Decoding Your Lab Report (Continued)

Name That Test
For diabetes, there are several panels of tests a doctor may order for either diagnosis or maintenance of the disease.

Lab Report Format



A1C
The most feared/revered of all the tests, the A1C measures blood glucose control over a 2- to 3-month period. This is the standard test used to determine blood glucose control in people with diabetes.

Lipid Panel
The lipid profile tests blood fats and are used to determine the risk of heart disease or stroke. High triglyceride and cholesterol levels can be caused by diabetes. Some tests are:

  • HDL-C –HDL cholesterol is good cholesterol and contains the highest amount of protein. It should be greater than 40 mg/dl (2.2 mmol/l) in men and greater than 50 mg/dl (2.7 mmol/l) in women.
  • LDL-C –LDL cholesterol, which contains the highest amount of cholesterol, is also called bad cholesterol because LDL deposits can build up on the walls of arteries, should be below 100 mg/dl (5.5 mmol/l). The target for high-risk level patients, including those with diabetes, is less than 70 mg/dl (3.9 mmol/l).
  • Triglycerides –levels should be less than 150 mg/dl (8.3 mmol/l).
  • VLDL-C –Very low-density lipoprotein cholesterol is part of an extended profile your doctor may order. It is the third of the major lipoprotein particles (the other two being HDL and LDL). VLDL contains the highest amount of triglyceride.
  • Non-HDL-C – also part of the extended profile, Non-HDL-cholesterol can build up in the arteries, form plaques, and cause narrowing of the vessels and blockages.

Related tests: Direct LDL-C; Homocysteine; Lp-PLA2 (Lipoprotein-associated phospholipase A2); hs-CRP (High-sensitivity C-reactive protein); Apo A (Apolipoprotein A-I); Apo B (Apolipoprotein B-100); Lp(a) (Lipoprotein (a))

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Last Modified Date: June 13, 2013

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by Lindsey Guerin
Yesterday I had an appointment with the new endocrinologist that I'm trying now that I've moved and "settled" in a place. Dr. M was not exactly what I expected, although I am still uncertain what I really thought she would be. The appointment was neither bad nor good and I am feeling very undecided as to how I plan to proceed. I received Dr. M's name from a friend/CDE/fellow type 1 in the community who actually has a practice with her husband. Their practice is concierge only and...