Reading File
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Here is a clear interpretation of Mrs. Sowmiya's lab report:
Lab Report Summary - Mrs. Sowmiya, 54F
Lab: Arrow Diagnostics | Date: 13 Aug 2026 | Ref. by: Dr. S. Nithyaraj Prakasam, MS, MCH
Blood Sugar Results
| Test | Result | Reference Range | Status |
|---|---|---|---|
| Blood Sugar Fasting | 180.8 mg/dL | 70 - 110 mg/dL | 🔴 HIGH |
| Blood Sugar Postprandial (PP) | 309.8 mg/dL | 110 - 160 mg/dL | 🔴 HIGH |
| HbA1c (Glycosylated Haemoglobin) | 7.7% | Normal: 4.0 - 6.5% | 🟠 UNSATISFACTORY CONTROL |
| Mean Blood Glucose | 174 mg/dL | 68 - 126 mg/dL | 🔴 HIGH |
| HbA1c - IFCC | 61 mmol/mol | 20 - 42 mmol/mol | 🔴 HIGH |
Urine Sugar
| Test | Result |
|---|---|
| Urine Sugar Fasting | (+) - Positive |
| Urine Sugar Postprandial | (++) - Strongly Positive |
What These Results Mean
Mrs. Sowmiya has poorly controlled Type 2 Diabetes Mellitus:
-
Fasting blood sugar of 180.8 mg/dL - Nearly double the upper normal limit (110 mg/dL). A normal fasting sugar should be below 100 mg/dL; values above 126 mg/dL on two occasions confirm diabetes.
-
Post-meal sugar of 309.8 mg/dL - Very high. Normal post-meal (2-hour) sugar should be under 140 mg/dL; above 200 mg/dL confirms diabetes. At 309.8, this is significantly elevated.
-
HbA1c of 7.7% - This reflects average blood glucose over the past 2-3 months. The lab classifies this as "unsatisfactory control" (7.1-8%). The target for most diabetics is below 7.0%. This means blood sugar has been consistently high for months, not just on the day of testing.
-
HbA1c-IFCC of 61 mmol/mol - This is the same HbA1c in different units (international format). Normal is up to 42 mmol/mol.
-
Sugar in urine (glucosuria) - Glucose spills into urine when blood sugar exceeds roughly 180 mg/dL. Both fasting (+) and post-meal (++) urine sugar confirm the kidneys are being overwhelmed by high blood sugar.
Key Takeaways for the Treating Doctor
- Current diabetes management is not achieving target control
- HbA1c of 7.7% suggests the treatment regimen (diet, medication, or both) needs review
- The very high post-prandial sugar (309.8) points to inadequate control of meal-time glucose spikes
- Glucosuria increases risk of urinary tract infections and indicates sustained hyperglycemia
This report should be discussed with Dr. Nithyaraj Prakasam or the treating physician to adjust the diabetes management plan. Common steps include medication adjustment (dose increase, addition of another oral agent, or starting/adjusting insulin), dietary counseling, and lifestyle modification.
Note: This is an interpretation of lab values only and does not replace medical advice from her treating physician.
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