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A female patient, age 73, has come in for an annual screening. 

History: Patient is sedentary, with less than 30 minutes of physical activity daily. Does not eat fruits or vegetables daily. Brother has diabetes. Has been on a blood pressure medication for the past 5 years. Had a high glucose when tested 10 years ago.

Physical Exam: Patient has a bmi of 39 with a waist circumference of 108 cm.

 

 

What would you order to screen for diabetes?

Lab Requisition Form

Most Commonly Ordered Tests

CBC includes Differential
INR (Prothrombin Time)
Urinalysis (includes microscopic as per protocol)
Hemoglobin A1c
Glucose - Random
Creatinine (Serium or Plasma)
Electrolyte Panel (Na, K, CL)
Lipid Profile
Alkanine Aminotransferase
Ferritin

Hematology

Reticulocyte Count
Sickle Cell Screen
Hemoglobinopathy / Thalassemia Screen (Includes Hb S Quantitation)
Platelet Clumping (Citrate Only)
Platelet Clumping (Citrate & Heparin)

Coagulation

PTT
Fibrinogen
Closure Time

Fluid Analysis

Fluid Analysis

Pregnancy / Fertility

Beta HCG (Urine)
Beta HCG (Serum)
Gest. Diabetes Screen (50g)
Glucose Tolerance (75g)
Syphilis Antibodies
Exam for Sperm - Post Vas
Triple Screen (2nd Trimester)

Chemistry (Serum/Plasma)

Albumin
Alkaline Phosphatase
Bilirubin - Total & Direct
Bilirubin - Total Only
Calcium
Chloride
Cholesterol - Total
C-Reactive Protein
Creatine Kinase
GGT
Glucose - Fasting
Glucose Tolerance Non-Preg (75g)
Iron/TIBC
Lactate Dehydrogenase
Lipase
Magnesium
Phosphate
Potassium
Protein Electrophoresis
Protein - Total
PSA
Pseudocholinesterase
Sodium
Urate (Uric Acid)
Urea

Urine Drug Screen

Drugs of Abuse Screen Urine < 12 hr TAT
Drug Screen Comprehensive

Other Tests Not Listed

Proteins / Serology

Anti-Nuclear Antibodies
Complement C3
Complement C4
Celiac Disease Screen
IgG, IgA, IgM
Monotest
Rheumatoid Factor
Rubella Immunity Status IgG (Non-pregnant)

Endocrine

Estradiol (Non-Pregnant)
FSH
LH
Progesterone
Prolactin
Testosterone
TSH

Hepatitis

Acute Hepatitis Screen (ALT, Anti-HAV, IgM, HBsAg)
Hepatitis B Surface Antigen
Anti HAV IgM

Hepatitis Immune Status

Anti Hepatitis A Virus, IgG
Hepatitis B Surface Antibody

Chemistry (Urine)

Calcium
Cortisol
Creatinine
Creatinine Clearance
Random Microalbumin
Microalbumin (24 hr)
Protein (24 hr)
Protein Electrophoresis (24 hr)

Therapeutic Drug Monitoring

Cyclosporin
Digoxin
Carbamazepine
Lithium
Phenytoin Total
Sirolimus
Tacrolimus
Valproate

Immunohematology

Direct Antiglobulin Test, Coombs
Antibody Screen (Not Prenatal)
Rh Typing
ABO/RH Group

Miscellaneous

HIV Serology ProvLab (Medical Reasons)
Colorectal Cancer Screening
H.pylori Breath Test
H.pylori Antigen (Stool)

Electrocardiogram

Electrocardiogram
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Mike Paget

mkpaget@ucalgary.ca

Manager - Academic Technologies - Cumming School of Medicine