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Feel Sharp · Sugar & weight

Sugar & Diabetes Check

Feeling thirsty all the time, passing urine more often, tired for no reason?

Feeling thirsty all the time, passing urine more often, tired for no reason, losing weight without trying, or cuts that heal slowly: these are the classic signs of high sugar. Many people have none of them. Pakistan has the highest rate of diabetes in the world, about 3 in 10 adults, and roughly 1 in 4 of them does not know they have it (IDF Diabetes Atlas 2025, reported by The News). The Sugar & Diabetes Check screens for diabetes and prediabetes with two blood tests from one sample taken at your home in Lahore. It is the right first step if your parents or siblings have sugar, if you are overweight, or if you simply want to know where you stand.

HbA1c shows your average sugar over the last two to three months. The fasting sugar reading shows where you are today, after a night without food. Read together, they tell your doctor whether you are in the clear, in the prediabetes zone or already diabetic, and what to change before complications start. The second National Diabetes Survey of Pakistan found 26.3% of adults with diabetes and another 14.4% with prediabetes, the stage where weight, diet and daily walking can still turn things around (NDSP 2016 to 2017, BMJ Open).

Your report is usually ready the same day. A PMC verified General Physician then goes through it with you, online or at a clinic, whichever suits you, in Urdu or English. If everything is normal, sugar is ruled out for now and you know when to check again. If a value is high, the doctor will usually ask for a repeat test, because one out of range reading on its own confirms nothing, and then starts a plan: food, weight and walking first, medicine if you need it, and a referral to a diabetologist if your sugar is very high.

شوگر اکثر خاموشی سے بڑھتی ہے۔ پاکستان میں شوگر کے ہر چار مریضوں میں سے ایک کو پتہ ہی نہیں ہوتا کہ اسے شوگر ہے۔ اگر آپ کو بار بار پیاس لگتی ہے، پیشاب زیادہ آتا ہے، تھکاوٹ رہتی ہے، یا گھر میں کسی کو شوگر ہے تو یہ ٹیسٹ آپ کے لیے ہے۔ نمونہ لاہور میں گھر بیٹھے لیا جاتا ہے، رپورٹ زیادہ تر اسی دن ملتی ہے، اور مرہم کا ڈاکٹر آن لائن یا کلینک پر آسان الفاظ میں بتاتا ہے کہ آپ کی شوگر نارمل ہے، پری ڈائبیٹیز ہے، یا علاج کی ضرورت ہے۔

Updated 9 September 2026

What’s tested, and why

  1. Blood Sugar Fasting (BSF)

    About this test

General Physician consultation, included — Online or In Clinic Consultation

Our team calls to arrange it once your reports are ready.

Two tests from one blood sample, plus the doctor who reads them with you.

  • HbA1c, the 3 month sugar test: your average blood sugar over the last two to three months. Below 5.7% rules out diabetes for now; 6.5% or above points to it. It is the single most useful test for anyone who suspects sugar, and it needs no fasting.
  • Blood Sugar Fasting (BSF): your sugar level today, after 8 to 12 hours without food. Below 100 mg/dL is normal, 100 to 125 is prediabetes, 126 or above points to diabetes. It backs up the HbA1c, which can misread in anaemia or with a haemoglobin variant.
  • General Physician consultation, included: a Marham doctor reads both results with you, confirms or rules out sugar, orders a repeat test if a value is borderline, and starts treatment or a food and walking plan. Take it online or at a clinic, whichever suits you. It is part of the package, not an add on.

Follow up tests your doctor may suggest, charged only if you need them: fasting insulin (for insulin resistance), lipid profile (cholesterol often rises with sugar), or a glucose tolerance test in pregnancy.

Feel Sharp. Stay Sharp.

The doctor tells you which result explains how you feel, what to take, and when to test again so you know the treatment has worked.

If everything is normal, that is useful too: it rules out the commonest causes and moves the conversation to the next question, such as sleep, blood sugar or mood.

Not just a report. An answer.

Before your test

  • Fasting needed. Nothing to eat for 8 to 12 hours before the sample; plain water is fine. Book a morning slot so you fast overnight and can eat as soon as the phlebotomist leaves.
  • Keep taking your regular medicines unless your doctor has said otherwise. If you take sugar or blood pressure medicine, take it after the sample and mention it to the phlebotomist.
  • Tell the doctor if you have had a fever, an infection, or steroid tablets or injections in the last two weeks. They can push sugar up for a while.
  • Tell the doctor if you have anaemia, thalassaemia trait, or a recent blood transfusion. HbA1c can read falsely high or low in these cases, and the fasting reading then matters more.
  • Pregnant? This is not the right check for you. Ask your doctor about a glucose tolerance test (GTT), which Marham Lab also does at home.
  • Not for children under 12. Have the patient's name and age ready for the report, and a phone with mobile data in a quiet place for the video call.
  • One high or borderline value confirms nothing on its own. A diagnosis needs a repeat test, and your doctor will read the full report with you.

