Package

Diabetes Screening Package C with HbA1c, Insulin Fasting, C Peptide, Microalbumin (17 Tests)

₹5,390 ₹2,999
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Also Known As

#1) Pancreatic Beta-Cell Function & Insulin Resistance Profile #2) Advanced C-Peptide & Metabolic Security Panel #3) 17-Parameter Elite Diabetic Architecture Audit #4) Endocrine Insulin-Production Baseline #5) Diabetic Complications Microalbumin & Pancreatic Screen #6) Quantitative ECLIA-HPLC Diabetes Package C #7) Total Pancreatic Reserve & Cardio-Renal Study #8) Microvascular Nephropathy Early Detection Screen C #9) Complete Glycemic Status & Endogenous Insulin Audit #10) Executive Dyslipidemia & Insulin Sensitivity Profile #11) Macro-Microvascular Pancreatic Stress Map #12) Type 1 vs Type 2 Diabetes Differential Panel #13) PathoFit Advanced Diabetes Care Package C #14) Absolute Insulin-Peptide Secretion Mapping #15) Standard 17-Test Advanced Diabetic Protocol ### **INCLUDED TEST PARAMETERS & DETAILS (17 TESTS):**
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Test Parameters Included

  • Lipid Profile / Cholesterol Panel (9 Tests)
  • Microalbumin - Urine
  • Glycosylated Hemoglobin HBA1c with eAG (2 Tests)
  • C-Peptide
  • Glucose - Fasting
  • Glucose - Postprandial
  • Insulin Fasting
  • Blood Urea Nitrogen (BUN)
  • Creatinine - Serum
  • Advanced Pancreatic Function & Insulin Secretion (2 Tests)
  • Insulin - Fasting: Measures the baseline concentration of active insulin in your blood after an overnight rest. This helps identify early-stage Insulin Resistance, where the pancreas is forced to overproduce insulin because the body's cells are ignoring its signals.
  • C-Peptide: When your pancreas manufactures insulin, it cuts a molecule of proinsulin into two halves: one molecule of insulin and one molecule of C-Peptide. Because C-Peptide stays stable in the blood much longer than insulin, it serves as the single most reliable marker to measure your pancreas's true, native insulin-producing capacity.
  • Glycemic Control & Average Sugar Markers (3 Tests)
  • Glucose - Fasting (FBS): Reflects your immediate baseline blood sugar level after an overnight rest.
  • Glucose - Postprandial (PPBS): Evaluates your body's dynamic blood sugar clearing efficiency exactly 2 hours after a meal.
  • Glycosylated Hemoglobin (HbA1c) with eAG: Tracks the percentage of sugar-coated red blood cells alongside your Estimated Average Glucose (eAG), delivering a stable, unalterable 3-month average of your metabolic control.
  • Advanced Early Renal Leak Marker (1 Test)
  • Microalbumin - Urine: Identifies minute, microscopic drops of the protein albumin escaping into your urine. This is a vital early warning detection screen for Diabetic Nephropathy (diabetic kidney damage) years before a standard blood test registers a problem.
  • Core Lipid Profile / Cholesterol Panel (9 Tests)
  • Tracks Total Cholesterol, HDL ("Good") Cholesterol, LDL ("Bad") Cholesterol, VLDL, and Triglycerides (TGL) alongside essential calculated cardiac ratios to map cardiovascular risk.
  • Essential Kidney Filtration / Renal Waste Markers (2 Tests)
  • Serum Creatinine & Blood Urea Nitrogen (BUN): Measures standard chemical metabolic waste products in your blood to ensure your kidneys possess healthy overall filtration power.
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Department

BIOCHEMISTRY, HAEMATOLOGY, CLINICAL PATHOLOGY

Methodology

Enzymatic, Immunoturbidimetry, HPLC, ECLIA (Electrochemiluminescence Immunoassay) This package utilizes a combination of advanced laboratory techniques, including enzymatic methods for glucose and lipid measurements, immunoturbidimetry for certain parameters, HPLC for precise HbA1c measurement, and ECLIA for C-peptide and Insulin. These diverse methodologies ensure accurate and comprehensive assessment of your diabetes risk and management.
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Sample Required

EDTA, Serum, Urine, Na Fluoride Fasting, Na Fluoride PP

Preparation

### **TEST PREPARATION & SCHEDULE:** Because this package evaluates complex, highly synchronized hormonal axes, you must follow these collection instructions precisely: * **Fasting Status:** A strict **10 to 12-hour overnight fast** is mandatory. Only plain water may be consumed. Avoid tea, coffee, smoking, and early morning exercise, as these stimulate hormone loops that alter fasting insulin and glucose baselines. * **The 2-Phase Sample Schedule:** 1. **Phase 1 (Morning Fasting):** Arrive at the laboratory early in the morning in a fasting state. A venous blood sample will be drawn for Fasting Glucose, Fasting Insulin, C-Peptide, HbA1c, Lipids, and Kidney markers. You will also submit a fresh spot urine sample for the Microalbumin screen. 2. **Phase 2 (Postprandial):** Eat your standard morning breakfast. Note the exact time of your very first bite. Exactly **2 hours from that first bite**, a second blood draw will be collected to process your Postprandial Glucose. Do not eat anything else or perform heavy workouts during this 2-hour waiting window. * **Medication Note:** If you take daily diabetes tablets or injections (such as insulin), clarify with your physician whether to delay your morning dose until after the fasting or post-meal blood draw. * **Sample Type:** Requires standard venous blood samples (Fluoride plasma for sugars, Serum for hormones/lipids/renal, Whole blood for HbA1c) and a fresh spot urine sample in a sterile container.
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Schedule Report

12 Hours

Emergency Report

Yes, 6 Hours (excluding Urine Microalbumin)

Frequently Asked Questions

Why does the Diabetes Package C report require a 24-hour turnaround?

