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Note: Be sure to fast (not eat) for 10-12 before the test to ensure its accuracy.


Why Do I Need It?:
Are you diabetic or want to know if you’re diabetic?
This test will determine if your blood glucose level is within a healthy range. It will also screen for, diagnose, and monitor pre-diabetes, diabetes, hyper- and hypoglycemia.


Test Details:
Normal Range: Fasting ranges should be between 70 to 110 mg/dL

High Results Indicate: High result values are between 100 and 126 mg and are considered to be a risk factor for type 2 diabetes. Results higher than 126 mg can be a sign that you have diabetes and you should seek medical attention.

Low Results Indicate: Results under 70 mg/dL can indicate hypoglycemia.


What is being tested?

Glucose is a simple sugar that serves as the main source of energy for the body. The carbohydrates we eat are broken down into glucose (and a few other simple sugars), absorbed by the small intestine, and circulated throughout the body. Most of the body’s cells require glucose for energy production; brain and nervous system cells not only rely on glucose for energy, they can only function when glucose levels in the blood remain above a certain level.

The body’s use of glucose hinges on the availability of insulin, a hormone produced by the pancreas. Insulin acts as a traffic director, transporting glucose into the body’s cells, directing the body to store excess energy as glycogen for short-term storage and/or as triglycerides in adipose (fat) cells. We cannot live without glucose or insulin, and they must be in balance.


Normally, blood glucose levels rise slightly after a meal, and insulin is secreted to lower them, with the amount of insulin released matched up with the size and content of the meal. If blood glucose levels drop too low, such as might occur in between meals or after a strenuous workout, glucagon (another pancreatic hormone) is secreted to tell the liver to turn some glycogen back into glucose, raising the blood glucose levels. If the glucose/insulin feedback mechanism is working properly, the amount of glucose in the blood remains fairly stable. If the balance is disrupted and glucose levels in the blood rise, then the body tries to restore the balance, both by increasing insulin production and by excreting glucose in the urine.


Severe, acute hyperglycemia or hypoglycemia can be life-threatening, causing organ failure, brain damage, coma, and, in extreme cases, death. Chronically high blood glucose levels can cause progressive damage to body organs such as the kidneys, eyes, heart and blood vessels, and nerves. Chronic hypoglycemia can lead to brain and nerve damage.


Some women may develop hyperglycemia during pregnancy, which is termed gestational diabetes. If untreated, this can cause these mothers to give birth to large babies who may have low glucose levels. Women who have had gestational diabetes may or may not go on to develop diabetes.

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The Diabetes Maintenance Panel is an effective panel for both diabetics and for those who want to see if they have diabetes.

Test Components:
The Diabetes Maintenance Panel includes the following tests:

1. Complete Blood Count (CBC)
2. Glucose, Serum (Fasting)
3. Hemoglobin A1c
4. Diabetic Urinalysis


The four tests in this panel will give you and your doctor a lot of knowledge. The Complete Blood Count (CBC) tests for blood disorders such as infection or anemia; the Fasting Glucose is used to detect both hyperglycemia and hypoglycemia, to help diagnose diabetes, and to monitor glucose levels in persons with diabetes; the Hemoglobin A1c can detect pre-diabetes, diagnose it, or see if diabetes is under control; and finally, the Diabetic Urinalysis will determine if albumin (protein) is found in your urine (if so, it’s possible your kidneys aren’t working properly).

The knowledge gained from the four tests in this panel will give you and your physician the necessary information to help monitor and/or adjust your diabetic medications.


Why Do I Need It?:
Diabetes can be a silent killer if left undetected and is the leading cause of blindness and kidney failure. It can also increase your chances of having a heart attack, stroke or infection.

Monitoring your diabetes may give you an opportunity to prevent the onset of these side effects or keep your diabetes from advancing. Knowledge is power.

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Why Do I Need It?

This panel provides a comprehensive analysis of your overall health and tests for the presence of male-specific diseases.

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High Results Indicate::
ALBUMIN: Elevated levels of albumin could indicate dehydration.

ALKALINE PHOSPHATASE: Elevated levels could indicate bone growth or disease, liver disease, leukemia or malignancies in the bone or liver.

BILIRUBIN DIRECT: Elevated levels could indicate hepatitis, cirrhosis, neoplasm or biliary disease.

BILIRUBIN TOTAL: Elevated levels could indicate hepatitis, cirrhosis, neoplasm, alcoholism, hemolytic disease, biliary obstruction or anorexia.