Questions people ask

خالی پیٹ اور کھانے کے بعد نارمل شوگر کتنی ہونی چاہیے؟

خالی پیٹ (8 سے 12 گھنٹے کچھ نہ کھانے کے بعد) شوگر 99 mg/dL یا اس سے کم نارمل ہے، 100 سے 125 پری ڈائبیٹیز، اور 126 یا اس سے زیادہ شوگر کی نشانی ہے۔ کھانے کے دو گھنٹے بعد 139 یا کم نارمل، 140 سے 199 پری ڈائبیٹیز، اور 200 یا زیادہ شوگر سمجھی جاتی ہے۔ تین مہینے کی اوسط یعنی HbA1c میں 5.7 فیصد سے کم نارمل، 5.7 سے 6.4 پری ڈائبیٹیز، اور 6.5 یا زیادہ شوگر ہے۔ ایک رپورٹ سے فیصلہ نہیں ہوتا؛ دوسرا ٹیسٹ اور ڈاکٹر کی رائے ضروری ہے۔ مکمل چارٹ یہاں دیکھیں: نارمل بلڈ شوگر لیول

Which test should I get for sugar: the 3 month sugar test (HbA1c) or a fasting sugar test?

Both, and this check includes both from one sample. The 3 month sugar test is HbA1c. It shows your average sugar over the last two to three months, so one careful day cannot hide the result, and it needs no fasting. The fasting sugar test shows your level today after 8 to 12 hours without food. Each catches what the other can miss: HbA1c can read falsely high or low in people with anaemia, a haemoglobin variant, or in pregnancy (NIDDK on diabetes tests), and a single fasting reading can look normal on a good day.

پری ڈائبیٹیز کا کیا مطلب ہے؟

پری ڈائبیٹیز کا مطلب ہے کہ آپ کی شوگر نارمل سے زیادہ ہے مگر ابھی ذیابیطس کی حد تک نہیں پہنچی: خالی پیٹ 100 سے 125 mg/dL یا HbA1c 5.7 سے 6.4 فیصد۔ پاکستان کے دوسرے قومی ذیابیطس سروے میں 14.4 فیصد بالغ افراد پری ڈائبیٹیز کے مرحلے میں تھے (NDSP, BMJ Open)۔ اس مرحلے پر وزن کم کرنے، خوراک بدلنے اور روزانہ چہل قدمی سے شوگر کو پیچھے دھکیلا جا سکتا ہے۔ یہ ٹیسٹ سب سے زیادہ فائدہ اسی مرحلے میں دیتا ہے۔ رپورٹ آپ کا ڈاکٹر آپ کے ساتھ پڑھے گا اور آگے کا راستہ بتائے گا۔

اگر میری شوگر زیادہ نکلے تو کیا ہوگا؟
گھبرائیں نہیں۔ رپورٹ آنے کے بعد مرہم کا جنرل فزیشن آن لائن یا کلینک پر بتائے گا کہ رپورٹ کا مطلب کیا ہے اور آگے کیا کرنا ہے۔ ایک زیادہ رپورٹ سے شوگر کی تصدیق نہیں ہوتی، عام طور پر کچھ دن بعد دوسرا ٹیسٹ کروایا جاتا ہے۔ اگر شوگر کی تصدیق ہو جائے تو ڈاکٹر پہلے خوراک، وزن اور چہل قدمی کا سادہ منصوبہ دیتا ہے، ضرورت ہو تو دوا شروع کرتا ہے، اور شوگر بہت زیادہ ہو تو ذیابیطس کے ماہر ڈاکٹر کے پاس بھیجتا ہے۔ خود سے دوا شروع نہ کریں۔
An HbA1c test on its own costs less. Why take the whole check?

On its own, HbA1c gives you a number and nothing else. This check adds the fasting sugar reading that doctors use to confirm it, takes both at your home in Lahore, and includes a General Physician consultation you can take online or at a clinic: someone who reads the report with you, tells you whether the result is normal, prediabetes or diabetes, orders a repeat if a value is borderline, and starts a plan the same week. That is the part a lab receipt cannot give you. If you already have diabetes and only need your routine HbA1c, book the single test instead.

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