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Diabetes Comorbidity Assessment

Test Number 023400
Test number copied
CPT 80061; 82565; 82570; 82043

Test Details

Methodology

Lipid Profile With Non‐HDL Cholesterol: See individual tests.

Kidney Profile ‐ creatinine: kinetic jaffe. Albumin: immunoturbidimetric

Result Turnaround Time

Within 1 day

Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.

Related Documents

For more information, please view the literature below.

Prediabetes Clinician Booklet

Prediabetes Q&A for Clinicians

Use

This test is intended to help inform the clinician about the presence of hyperlipidemia as an index to cardiovascular disease and to identify patients with chronic kidney disease.

Special Instructions

State patient's age and sex on the request form.

Limitations

LDL cholesterol cannot be calculated if triglyceride is >800 mg/dL.

References

American Diabetes Association. Cardiovascular Disease and Risk Management: Standards of Medical Care in Diabetes-2018.Diabetes Care. 2018 Jan; 41(Suppl 1):S86-S104.29222380
Eckel RH, Kahn R, Robertson RM, Rizza RA. Preventing cardiovascular disease and diabetes: a call to action from the American Diabetes Association and the American Heart Association. Circulation. 2006 Jun 27;113(25):2943-2946.16801475
Executive Summary of The Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Expert Panel on Detection, Evaluation and Treatment of High Blood Cholesterol in Adults. JAMA. 2001 May 16;285(19):2486-2497.11368702
Lamarche B, Tchernof A, Moorjani S, et al. Small, dense low-density lipoprotein particles as a predictor of the risk of ischemic heart disease in men. Prospective results from the Québec Cardiovascular Study. Circulation. 1997 Jan 7;95(1):69-75.8994419
Ridker PM, Rifai N, Cook NR, Bradwin G, Buring JE. Non-HDL cholesterol, apolipoproteins A-1 and B100, standard lipid measures, lipid ratios, and CRP as risk factors for cardiovascular disease in women. JAMA. 2005 Jul 20;294(3):326-333.16030277

Custom Additional Information

The relationship between diabetes, cardiovascular disease, and chronic kidney disease is widely recognized. Among individuals with type 2 diabetes, cardiovascular disease is the leading cause of morbidity and mortality. Chronic kidney disease occurs in 20% to 40% of patients with diabetes and may be present at the time of diagnosis.

While not considered to be a clinical entity itself, individuals with prediabetes are at increased risk for diabetes and cardiovascular disease. Additionally, observational evidence has linked prediabetes with early nephropathy, chronic kidney disease, small fiber neuropathy, diabetic retinopathy, and increased risk of macrovascular disease.

Specimen Requirements

Specimen

Serum (preferred) or plasma and random urine

Volume

3 mL serum or plasma and 10 mL urine

Minimum Volume

1 mL serum or plasma and 2 mL urine

Container

Red-top tube, gel-barrier tube, or green-top (lithium heparin) tube. Do not use oxalate, EDTA, or citrate plasma and plastic urine container.

Collection Instructions

Separate serum or plasma from cells within 45 minutes of collection. Lipid panels are best avoided for up to three months following acute myocardial infarction, although cholesterol can be measured in the first 24 hours.

Collect random urine without preservatives. pH must be 4 to 8.

Stability Requirements

Temperature

Period

Room temperature

3 days

Refrigerated

14 days

Frozen

14 days

Freeze/thaw cycles

Stable x2

Storage Instructions

Maintain specimens at room temperature.

Patient Preparation

Patient should be on a stable diet, ideally for two to three weeks prior to collection of blood. Fasting is not necessary for this profile, however fasting for 12 to 14 hours prior to collection of the specimen is recommended where the triglyceride value provides a priori diagnostic information such as screening for familial hypercholesterolemia or early onset heart disease, pancreatitis, or confirming hypertriglyceridemia.

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
023400 Diabetes Comorbidity Risk 001370 Creatinine mg/dL 2160-0
023400 Diabetes Comorbidity Risk 013672 Creatinine, Urine mg/dL 2161-8
023400 Diabetes Comorbidity Risk 140097 Albumin, Urine ug/mL 14957-5
023400 Diabetes Comorbidity Risk 140291 Alb/Creat Ratio mg/g creat 9318-7
023400 Diabetes Comorbidity Risk 001065 Cholesterol, Total mg/dL 2093-3
023400 Diabetes Comorbidity Risk 001172 Triglycerides mg/dL 2571-8
023400 Diabetes Comorbidity Risk 011817 HDL Cholesterol mg/dL 2085-9
023400 Diabetes Comorbidity Risk 011919 VLDL Cholesterol Cal mg/dL 13458-5
023400 Diabetes Comorbidity Risk 012059 LDL Chol Calc (NIH) mg/dL 13457-7
023400 Diabetes Comorbidity Risk 011923 LDL Calc Comment: N/A
023400 Diabetes Comorbidity Risk 011976 Non-HDL Cholesterol mg/dL 43396-1
023400 Diabetes Comorbidity Risk 100779 eGFR mL/min/1.73 98979-8
Order Code023400
Order Code NameDiabetes Comorbidity Risk
Order Loinc
Result Code001370
Result Code NameCreatinine
UofMmg/dL
Result LOINC2160-0
Order Code023400
Order Code NameDiabetes Comorbidity Risk
Order Loinc
Result Code013672
Result Code NameCreatinine, Urine
UofMmg/dL
Result LOINC2161-8
Order Code023400
Order Code NameDiabetes Comorbidity Risk
Order Loinc
Result Code140097
Result Code NameAlbumin, Urine
UofMug/mL
Result LOINC14957-5
Order Code023400
Order Code NameDiabetes Comorbidity Risk
Order Loinc
Result Code140291
Result Code NameAlb/Creat Ratio
UofMmg/g creat
Result LOINC9318-7
Order Code023400
Order Code NameDiabetes Comorbidity Risk
Order Loinc
Result Code001065
Result Code NameCholesterol, Total
UofMmg/dL
Result LOINC2093-3
Order Code023400
Order Code NameDiabetes Comorbidity Risk
Order Loinc
Result Code001172
Result Code NameTriglycerides
UofMmg/dL
Result LOINC2571-8
Order Code023400
Order Code NameDiabetes Comorbidity Risk
Order Loinc
Result Code011817
Result Code NameHDL Cholesterol
UofMmg/dL
Result LOINC2085-9
Order Code023400
Order Code NameDiabetes Comorbidity Risk
Order Loinc
Result Code011919
Result Code NameVLDL Cholesterol Cal
UofMmg/dL
Result LOINC13458-5
Order Code023400
Order Code NameDiabetes Comorbidity Risk
Order Loinc
Result Code012059
Result Code NameLDL Chol Calc (NIH)
UofMmg/dL
Result LOINC13457-7
Order Code023400
Order Code NameDiabetes Comorbidity Risk
Order Loinc
Result Code011923
Result Code NameLDL Calc Comment:
UofM
Result LOINCN/A
Order Code023400
Order Code NameDiabetes Comorbidity Risk
Order Loinc
Result Code011976
Result Code NameNon-HDL Cholesterol
UofMmg/dL
Result LOINC43396-1
Order Code023400
Order Code NameDiabetes Comorbidity Risk
Order Loinc
Result Code100779
Result Code NameeGFR
UofMmL/min/1.73
Result LOINC98979-8