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C - Reactive Protein (CRP)
Investigation Result Units Biological Reference Interval

C - Reactive Protein (CRP) 0.83 mg/dl < 1.0

• Sample Type : Serum. • Method : Immunoturbidimetric assay. Clinical Significance : • CRP is an acute phase reactant which is used in inflammatory disorders for monitoring course and effect of therapy. It is most useful as an indicator of activity in Rheumatoid arthritis, Rheumatic fever, tissue injury or necrosis and infections. As compared to ESR, CRP shows an earlier rise in inflammatory disorders which begins in 4-6 hrs, the intensity of the rise being higher than ESR and the recovery being earlier than ESR. Unlike ESR, CRP levels are not influenced by hematologic conditions like Anemia, Polycythemia etc.

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Vitamin D Total - 25 Hydroxy
Investigation Result Units Biological Reference Interval

25-OH Vitamin D 10.27 ng/mL Deficiency-<20
Insufficiency-20-<30
Sufficiency-30-100

• Sample type : Serum. • Method : ECLIA. Interpretation : Vitamin D is a fat soluble vitamin and exists in two main forms as cholecalciferol(vitamin D3) which is synthesized in skin from 7-dehydrocholesterol in response to sunlight exposure & Ergocalciferol(vitamin D2) present mainly in dietary sources.Both cholecalciferol & Ergocalciferol are converted to 25(OH)vitamin D in liver. Testing for 25(OH)vitamin D is recommended as it is the best indicator of vitamin D nutritional status as obtained from sunlight exposure & dietary intake. For diagnosis of vitamin D deficiency it is recommended to have clinical correlation with serum 25(OH)vitamin D, serum calcium, serum PTH & serum alkaline phosphatase. During monitoring of oral vitamin D therapy- suggested testing of serum 25(OH)vitamin D is after 12 weeks or 3 mths of treatment. However, the required dosage of vitamin D supplements & time to achieve sufficient vitamin D levels show significant seasonal(especially winter) & individual variability depending on age, body fat, sun exposure, physical activity ,genetic factors(especially variable vitamin D receptor responses), associated liver or renal disease, malabsorption syndromes and calcium or magnesium deficiency influencing the vitamin D metabolism Vitamin D toxicity is known but very rare. Disclaimer : 1) The above result relate only to the specimens received and tested in laboratory and should be always correlate with clinical findings and other laboratory markers. 2) Improper specimen collection, handling, storage and transportation may result in false negative/Positive results.

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Insulin (Fasting)
Investigation Result Units Biological Reference Interval

Insulin (Fasting) 14.87 uIU/mL 2 - 25

• Sample Type : Serum. • Method: ECLIA. • Note : 1A single random blood sample for insulin may provide insufficient information due to wide variation in the time responses of insulin levels and blood glucose. Stimulation of insulin secretion may be caused by many factors like hyperglycemia, glucagon, amino acids, growth hormone and catecholamines. Interference in insulin assay is seen due to insulin antibodies which develop in patients treated with bovine or porcine insulin. • Clinical Utility : 1. Evaluation of fasting hypoglycemia. 2. Evaluation of Polycystic Ovary syndrome. 3. Classification of Diabetes mellitus. 4. Predict Diabetes mellitus. 5. Assessment of Beta cell activity. 6. Select optimal therapy for Diabetes. 7. Investigation of insulin resistance. 8. Predict the development of Coronary Artery Disease. • Increased Levels : Insulinoma, Some Type II diabetic patients, Infantile hypoglycemia, Hyperinsulinism, Obesity, Cushing’s syndrome, Oral contraceptives, Acromegaly, Hyperthyroidism. • Decreased Levels : Untreated Type I Diabetes mellitus. Disclaimer : 1) The above result relate only to the specimens received and tested in laboratory and should be always correlate with clinical findings and other laboratory markers. 2) Improper specimen collection, handling, storage and transportation may result in false negative/Positive results.

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