or serum glucose > or =200 mg/ dL during a 75-gram oral glucose tolerance test (OGTT)
-Random glucose >200 mg/dL, plus typical symptoms
Patients with "impaired" glucose regulation are those whose fasting serum or plasma glucose fall between 101 and 126 mg/dL, or
whose 2-hour value on oral glucose tolerance test fall between 140 and 199 mg/dL. These patients have a markedly increased
risk of developing type 2 diabetes and should be counseled for lifestyle changes and followed up with more testing. Indications for
screening and testing include strong family history, marked obesity, history of babies over 9 pounds, and recurrent skin and
genitourinary infections.
Glucose levels of 25 mg/dL or lower in infants younger than 1 week are considered to be potentially life threatening, as are glucose
levels of 40 mg/dL or lower in infants older than 1 week.
Creatinine 0.78 mg/dL 0.70-1.40 Spectro-photometry
Reference range for -New Born (1-4 days)-0.6-1.2 mg/dl

COMMENT:-
Creatinine is the product of creatine metabolism. It is a measure of renal function and elevated levels are observed in patients
typically with 50% or greater impairment of renal function
Note-reference ranges are taken from tietz fundamentals of clinical chemistry 6th edition(2008)
Blood Urea Nitrogen (BUN) 8.45 mg/dl 6.00-20.0 Spectro-photometry
Comments:-
BUN is directly related to protein intake and nitrogen metabolism and inversely related to the rate of excretion of urea.
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 3.68 mg/dl 4.40-7.60 Spectro-photometry
Comment:
Before testing for uric acid levels in serum, Alcohol should be avoided, because it slows down the removal of uric acid from the
body. Fasting, a starvation diet, and strenuous exercise all raise uric acid levels. Uric acid blood levels vary from day to day. The
level is usually higher in the morning and lower in the evening. Blood uric acid levels that increase during pregnancy, even if the
levels remain within the normal range, may help diagnose preeclampsia.
Calcium 8.52 mg/dL 8.6-10.2 NM-BAPTA
DESCRIPTION
About 50% of the calcium present in circulation is free (also known as ionized calcium); 40% of serum calcium is bound to
proteins, especially albumin (80%) and, secondary, to globulins (20%); and about 10% exists as various small diffusible inorganic
and organic anions (eg, bicarbonate, lactate, citrate).Heart and skeletal muscle contractility are affected by calcium ions; in
addition, calcium ions are vital to nervous system function and are associated with blood clotting and bone mineralization.The
concentration of serum calcium is tightly regulated by parathyroid hormone (PTH) and 1,25-hydroxy vitamin D.
INTERPRETATION-
Serum calcium is decreased (hypocalcemia) in the following conditions:
Hypoparathyroidism , Vitamin D deficiency ,Chronic renal diseases ,Pseudohypoparathyroidism,
Magnesium deficiency (PTH glandular release is magnesium-dependent), Hyperphosphatemia,
Massive transfusion, Hypoalbuminemia, Severe calcium dietary deficiency and Severe pancreatitis (calcium saponification)
Serum calcium is increased(Hypercalcemia) in the following conditions:
Hyperparathyroidism ,Vitamin D excess, Milk-alkali syndrome, Multiple myeloma, owing to bone lesions, Paget disease of bone
with prolonged immobilization, Sarcoidosis, Familial hypocalciuria hypercalcemia,Vitamin A intoxication,Thyrotoxicosis and
Addison disease
LIVER FUNCTION TEST (LFT)

Bilirubin Total 1.19 mg/dl 0.2-1.2 Diazotized Sulfanilic
Bilirubin Direct 0.23 mg/dl 0-0.3 Diazotized Sulfanilic
Bilirubin Indirect 0.96 mg/dl 0.30-1.00 Calculated
SGOT (AST) 22.42 U/L <31.0 IFCC without pyridoxal
phosphate
SGPT (ALT) 26.78 U/L <33.0 IFCC without pyridoxal
phosphate
Alkaline Phosphatase (ALP) 32.19 U/L 40-129 IFCC Standardization
Calcium 8.52 mg/dL 8.6-10.2 NM-BAPTA
Protein Total 7.28 g/dL 6.6-8.7 Biuret

