Comprehensive Metabolic Panel 2

The Comprehensive Metabolic Panel 2 is a broad blood profile designed for anyone who wants a detailed, integrated view of how their body is functioning. It combines a full blood count with assessments of blood sugar control, kidney and liver function, electrolyte balance, lipid status, pancreatic health, and key hormones. It is particularly useful for people with cardiovascular concerns, those monitoring a long-term condition such as diabetes or hypertension, or anyone seeking a thorough baseline health check.

Full Blood Count
A full blood count evaluates the cellular components of blood, including red cells, white cells, and platelets. It helps identify anaemia, infection, inflammation, and disorders of blood clotting or immune function.

Blood Sugar
- Fasting glucose (GLU): measures the level of sugar in the blood after an overnight fast, a key indicator of diabetes or prediabetes.
- HbA1c: reflects average blood sugar control over the previous two to three months.

Kidney Function
- Creatinine: a waste product filtered by the kidneys; raised levels can indicate reduced kidney function.
- Urea / BUN: another waste product that helps assess kidney and hydration status.
- Uric acid: elevated levels are associated with gout and can reflect kidney or metabolic issues.
- eGFR: an estimated glomerular filtration rate, calculated to gauge how well the kidneys are filtering.

Liver Function
- Albumin (ALB): a protein made by the liver; low levels can indicate liver or nutritional problems.
- Total protein (TP): measures the overall amount of protein in the blood.
- Alanine aminotransferase (ALT): an enzyme released by damaged liver cells.
- Aspartate aminotransferase (AST): another liver enzyme, also found in muscle.
- Alkaline phosphatase (ALP): an enzyme related to the liver, bile ducts, and bone.
- Gamma-glutamyl transferase (GGT): a sensitive marker of liver and bile duct health.
- Total bilirubin (TBIL), Direct bilirubin (DBIL), and Indirect bilirubin (IBIL): breakdown products of red blood cells that can rise with liver or blood disorders.

Electrolytes & Minerals
- Sodium (Na), Potassium (K), Chloride (Cl), and Bicarbonate (CO2): essential for fluid balance, nerve function, and acid-base regulation.
- Calcium (Ca), Phosphorus (P), and Magnesium (Mg): vital for bone health, muscle contraction, and energy metabolism.

Cholesterol (Lipids)
- Total cholesterol, HDL cholesterol, LDL cholesterol, and Triglycerides: the core lipid measures used to assess cardiovascular risk.
- TC/HDL ratio, LDL/HDL ratio, and TG/HDL ratio: calculated indices that provide additional insight into lipid balance and heart risk.

Pancreas
- Amylase: an enzyme produced by the pancreas and salivary glands; elevated levels can indicate pancreatic inflammation.

Hormones
- TSH: thyroid stimulating hormone, which regulates thyroid function.
- Cortisol: a stress hormone involved in metabolism, immune response, and blood pressure regulation.

Why it matters
This panel brings together multiple organ systems in one assessment, helping to detect early signs of metabolic, cardiovascular, liver, kidney, and hormonal imbalance. By reviewing these markers together, you and your doctor can gain a clearer understanding of your overall health and identify areas that may need attention or further investigation.

Full Blood Count

Blood Sugar
- Fasting glucose (GLU)
- HbA1c

Kidney Function
- Creatinine
- Urea / BUN
- Uric acid
- eGFR

Liver Function
- Albumin (ALB)
- Total protein (TP)
- Alanine transaminase (ALT)
- Aspartate aminotransferase (AST)
- Alkaline phosphatase (ALP)
- Gamma-glutamyl transferase (GGT)
- Total bilirubin (TBIL)
- Direct bilirubin (DBIL)
- Indirect bilirubin (IBIL)

Electrolytes & Minerals
- Sodium (Na)
- Potassium (K)
- Chloride (Cl)
- Bicarbonate (CO2)
- Calcium (Ca)
- Phosphorus (P)
- Magnesium (Mg)

Cholesterol (Lipids)
- Total cholesterol
- HDL cholesterol
- LDL cholesterol
- Triglycerides
- TC/HDL ratio
- LDL/HDL ratio
- TG/HDL ratio

Pancreas
- Amylase

Hormones
- Thyroid stimulating hormone (TSH)
- Cortisol

8 to 10 hours fasting required