BUN: Elevated levels can indicate impaired kidney function.

CALCIUM: Elevated levels can indicate dehydration, hyperparathyroidism, kidney disease, bone cancer or high Vitamin D, Vitamin A or Calcium intake.

CARBON DIOXIDE: Elevated levels can indicate chronic obstructive pulmonary disease, emphysema, or pneumonia.

CHLORIDE: Elevated levels of chloride can indicate dehydration, high sodium or kidney disease.

CREATININE: Elevated levels can indicate kidney damage or infection, prostate disease or urinary tract obstruction.

GLUCOSE: Elevated levels could indicate hyperglycemia or diabetes.

POTASSIUM: Elevated levels could indicate excessive potassium intake, hyperkalemia or kidney failure or damage.

TOTAL PROTEIN: Elevated levels could indicate dehydration or high levels of albumin and/or globulin.

ALT: Elevated levels could indicate liver disease, hepatocyte injury, hepatitis, drug therapy or biliary disease.

AST: Elevated levels could indicate alcoholism, cirrhosis, hepatitis, drug therapy or biliary disease.

SODIUM: Elevated levels of sodium could indicate hypernatremia or dehydration.

PHOSPHORUS: Elevated levels could indicate hypoparathyroidism or diabetic ketoacidosis.

Low Results Indicate::
ALBUMIN: Low levels of albumin could indicate liver disease, nephrotic syndrome, heart failure or low intake or absorption of protein.

ALKALINE PHOSPHATASE: Low levels could indicate a zinc deficiency, hypothyroidism, Vitamin C or B6 deficiency, excessive Vitamin D intake or malnutrition.

BILIRUBIN DIRECT: Low levels are generally not a concern and are not monitored.

BILIRUBIN TOTAL: Low levels are generally not a concern and are not monitored.

BUN: Low levels are generally not a concern and are not monitored.

CALCIUM: Low levels can indicate parathyroid gland problems and intestinal absorption problems.

CARBON DIOXIDE: Low levels can indicate cirrhosis or liver failure.

CHLORIDE: Low levels of chloride can indicate low sodium, emphysema or chronic lung disease.

CREATININE: Low levels are usually not a concern, but may be caused by decreased muscle mass or pregnancy.

GLUCOSE: Low levels could indicate hypoglycemia.

POTASSIUM: Low levels of potassium could indicate hypokalemia, dehydration or acetaminophen overdose.

TOTAL PROTEIN: Low total protein levels can indicate a liver or kidney disorder.

ALT: Low levels are generally not a concern and are not monitored.

AST: Low levels could indicate uremia, Vitamin B6 deficiency or drug therapy.

SODIUM: Low levels could indicate hyponatremia, fluid retention or too much water intake.

PHOSPHORUS: Low levels of phosphorus could indicate hypercalcemia, overuse of diuretics, hypothyroidism or chronic antacid use.

Comprehensive Metabolic Panel


Total Protein is a measure of available building blocks for many compounds in the body. Protein are used to form enzymes, hormones, antibodies and many structural components like muscle tissue. The main proteins in the blood are albumin and globulin. Increases are seen in liver disorders, alcoholism, and chronic infections and inflammation. Decreases are noted in malabsorption, colitis, and poor nutrition.


Albumin is a primary protein in the blood and is made from amino acids in the liver and is also available from the diet, especially from eggs. It helps with the immune system, maintains proper fluid balance in the tissues and plays a role in nutrient transport and waste removal. Increases are seen in kidney disorders and dehydration. Decreases are noted in decreased immune function and edema.


Globulin is the other primary protein and has important functions in immune response. Among its other jobs are carrying hormones and lipids. Compounds known as imunoglobulins, like IgA, IgG and IgE are highly important for various immune issues like allergies and infections in the mucus linings of the body. Increases are seen in chronic infection and during recovery from acute infections, as well as in Rheumatoid arthritis, lupus, and in some cases when stomach acids are deficient. Decreases are primarily found in patients with compromised immunity and in cases of poor nutrition or malabsorption.


BUN - Blood Urea Nitrogen is an end product of protein breakdown. It’s produced mainly in the liver and is eliminated by the kidneys. Increases can be caused by excessive protein consumption, inadequate water consumption and kidney disorders. Decreases are related to poor diet, liver problems, excessive water consumption and malabsorption.