Albumin (Serum) 4.52 g/dL 3.5-5.5 Bromo Cresol Green
(BCG)
Globulin 2.76 g/dL 2.50-3.50 Calculated
ALB/GLO Ratio 1.64 Ratio 1.20-2.10 Calculated
Interpretation:- Liver blood tests, or liver function tests, are used to detect and diagnose disease or inflammation of the liver.
Elevated aminotransferase (ALT, AST) levels are measured as well as alkaline phosphatase, albumin, and bilirubin. Some
diseases that cause abnormal levels of ALT and AST include hepatitis A, B, and C, cirrhosis, iron overload, and Tylenol liver
damage. Medications also cause elevated liver enzymes. There are less common conditions and diseases that also cause elevated
liver enzyme levels.: Liver blood tests, or liver function tests, are used to detect and diagnose disease or inflammation of the liver.
Elevated aminotransferase (ALT, AST) levels are measured as well as alkaline phosphatase, albumin, and bilirubin. Some
diseases that cause abnormal levels of ALT and AST include hepatitis A, B, and C, cirrhosis, iron overload, and Tylenol liver
damage. Medications also cause elevated liver enzymes.There are less common conditions and diseases that also cause elevated
liver enzyme levels.
LIPID PROFILE BASIC

Sample Type : SERUM
Total Cholesterol 236.09 mg/dL <200.00 mg/dL Enzymatic Colorimetric
Triglyceride 250.97 mg/dL 0.0-150 :Normal Enzymatic Colorimetric

151-199:Border Line >=200 :High
200.0-499.0 High
~> 500 Very High
HDL Cholesterol 55.20 mg/dL 40-60 Direct (PVS/PEGME
precipitation & Trinder
reaction)
Non HDL Cholesterol 180.89 mg/dL < 130 mg/dL Calculated
VLDL Cholesterol 50.2 mg/dL 2.00-30.00 Calculated
LDL Cholesterol 130.7 mg/dL 0-130 :Normal~131- Direct (PVS/PEGME

155:Borderline~>=160 :High precipitation & Trinder
reaction)
Cholesterol/HDL Ratio 4.28 Ratio <4.00 Calculated
LDL / HDL Cholestrol Ratio 2.37 Ratio <3.50 Calculated

HDL/LDL Cholesterol Ratio 0.42 Ratio <3.50 Calculated
Please correlate clinically.

Kindly read in conjunction with the clinical status and history of the patient.
Total Cholesterol (mg/dL) <200 – Desirable 200-239 -Borderline high <240 – High
HDL Cholesterol (mg/dL), <40 – Low >60 – High
LDL Cholesterol (mg/dL) <100 Optimal
[Primary Target of Therapy] 100-129 Near optimal /above optimal, 130-159 Borderline high,160-189 High,>190 Very
high.Serum Triglycerides (mg/dL) <150 Normal,150-199 Borderline high,200-499 High,>500 Very high
NCEP recommends lowering of LDL Cholesterol as the primary therapeutic target with lipid lowering agents, however, if
triglycerides remain >200 mg/dL after LDL goal is Reached, seti secondary goal for non-HDL cholesterol (total minus HDL) 30
mg/dL higher than LDL goal.
Risk Category LDL Goal (mg/dL) Non-HDL Goal (mg/dL)
CHD and CHD Risk Equivalent <100 <130
(10-year risk for CHD>20%)
Multiple (2+) Risk Factors and <130 <160
10-year risk <20%

