Do you know that regular vaccinations and medical check-ups should not stop after one becomes an adult? In fact, there are certain tests that one should do after the age of 35 years.
By Dr Anand Mishra
Ramesh Arvind, a thirty-seven-year-old businessman feels he is in peak physical health. He follows a healthy diet, does not drink and smoke, and exercises on a regular basis. However, one day, Ramesh feels weak and faints during his evening walk. He visits the doctor who informs him that anaemia is the cause of his condition. The doctor also informs Ramesh that even though he may have done all major tests during his childhood and early adult years, there are certain tests that one has to do after the age of 35 years.
There are numerous tests that we all do from an early age. Blood tests, Vitamin tests, Eye tests, etc. Once these are done, we all sit back and think that all we must do is follow a healthy lifestyle and diet to stay fit. This can prove detrimental. Health check-ups should be done regularly and especially after the age of 35 years. Let us look at a few important ones.
1. HbA1c Levels:
This test is done to check for any risk of diabetes, in an otherwise healthy person. If found abnormal, then certain changes to the lifestyle and diet can be started as early as possible. Normal values are less than 5.4. The red blood cells in the body are recycled constantly. However, it is recommended that Hba1c should not be repeated before 12 weeks. If you are at a predisposed risk of diabetes due to family history, this is of utmost importance. |
This test can be done anytime during the day without any need for fasting. In recent years, the HbA1c test has become one of the most preferred test for screening and diagnosis of diabetes. This test helps in monitoring your health and gauging your risk of diabetes; it also helps the physician to understand the condition and suggest if any changes in lifestyle or medication are required.
2. Lipid Profile:
Is an important test for those who are clinically obese, overweight or have a family history of heart disease or cholesterol. Lipids ae is one of the most essential molecules which hare found in the blood and are stored inside the tissues. They play a very important role for the body to function normally. Another term which is more often conversed with lipid is cholesterol. Men above the age of 35 years should have their Lipid Profile Test done, whereas woman should get the test done at the age of 45 years. It is done to understand the values of different types of lipids in the body(good and bad).
This test should preferably be done after 12 hours of fasting, where the total cholesterol is less than 200 mg/dL, High-density Lipoproteins (HDL) greater than 40 mg/dL, Low-density Lipoprotein (LDL) less than 100 mg/dL, Triglycerides less 150 mg/dL, is desirable.
3. Thyroid Function:
Is used to determine the working condition of the thyroid gland. This test is not normally recommended unless one has a functioning problem in his/her thyroid gland. The frequency for getting yourself checked for thyroid depends on the treatment one is undergoing. This test is important for females who are suffering from unexplained weight gain or loss, irregular menses; and should be done after 12 hours of fasting.
In the beginning, the expert will check your Thyroid levels through T3, T3RU, T4, and TSH tests. The medication is altered according to the medical status and once the thyroid levels come in the normal range it can be retested once in a year.
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4. Complete Blood Count (CBC):
This test helps measure the cells that make up the blood: red blood cells, white blood cells, and platelets. Once must undertake this test at least once a year. It is frequently used as a broad screening test to check for such disorders as anaemia, infection, and many other diseases. It is the most common test to diagnose and differentiate between sub-types of anaemia.
This test is preferably done after 10-12 hours of fasting. For males 14-16 mg/dl and for females 12-14mg/dl are normal values. Also, abnormal White Blood Cells and Platelets count can be known from this simple test.
5. Vitamin D & B 12 levels:
These vitamins are very important for the functioning of the body, for the functioning of the brain, blood cell production and proper functioning of the nerves.
This test helps check the amount of B12 in your blood. Low levels of B-12 can cause long-term damage by impacting your nerves and brain. A doctor may recommend this test when one has the following signs - tingling in the hands and feet, problems with body balance, racing heartbeats, confusion, Dementia, weakness, loss of appetite, which are very common deficiencies especially in urban population and can be easily treated by supplements
The author is Internal Medicine Specialist, Hiranandani Hospital Vashi - A Network Associate Hospital.
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