Is there blood sugar in routine physical examination

Most formal adult physical examination packages include fasting blood glucose testing. Only a few minimally customized, public welfare or special needs packages with limited budgets may remove this item and require additional options.

I have been doing physical examination consultation for almost five years, and one of the most common questions I encounter is that people can't find the blood sugar item when looking through the report. In fact, as long as the package you choose includes sections such as "Basic Biochemistry" and "Biochemistry Routine", fasting blood sugar is basically hidden in it, and is placed together with basic metabolic indicators such as liver function, kidney function, and blood lipids. It is a mandatory item by default. After all, blood sugar is the most basic indicator for screening diabetes and insulin resistance. It costs more than 20 yuan to find out the core abnormalities of the metabolic system. It is so cost-effective that there is almost no reason to delete it from the regular package. It is not an exaggeration to say that it is an entry-level "security check item" for metabolic screening. Even if you don't usually feel discomfort such as dry mouth or polyuria, checking it once a year can catch the signs of elevated blood sugar in time.

Of course, not all packages with the title of "routine physical examination" must include blood sugar. A while ago, I met a young girl who had just graduated. She had a 99 yuan entry physical examination purchased by the company. The package was reduced to only blood routine, liver function test, chest X-ray and basic physical examination. It did not include blood sugar. She has a family history of type 2 diabetes, and she was worried that she might be at risk, so she spent an extra 22 yuan on the same day to add the test. It can be tested with just one tube of blood and does not require an extra injection. It is very convenient.

Here I would also like to mention a misunderstanding that many people easily fall into: only fasting blood glucose is covered in routine physical examinations. More refined blood sugar-related tests such as glycated hemoglobin, two-hour postprandial blood sugar, and glucose tolerance tests do not fall within the scope of routine physical examinations. If you find out that your fasting blood sugar is close to the critical value, or you are a woman who is preparing for pregnancy or has a history of gestational diabetes, don’t just rely on regular fasting blood sugar results to think that your blood sugar is fine. Many people with early-stage abnormal blood sugar have normal fasting indicators, but their blood sugar has already risen after meals. At this time, you must take the initiative to find a doctor for more targeted examinations.