Processing complex hormone markers like C-Peptide and Fasting Insulin via multi-stage ECLIA incubation, alongside running whole-blood samples through automated HPLC chromatographic columns, requires a full daily workflow for precise analysis and pathologist validation.

What is the main benefit of testing C-Peptide alongside Fasting Insulin?

Synthetic insulin injections look identical to natural insulin on a laboratory screen. However, synthetic insulin does not contain C-Peptide. Testing C-Peptide allows doctors to see exactly how much insulin your pancreas is making on its own, completely separate from any diabetic medications you might be taking.

What does it mean if my Fasting Insulin is high but my blood sugar is normal?

This indicates early-stage Insulin Resistance. Your body's cells are starting to resist insulin, so your pancreas works overtime to pump out extra hormone to keep your blood sugar normal. This is the ideal window to implement lifestyle changes to reverse the trend before diabetes develops.

Why is HPLC preferred for tracking my HbA1c score?

HPLC is the reference gold standard for molecule separation. It isolates the exact sugar-coated hemoglobin being tracked, ensuring that minor variations in your blood, such as structural red blood cell variants, do not distort your true 3-month average sugar score.

Why is a Urine Microalbumin test included if my standard urine routine looks normal?

Standard urine test strips can only spot protein once severe, irreversible kidney damage has already occurred. A microalbumin screen catches microscopic, trace leaks years earlier, giving you the chance to protect your kidneys before permanent damage sets in.

Can a stressful night or a bad argument change my fasting insulin score?

Yes. Acute stress, panic, or severe lack of sleep causes your body to release stress hormones like cortisol and adrenaline. These hormones prompt your liver to dump stored sugar into your blood, which can temporarily spike both your fasting glucose and insulin levels.

Why must I wait exactly 2 hours after my first breakfast bite for the second blood draw?

The postprandial blood draw is strictly calibrated to see how efficiently and quickly your body releases insulin to clear sugar out of your blood after eating. Testing too early or too late shifts the normal clearing curve, invalidating the test's diagnostic accuracy.

Can I drink black coffee or sugar-free green tea during my overnight fast?

No. Avoid caffeine, tobacco, and sugar-free drinks during your fast. They stimulate metabolic enzymes in the liver that can trigger a temporary release of stored sugar, altering your true fasting insulin baseline. Stick strictly to plain water.

How does diabetes drive up my cardiovascular heart disease risk?

Stiff, elevated blood sugars can cause microscopic scraping and damage along the smooth inner walls of your arteries. This creates a rough surface that allows circulating LDL ("bad") cholesterol to stick to the vessel walls much faster, accelerating plaque buildup.

Can intensive muscle training or weightlifting the day before alter my urine microalbumin?

Yes. Strenuous physical exertion or heavy weightlifting right before a test can cause a temporary, completely benign protein leak called transient proteinuria. Avoid exhaustive workouts for 24 hours prior to sample collection.

What is "eAG" on my HbA1c report?

eAG stands for Estimated Average Glucose. While your HbA1c is shown as a percentage, the laboratory uses a standardized mathematical formula to convert that percentage into a daily milligram number (mg/dL). This makes it easy to compare your 3-month average score directly with your daily home finger-stick readings.

Why should I avoid taking high-dose Biotin vitamins before this test?

Many specialized hair, skin, and nail supplements contain high doses of biotin. Biotin can interfere with the streptavidin-biotin links inside the ECLIA hormone machinery, which can make your true fasting insulin or C-peptide scores look falsely low or altered. Pause biotin for 48 hours before testing.

Is this test package useful if I am already taking insulin injections?

Yes. It is highly critical for monitoring early kidney health via microalbumin and tracking long-term metabolic control via HPLC-HbA1c. Additionally, checking your C-peptide baseline confirms if your pancreas still has any active, independent insulin-producing cells left.

How can I securely access and download my final 17-test digital report?

Once authorized, verified, and signed by our senior pathodiagnostic team, your final digital PDF report can be securely downloaded from www.drpatholab.in using your registered credentials.

Are my advanced hormonal diagnostic records kept private?

Absolutely. We enforce strict healthcare confidentiality laws and fully encrypted data tracks across our entire laboratory infrastructure to ensure your personal health records remain completely private and secure.

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Test Description

Diabetes Screening Package C with HbA1c, Insulin Fasting, C Peptide, Microalbumin (17 Tests) Examination The Diabetes Screening Package C is an elite... Read more

Test Code

PD2

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