At a Glance
Package: Advance Diabetes Package. Tests: 85 parameters, 12 components. Price: From 1499. Fasting: 10 hours, then a post-meal draw. Sample: Blood and urine, two draws, one visit. Reports: 24 hours, digital. Home collection: Free across Delhi. Lab: NABL-accredited.
Its nearest sibling, the Full Body Checkup with HbA1c, carries 82 of these 85 parameters and costs less. What it does not carry is Insulin-Fasting, Insulin PP and Glucose - Post Prandial Blood Sugar. Choose that one for a general annual screen, and this one when the question is specifically about blood sugar.
Insulin Measured Alongside Glucose
Most diabetes packages report HbA1c, fasting glucose and post-meal glucose. This one adds Insulin-Fasting and Insulin PP, so the report also shows how much insulin the body is producing to hold that sugar down. Two people can share a fasting glucose while one makes twice the insulin to achieve it, and only one is heading for type 2 diabetes. Glucose alone cannot separate them.
The readings come in two matched pairs — Blood Glucose Fasting with Insulin-Fasting, Glucose - Post Prandial Blood Sugar with Insulin PP — while HbA1c and Average blood glucose give the two-to-three-month average. Thresholds follow the American Diabetes Association Standards of Care in Diabetes, 2024: fasting glucose under 100 mg/dL normal, 100-125 prediabetes, 126+ diabetes; HbA1c under 5.7%, 5.7-6.4% and 6.5%+ on the same three bands.
Be exact. The report gives the insulin values as numbers. It does not compute or report HOMA-IR, an insulin resistance index, or an insulin-to-glucose ratio. A doctor reads the insulin values against the glucose values; the report does not diagnose insulin resistance by itself. Insulin is worth measuring here because insulin resistance and higher body fat tend to appear at a lower BMI in Indian than European populations. HbA1c is distorted by anaemia and haemoglobin variants, so read it with the CBC here.
The Blood Picture - Peripheral Smear Examination
The Blood Picture - Peripheral Smear Examination is the one component a machine cannot produce. A qualified pathologist spreads a slide, stains it and reads it under a microscope, reporting Red Blood Cells, White Blood Cells, Platelets, Hemoparasites and a written IMPRESSION in sentences.
What it adds over the automated count is morphology. Microcytic cells suggest iron deficiency; macrocytic cells B12 or folate deficiency; sickle-shaped cells sickle cell disease; blast cells may point to leukaemia; clumped platelets explain a count an analyser flags as critically low. The red cell picture can change in long-standing diabetes, so the smear is read with the CBC rather than instead of it, and Hemoparasites stays useful where dengue and malaria are endemic across Delhi NCR. Hand-reading is pathologist time, and that is its cost.
Two Draws in One Visit, and Screening Two Generations
Holding both fasting and post-prandial analytes, this package needs two draws in one visit: a 10-hour fasting draw, then a meal, then a second roughly two hours later. Where a parent and an adult child share a household, one visit can cover both — family history is the commonest reason an adult child is screened early, and the phlebotomist is already there for the second draw. Home collection reaches Lajpat Nagar, Dwarka, Rohini, Mayur Vihar and the colonies of South Delhi.
What Is Not Included
No urine microalbumin and no albumin-creatinine ratio (ACR). The Complete Urine Analysis here is a dipstick and microscopy examination: its Protein field detects overt proteinuria but not microalbuminuria, which is the entire point of an ACR. The American Diabetes Association, Standards of Care in Diabetes, 2024 recommends an annual urine ACR for anyone already diagnosed with diabetes, because it detects diabetic kidney disease years before serum creatinine or GFR move. Kidney coverage — Creatinine, Urea, Blood Urea Nitrogen (BUN), GFR by MDRD Formula — is useful but slower. If you are already diagnosed, ask your doctor about adding a urine ACR to your annual review, because this package does not cover it.
Also absent: OGTT/GTT, C-Peptide, Fructosamine, Free T3/Free T4 (only total TT3/TT4 here), anti-GAD autoantibodies, HOMA-IR as a computed index, Vitamin D, Vitamin B12, Iron Studies, retinal or foot exam, imaging.
The Other 6 Components
CBC with ESR (21): Anaemia, infection, inflammation; over 50% of Indian women 15-49 are anaemic (NFHS-5, 2019-21). Kidney Function Test (12): Creatinine, urea, BUN, uric acid, electrolytes, calcium, phosphorus, GFR. Liver Function Test (12): Bilirubin, ALP, SGOT, SGPT, GGT, protein, albumin, ratios — NAFLD affects 30-40% of urban Indian adults (Duseja et al., 2022). Lipid Profile (9): Non-HDL cholesterol beats LDL alone (AHA/ACC, 2018), plus three ratios. Complete Urine Analysis (17): Glycosuria, proteinuria, infection, crystals. Thyroid Profile (3): TT3, TT4, TSH; one in ten Indian adults is hypothyroid (Unnikrishnan et al., 2013).
Sources
ADA Standards of Care, 2024 · Anjana et al., ICMR-INDIAB, Lancet Diabetes & Endocrinology, 2023;11(7):474-489 · NFHS-5, 2019-21 · AHA/ACC, 2018 · Duseja et al., Indian J Gastroenterology, 2022 · Unnikrishnan et al., IJEM, 2013;17(4):647-652
Content last reviewed: October 2026