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The use of medicinal products is permitted only upon a doctor’s prescription. Consultations are provided by clinic specialists in person or online in accordance with applicable law.
The use of medicinal products is permitted only upon a doctor’s prescription. Consultations are provided by clinic specialists in person or online in accordance with applicable law.
CHECKUP INSULIN RESISTANCE
Insulin resistance often develops silently, but over time it can lead to type 2 diabetes, obesity, cardiovascular diseases, and hormonal disorders. This check-up allows a comprehensive assessment of carbohydrate metabolism, helps identify hidden causes of metabolic disturbances, and determines possible complications.
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Our CHECKUP includes:
Laboratory tests
Carbohydrate metabolism:
- HOMA index (fasting glucose, fasting insulin)
- Glycated hemoglobin (HbA1c)
Lipid metabolism:
- Triglycerides
- High-density lipoproteins (HDL)
- Low-density lipoproteins (LDL)
Liver function:
- Alanine aminotransferase (ALT)
- Aspartate aminotransferase (AST)
- Gamma-glutamyltransferase (GGT)
Inflammation and metabolic markers:
- High-sensitivity C-reactive protein (hs-CRP)
- Ferritin
- Vitamin D (25-hydroxyvitamin D, 25(OH)D)
- Homocysteine
Hormonal tests:
Thyroid hormones and antibodies:
- TSH
- Free T4
- Free T3
- Anti-thyroglobulin antibodies (Anti-Tg)
- Anti-thyroid peroxidase antibodies (Anti-TPO)
Other hormones:
- Adrenocorticotropic hormone (ACTH)
- Aldosterone
- Follicle-stimulating hormone (FSH)
- Luteinizing hormone (LH)
- Prolactin
- Total testosterone
- Free testosterone
- Sex hormone-binding globulin (SHBG)
- Dehydroepiandrosterone sulfate (DHEA-S)
- Cortisol (serum)
Ultrasound diagnostics:
- Abdominal ultrasound (liver, gallbladder, pancreas, spleen)
- Urinary system ultrasound (kidneys, adrenal glands, bladder)
- Thyroid ultrasound
- Transvaginal ultrasound
- Cardiac ultrasound with Doppler (echocardiography with Doppler)
- Ultrasound Doppler of the head and neck vessels
- Ultrasound Doppler of the lower limb vessels
Consultations:
- Consultation with an internist (internal medicine physician)
- Consultation with an endocrinologist
- Consultation with Dr. Perelygin I.V.
Medical support at all stages of the examination and interpretation of results.
How to prepare for tests:
- Blood must be taken strictly fasting in the morning between 08:00 and 11:00, after 8–12 hours of fasting. This is especially important for cortisol and ACTH measurement.
- Only plain still water is allowed. Tea, coffee, juices, sweet drinks and chewing gum are prohibited.
- In the 24 hours before the examination avoid alcohol, fatty foods, sexual intercourse, visiting a sauna/banya, and intense physical activity.
- It is recommended to avoid stressful situations on the day before and the day of the examination. Before the blood draw sit quietly for 15–20 minutes to stabilize prolactin and cortisol levels.
- Do not smoke for at least 1 hour before the blood draw.
Laboratory tests
Carbohydrate metabolism:
- HOMA index (fasting glucose, fasting insulin)
- Glycated hemoglobin (HbA1c)
Lipid metabolism:
- Triglycerides
- High-density lipoproteins (HDL)
- Low-density lipoproteins (LDL)
Liver function:
- Alanine aminotransferase (ALT)
- Aspartate aminotransferase (AST)
- Gamma-glutamyltransferase (GGT)
Inflammation and metabolic markers:
- High-sensitivity C-reactive protein (hs-CRP)
- Ferritin
- Vitamin D (25-hydroxyvitamin D, 25(OH)D)
- Homocysteine
Hormonal tests:
Thyroid hormones and antibodies:
- TSH
- Free T4
- Free T3
- Anti-thyroglobulin antibodies (Anti-Tg)
- Anti-thyroid peroxidase antibodies (Anti-TPO)
Other hormones:
- Adrenocorticotropic hormone (ACTH)
- Aldosterone
- Follicle-stimulating hormone (FSH)
- Luteinizing hormone (LH)
- Prolactin
- Total testosterone
- Free testosterone
- Sex hormone-binding globulin (SHBG)
- Dehydroepiandrosterone sulfate (DHEA-S)
- Cortisol (serum)
Ultrasound diagnostics:
- Abdominal ultrasound (liver, gallbladder, pancreas, spleen)
- Urinary system ultrasound (kidneys, adrenal glands, bladder)
- Thyroid ultrasound
- Transvaginal ultrasound
- Cardiac ultrasound with Doppler (echocardiography with Doppler)
- Ultrasound Doppler of the head and neck vessels
- Ultrasound Doppler of the lower limb vessels
Consultations:
- Consultation with an internist (internal medicine physician)
- Consultation with an endocrinologist
- Consultation with Dr. Perelygin I.V.
Medical support at all stages of the examination and interpretation of results.
How to prepare for tests:
- Blood must be taken strictly fasting in the morning between 08:00 and 11:00, after 8–12 hours of fasting. This is especially important for cortisol and ACTH measurement.
- Only plain still water is allowed. Tea, coffee, juices, sweet drinks and chewing gum are prohibited.
- In the 24 hours before the examination avoid alcohol, fatty foods, sexual intercourse, visiting a sauna/banya, and intense physical activity.
- It is recommended to avoid stressful situations on the day before and the day of the examination. Before the blood draw sit quietly for 15–20 minutes to stabilize prolactin and cortisol levels.
- Do not smoke for at least 1 hour before the blood draw.
