TESTS IN ENDOCRINOLOGY, DIABETES AND METABOLISM

1. Plasma glucose tests-Fasting, Casual, OGTT

2. Glycated haemoglobin
3. Plasma insulin assay
4. Serum C-peptide assay
5. Insulin antibody testing- ICA, Anti-GAD
6. Thyroid function test-Free T3, Free T4, TSH
7. Thyroid antibody testing- Anti-thyroid peroxidase, anti-thyroglobulin antibodies
8. Thyroid ultrasound/FNAC/Biopsy
9. Pituitary Hormone profile- Growth Hormone, Prolactin, ACTH, FSH, LH
10. Gonadal hormone profile- Serum Testosterone (total and free), Serum Oestrogen
(Oestradiol)
11. Adrenal hormone profile- Cortisol, Aldosterone, DHEA
12. Calcium and bone metabolism- Calcium, Phosphate, PTH, Vitamin D
13. Bone scan- DEXA scan
14. Body fat assessment- DEXA, Bio-impedance absorptiometry
15. Plasma metanephrines, normetanephrines, Urine VMA
16. Seminal analysis
17. Serum electrolytes-K,Na,Cl,HCO3
18. Serum Urea,Creatinine,Uric acid
19. Lipid profile-TC,TG,HDL-C,LDL-C, lipid subfractionating (using
ultracentrifugation,electrophoresis,precipitation etc)
20. Urine osmolality, Plasma osmolality, Serum/Plasma ADH-Water deprivation test
21. Plasma ketones/Urine ketones
22. Urine specific gravity
23. 24 hour urine VMA, 24 hour urine free cortisol, Urine cortisol/creatinine ratio
24. TRH/GnRH stimulation testing
25. Tests for insulin sensitivity- Euglycaemic clamp, HOMA, QUICKI, Matsuda etc
NOTE: Dynamic testing can be discussed with the laboratory for appropriate patient
preparation.