0-1 Risk Factor <160 <190
DEPARTMENT OF IMMUNOASSAY
THYROID PROFILE
Sample Type : SERUM
Triiodothyronine Total (T3) 1.04 ng/mL 0.81-1.81 Chemiluminescence
Immunoassay (CLIA)
Thyroxine Total (T4) 7.9 ug/dL 4.6-10.5 Chemiluminescence
Immunoassay (CLIA)
TSH (4th Generation) 2.631 uIU/mL 0.40-4.20 Chemiluminescence
Immunoassay (CLIA)
PREGNANCY REFERENCE RANGE for TSH IN uIU/mL (As per American Thyroid Association.)
1st Trimester 0.10-2.50 uIU/mL
2nd Trimester 0.20-3.00 uIU/mL
3rd Trimester 0.30-3.00 uIU/mL
INTERPRETATION-
1. Primary hyperthyroidism is accompanied by elevated serum T3 & T4 values along with depressed TSH level.
2 .Primary hypothyroidism is accompanied by depressed serum T3 and T4 values & elevated serum TSH levels.
3. Normal T4 levels accompanied by high T3 levels and low TSH are seen in patients with T3 thyrotoxicosis.
4. Normal or low T3 & high T4 levels indicate T4 thyrotoxicosis ( problem is conversion of T4 to T3)
5. Normal T3 & T4 along with low TSH indicate mild / subclinical HYPERTHYROIDISM .
6. Normal T3 & low T4 along with high TSH is seen in HYPOTHYROIDISM .
7. Normal T3 & T4 levels with high TSH indicate Mild / Subclinical HYPOTHYROIDISM .
8. Slightly elevated T3 levels may be found in pregnancy and in estrogen therapy while depressed levels may be
encountered in severe illness , malnutrition , renal failure and during therapy with drugs like propanolol.
9. Although elevated TSH levels are nearly always indicative of primary hypothroidism . rarely they can result from TSH
secreting pituitary tumours ( seconday hyperthyroidism )
*TSH IS DONE BY ULTRASENSITIVE 4th GENERATION CHEMIFLEX ASSAY*
COMMENTS:
Assay results should be interpreted in context to the clinical condition and associated results of other investigations.
Previous treatment with corticosteroid therapy may result in lower TSH levels while thyroid hormone levels are normal.
Results are invalidated if the client has undergone a radionuclide scan within 7-14 days before the test. Abnormal thyroid
test findings often found in critically ill clients should be repeated after the critical nature of the condition is resolved.The
production, circulation, and disintegration of thyroid hormones are altered throughout the stages of pregnancy.
*** End Of Report ***

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Patient Name : Mr.

BALU KHADE Specimen Drawn ON : 29/Mar/2024 03:20PM

COMPLETE BLOOD COUNT (CBC)

PCT 0.26 % 0.18-0.39 Calculated

Interpretation (In accordance with the American diabetes association guidelines):

Blood Glucose Post Prandial 371.0 mg/dl 90-140 Hexokinase

Creatinine 0.78 mg/dL 0.70-1.40 Spectro-photometry

Reference range for -New Born (1-4 days)-0.6-1.2 mg/dl

Blood Urea Nitrogen (BUN) 8.45 mg/dl 6.00-20.0 Spectro-photometry

Uric Acid 3.68 mg/dl 4.40-7.60 Spectro-photometry

Calcium 8.52 mg/dL 8.6-10.2 NM-BAPTA

LIVER FUNCTION TEST (LFT)

Calcium 8.52 mg/dL 8.6-10.2 NM-BAPTA

Protein Total 7.28 g/dL 6.6-8.7 Biuret

LIPID PROFILE BASIC

Triglyceride 250.97 mg/dL 0.0-150 :Normal Enzymatic Colorimetric

LDL Cholesterol 130.7 mg/dL 0-130 :Normal~131- Direct (PVS/PEGME

LDL / HDL Cholestrol Ratio 2.37 Ratio <3.50 Calculated

Please correlate clinically.

10-year risk <20%

*** End Of Report ***

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