Quick Facts
- Sample: Blood + Urine
- Fasting: Fasting for 14-16 hours is required. Stop biotin at least 72 hours before collection.
- Turnaround: 2-4 business days. May take longer based on weather, holiday, or lab delays.
What This Panel Evaluates
This panel combines blood and urine testing to look at several different aspects of glucose metabolism and related health. Blood glucose reflects your current blood sugar, while Hemoglobin A1c reflects average glucose over the past two to three months. Fasting insulin measures insulin concentration, and C-peptide may show how much insulin your pancreas is making.
Alongside these, the panel includes a Comprehensive Metabolic Panel (CMP-14) with kidney, liver, and electrolyte markers, a Complete Blood Count (CBC), a complete urinalysis, and a urine microalbumin/creatinine ratio. These components provide complementary information, but each measures something different, and no single result confirms or rules out diabetes.
What's Included in This Panel
Comprehensive Metabolic Panel (CMP-14) with eGFR
- Glucose, Blood: Measures your current blood sugar level.
- Kidney Profile
- BUN (Urea Nitrogen): An indicator of kidney function.
- Creatinine, Serum: An indicator of kidney function.
- BUN/Creatinine Ratio: Calculated by dividing BUN by creatinine.
- Estimated Glomerular Filtration Rate (eGFR): Measures kidney function.
- Liver Panel
- Protein, Total: Helps assess liver and kidney function and nutritional health.
- Albumin, Serum: A major protein important to liver and kidney function.
- Globulin, Total: A major protein involved in clotting and infection-fighting antibodies.
- Albumin/Globulin Ratio: Calculated by dividing albumin by globulin.
- Bilirubin, Total: Measures total bilirubin, a liver-related marker.
- Alkaline Phosphatase: A protein relevant to liver and bone evaluation.
- Aspartate Aminotransferase (AST or SGOT): An enzyme used to evaluate liver function.
- Alanine Aminotransferase (ALT or SGPT): An enzyme used to identify liver damage.
- Fluids & Electrolytes
- Sodium: A major salt involved in water balance and nerve and muscle activity.
- Potassium: Helps control nerve and muscle function.
- Chloride: Helps maintain electrolyte balance.
- Carbon Dioxide, Total: Helps evaluate electrolyte imbalances.
- Calcium: A mineral important for bones, teeth, muscles, nerves, and clotting.
Complete Blood Count (CBC) with Differential and Platelets
- White Blood Cells (WBC): The body's primary defense against infection.
- Red Blood Cells (RBC): Carry oxygen to cells and carbon dioxide away.
- Hemoglobin: The compound in red cells that transports oxygen.
- Hematocrit: The percentage of blood volume taken up by red blood cells.
- Mean Corpuscular Volume (MCV): The average size of red blood cells.
- Mean Corpuscular Hemoglobin (MCH): The average hemoglobin content within a red blood cell.
- Mean Corpuscular Hemoglobin Concentration (MCHC): The average hemoglobin concentration within a red blood cell.
- Red Cell Distribution Width (RDW): Measures variation in red blood cell size and volume.
- Platelets: Blood cell particles associated with clot formation.
- White Cell Differential
- Neutrophils: Reported as a percentage and an absolute count.
- Lymphocytes: Reported as a percentage and an absolute count.
- Monocytes: Reported as a percentage and an absolute count.
- Eosinophils: Reported as a percentage and an absolute count.
- Basophils: Reported as a percentage and an absolute count.
- Immature Granulocytes: Reported as a percentage and an absolute count.
Hemoglobin A1c (Glycohemoglobin)
Fasting Insulin
C-Peptide
Urinalysis, Complete
- Appearance and Color: Visual characteristics of the urine sample.
- Specific Gravity and pH: Physical and chemical characteristics of the urine.
- Protein: Protein result reported with the urinalysis.
- Ketones: Ketone result reported with the urinalysis.
- Occult Blood: Detects hidden blood in the urine.
- Bilirubin and Urobilinogen (Semi-Qn): Bilirubin-related urine results.
- Nitrite and Leukocyte Esterase (WBC Esterase): Urine chemistry results reported with the urinalysis.
- Bacteria, Casts, and Epithelial Cells: Includes hyaline casts, non-renal epithelial cells, and squamous epithelial cells.
Microalbumin/Creatinine Ratio, Urine
- Albumin, Urine: Measures small amounts of albumin released into urine.
- Creatinine, Urine: Corrects for urine concentration in random (spot) samples.
- Albumin/Creatinine Ratio: Compares urine albumin to urine creatinine.
Other Listed Biomarker
- Uric Acid: Included among the biomarkers tested for this panel.
Biomarkers tested may vary slightly between labs.
Benefits
- Combines current blood glucose with a two- to three-month glycemic average.
- Includes fasting insulin and C-peptide for added insulin-related information.
- Reports kidney function markers alongside a urine microalbumin/creatinine ratio.
- Adds liver, electrolyte, and CBC results for broader context.
- Brings glucose, insulin-related, kidney, and urine testing together in one panel.
Who Is This Panel For?
- You want current glucose and Hemoglobin A1c results in one panel.
- You'd like fasting insulin and C-peptide results alongside your glucose measures.
- You want kidney-related blood and urine markers reviewed with your glucose results.
- You want liver, electrolyte, blood count, and urinalysis results included as well.
- You're gathering information to discuss with your healthcare provider.
How It Works
- Order Your Test Online
- Visit a Local Lab
- Get Results Online
FAQ
1. Do I need to fast or prepare for this panel?
Yes. Fasting for 14-16 hours is required. Stop biotin at least 72 hours before collection.
2. How quickly will I get results?
Plan on 2-4 days. May take longer based on weather, holiday, or lab delays.
3. What can this panel tell me?
Think of this panel as several different views rather than one answer. Blood glucose reflects your current level, Hemoglobin A1c reflects average glucose over the past two to three months, fasting insulin measures insulin concentration, and C-peptide may show how much insulin your pancreas is making. Kidney, liver, electrolyte, blood count, and urine results add context beyond glucose.
4. What factors can affect my results?
Several things can influence what your numbers show. Following the fasting window and stopping biotin as instructed helps ensure your specimens reflect the intended testing conditions. Urine concentration also varies through the day, which is why the microalbumin/creatinine ratio uses creatinine as a corrective factor in random (spot) samples. Because biomarkers and ranges can differ slightly between labs, compare results only against the performing lab's ranges.
5. How do I interpret results across the panel?
Read your results as a set of patterns rather than a single score. Glucose and Hemoglobin A1c capture different time frames, and insulin concentration is not the same as the insulin production that C-peptide may reflect. Urine albumin relative to creatinine addresses kidney-related findings rather than glucose. Markers do not have to move together, and one normal result does not cancel an abnormal one elsewhere. Review the full picture with a qualified healthcare provider.
Disclaimer: Reference ranges may vary by laboratory. Listed ranges are general guidelines and may differ from those used by the performing lab. Always consult your healthcare provider for interpretation.
6. What should I do if one or more results are abnormal?
Start by sharing the complete set of results with a qualified healthcare provider. An abnormal result is best understood alongside the rest of the panel and your clinical context, and it does not by itself point to a specific condition or an automatic need for treatment. Your provider can decide whether any additional evaluation makes sense for you.
Pre-test preparation
Fasting for 14-16 hours is required. Stop biotin at least 72 hours before collection.
