I’ve spent all morning looking around for some sort of Guide to Lab Tests, something that tells me what labs I should be having done every 3 months, and so far I’ve had no success.
Can anyone point me in the right direction?
I’ve spent all morning looking around for some sort of Guide to Lab Tests, something that tells me what labs I should be having done every 3 months, and so far I’ve had no success.
Can anyone point me in the right direction?
Stacey,
Typically people with diabetes would get an A1c test every 3 months.
If you have kidney issues, your doctor might want to run a microalbumin test or a 24 hour urine collection test to see how your kidneys are doing.
If you are taking a medication that can affect the liver, for example, a statin drug, your doctor might run liver function tests (SGOT etc).
http://en.wikipedia.org/wiki/Liver_function_tests.
If you have thyroid issues, there are a couple thyroid tests that might be performed. TSH, free T-3.
If you are on Metformin, your doctor should run a Vitamin B-12 test once a year.
But most doctors don’t run a lot of tests every three months. Once a year is more typical, and many insurance companies may have guidelines that limit what tests they will pay for.
Fortunately, you can run a BLOOD SUGAR METER TEST at home after you eat and get much more helpful information from that than you will from any other lab test.
Read this page to learn how to use the meter test to normalize your blood sugar: http://alt-support-diabetes.org/newlydiagnosed.htm
Or this from the Mayo Clinic about tests for blood sugar:
Oh I know I wasn’t very specific…heres the deal.
I’ve been diabetic for a long time…17 almost 18 years actually…Type 1 and with regard to my D, I’m only taking insulin.
I get a battery of blood work done every 3 months for my endo…A1C etc etc.
What I’m looking for is a list of all the tests that we should be having done every 3 months in my case, every year for soem others.
It would include the A1C for sure, but what else?
I’m trying to find out whats recommended vs what I’m actually having done…sort of checking up on my check ups. Make sure everything is in the right place.
I have a list like that for my Still’s/RA that I got through the Arthritis Foundation but I cant seem to find the same type of list with regard to my D.
Here’s a link to the list the ADA has. It’s not very detailed. It says things like “look for protein in urine” instead of teling you the name of the test, but it also mentions things like looking at your feet which isn’t a blood test at all. Also, it doesn’t mention the eye doctor or other doctors you may need to visit.
http://www.diabetes.org/whos-who-on-your-health-care-team/future-vi…
Here is something that you might want to take a look at.
http://www.mayoclinic.com/print/diabetes-lab-tests/DA00104/METHOD=print
Florian
Good for you! That’s so great that you are proactive and “checking up on your checkups”. We all need to be reminded that drs. make mistakes and need to be questioned. The computer at my clinic reminds my doc of every thing that needs to be done, but, I always check it a second time. I keep all of my lab test results in an old fashioned accountant’s ledger (yes, I could do them on excel, but somehow I just like writing them down).
Here’s some recommendations I copied & pasted from the ADA “Standards of Medical Care”. The letter at the end of each line is a grade of the amount of evidence supporting the importance of this (A = clear evidence, B = supportive evidence, C = supportive evidence from poorly controlled studies, E = expert consensus).
That was very helpful. Thanks.
Thanks; I just got my first lab back with a positive reading for “Micral Albumin” and I didn’t know what the acceptable range was. If I read this correctly I’m still in the normal zone (assuming its listed as Urine microalbumin test in the article - my lab report stated a value of “20”) I will take it as a yellow flag anyway.
Does anyone know why I might be positive for Micral Albumbin (20) but have low Albumin (3.4)?