Importance of Diabetic Profile
Diabetes mellitus (DM), simply means high blood sugar level, is a silent killer and it kills you 10 years before your time as per the study conducted by Oxford university. Diabetes is a condition in which the body either does not produce enough insulin, or does not properly respond to insulin. Individuals with diabetes are at increased risk of heart and kidney disease, retinopathy, neuropathy, and nonalcoholic fatty liver disease.
Along with blood sugar control, people with diabetes need to have an eye on their cholesterol levels because Diabetes is associated with high lipids, clinically known as diabetic dyslipidemia. Later this excess fat may build up in liver and leads to nonalcoholic fatty liver disease. Medical health experts assert that regular check-ups and timely detection plays a vital role in controlling and managing the diabetic problems. Proper Diabetic profile testing is very important for the timely detection and monitoring of Diabetes.
What should be the frequency of Diabetic profile check?
The guidelines for frequency are based on diabetes risk.
Screening when no risk factors present: Test in every three years
Screening when risk factors present: Older than 45, a family history of diabetes / high blood pressure / high cholesterol should test once in a year
If your blood sugar control is good – four times a year
If your blood sugar control is poor – Every month
Complete Diabetic Profile can be divided to two and it includes,
Routine diabetic tests – Glucose, Microalbumin, Dipstick test
Standard diabetic tests - HbA1c, C-peptide
Comprehensive Metabolic Panel (CMP) – Creatinine, lipid profile, liver profile, Urea, Electrolytes
Routine diabetic tests
Fasting blood glucose test (8 or 12 or 14 hours after eating), glucose tolerance test, Postprandial glucose test (2 hours after eating) & Random blood sugar test help to diagnose diabetes, prediabetes and gestational diabetes.
A urine microalbumin test is a test to detect very small levels of a blood protein (albumin) in urine. By this method, it can find out whether diabetes has damaged kidneys because Diabetes is the leading cause of kidney failure.
Kidney damage can cause proteins to leak through the kidneys and exit the body via urine. This test is to evaluate severe hyperglycemia (severe high blood sugar) by looking for ketones & microalbumin in the urine.
Standard diabetic tests
It is the ideal parameter which can be used to assess the diabetic control. It shows how well your diabetes has been controlled in the past 2 to 3 months and whether your medicine needs to be changed. As per the recent studies, People with diabetes who reduced their HbA1c by less than 1% can cut their risk of dying within 5 years by 50%
This test is used to differentiate between type I (low level of insulin and C-peptide) and type II (normal or high level of C-peptide) diabetes. C-peptide levels are measured instead of insulin levels because C-peptide can assess a person's own insulin secretion even if they receive insulin injections.
Comprehensive Metabolic Panel (CMP)
This panel evaluates liver and kidney function along with important cholesterol levels including HDL, LDL, VLDL and triglycerides. Diabetes tends to lower "good" cholesterol levels and raise triglyceride and "bad" cholesterol levels, which increases risk for heart disease and stroke. An increased level of electrolyte may indicate kidney disease, so Electrolytes also need be tested.