Uric Acid is an end product of a protein digestion, mainly a type of protein called purine. Some foods that are high in purine are organ meats, spinach, mushrooms, yeast and asparagus. It also comes from the breakdown of purine proteins in the nucleus of cells. Increases occur when the kidneys can’t eliminate properly or with gouty arthritis, alcoholism and high protein diets. Decreases are primarily associated with low protein diet or malabsorption.


Glucose is sugar that is used by the cells to provide energy. It is the only type of fuel that can be used by the brain and nervous system, whereas other tissues can also burn fats for energy. Glucose comes from the digestion of carbohydrates and may also be stored as glycogen for later use. It is primarily kept in balance by 2 hormones made in the pancreas – insulin and glucagon, although the liver, adrenal and thyroid glands are also involved. Increased values are related to diabetes, stress, Syndrome X and diet. Decreased values can reflect hypoglycemia and result from overproduction of insulin, alcoholism and liver disorders.


SGOT (also called AST) is an enzyme found mainly in the liver, heart, muscle and gonads. It functions in conversion of cholesterol to hormones and in the synthesis of several acids formed from the breakdown of proteins and fats. Increases are seen in congestive heart disease, heart attack, liver disease and alcoholism. Decreases are seen in gonadal dysfunction and vitamin B-6 deficiency.


SGPT (also called ALT) is an enzyme found primarily in the liver where it is produced when fatty membranes release stored food substances. It is released when cells die and is used to measure liver damage and other cellular damage. Increases are seen in liver disorders, alcoholism, vitamin A deficiency and heart attack. Decreases are seen in congested liver with poor release of stored nutrients.


GGT is another enzyme found primarily in the liver that is responsible for transporting amino acids and proteins into cells. Increases are seen in obstruction of the bile duct, liver damage and alcohol use, especially chronic. Decreases are seen when the liver is congested and in hypothyroid conditions.


Calcium is a principle component of the bones and teeth with 99% of the body’s calcium found in these structures. The other 1% is very important to processes like blood clotting, nerve and muscle function, and various enzyme activities. Increases are seen in disorders involving the parathyroid and thyroid glands, excess intake of vitamin D, and in conditions related to much acid in the body. Decreases are seen in parathyroid dysfunction, vitamin D deficiency, magnesium deficiency and numerous other conditions.


Iron is an important part of hemoglobin the red blood cells, carrying oxygen to all cells of the body. It also provides information on how the liver and spleen are functioning. Increases are indicative of some types of anemia where adequate co-factors are deficient leaving unbound iron that can cause free radicals. Decreases are seen in iron deficiency anemia, fatigue and bleeding in the G.I. tract.


Potassium is an electrolyte related to fluid balance and is used mainly inside the body’s cells. It is necessary for proper function of the heart and muscles. Increases are seen with excessive destruction of cells, underactive adrenal glands and kidney disease. Decreases are mainly seen in diarrhea, diuretic use, nutritional deficiency and overactive adrenal glands.


Sodium is also an electrolyte. A low level of blood sodium means you have hyponatremia, which is usually due to too much sodium loss, too much water intake or retention, or to fluid accumulation in the body (edema). Low sodium may be due to dehydration or a disease process.


Bilirubin (Total Bilirubin) comes from the normal breakdown of red blood cells. This breakdown is done by the spleen, which produces indirect bilirubin, and the liver, which produces direct bilirubin. The combination of these two forms is called total bilirubin. Increases are seen in liver and spleen dysfunction. Decreases are found in iron deficiency anemia and also a type of spleen dysfunction.


Carbon Dioxide (CO2) is actually the total of bicarbonate and carbon dioxide. These two substances are in a dynamic equilibrium and help maintain the balance of acid and base in the body. The test also reflects the ability of the lungs to exchange oxygen for the carbon dioxide gas. Increases indicate more alkaline blood condition and in the extreme, metabolic alkalosis. Decreases show more acidity in the blood and in the extreme metabolic acidosis. Chloride is another electrolyte involved in maintaining proper fluid balance and pH balance. It is also part of the stomach’s hydrochloric acid that digests protein and levels are also influenced by kidney function. Increases are seen when too much acid is in the system, in dehydration, and with swelling caused by too much fluid inside the cells. Decreases are seen in excessive sweating, stomach acid deficiency and edema.


Creatinine is a waste product of muscle activity and levels are related to a person’s muscle mass and how much exercise and strenuous activity they perform. Increases can also be related to inadequate kidney function. Deceases may be due to lack of muscle mass or degeneration

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