Mom – Abhi Chand Marketing

Meena Chand, Health Dashboard

Trends over time

Tap a marker to follow it across all nine visits. The dotted line is the healthy boundary, above it for hemoglobin, platelets, B12 and vitamin D; below it for sugar and HbA1c.

Latest report breakdown

From the 19 June 2026 panel (Dr Bhasin's Lab). Two clear wins this time, a few things to work on, and some practical next steps.

✓The good

✓

Platelets recovered

Up to 224k from a low of 120k in May. The count that was a worry is now solidly normal.

✓

Vitamin B12 normal

Climbed to 482 from 171. Whatever she is doing for B12 is working.

✓

Thyroid steady

TSH at 2.7, comfortably in range.

✓

Liver healthy

All liver enzymes and proteins normal.

✓

Kidneys working well

Creatinine, urea and salts all normal.

✓

No urine infection

Urine sugar now clear, no real signs of infection.

!Needs attention

Anemia is still here

Hemoglobin 8.6 g/dLPriority

Her lowest reading on record, with the same small, pale red cells she has had for years. Iron itself reads okay, so the question is why it is not lifting.

Why this matters

Low hemoglobin means less oxygen carried around the body, which drives tiredness and weakness. The low folate below is a likely piece of the puzzle.

Blood sugar has climbed

Fasting 130, after-meal 193Priority

For the first time both fasting and after-meal sugar sit in the diabetic range, and fasting sugar has trended up over the last year and a half.

Why this matters

Two high readings together suggest her body is handling sugar less well. This is the main new finding and the biggest reason to see the doctor soon. Caught early, it is very manageable.

Note on the HbA1c (9.2%)

HbA1c reflects the three-month average, so it cannot truly jump from 4.8 (six weeks earlier) to 9.2. Iron-deficiency anemia is known to push this number falsely high, and this reading is from a new lab.

Her sugar genuinely is up (the fasting and after-meal values confirm that), but the 9.2 figure itself should be reconciled by her doctor, likely with a repeat or a different test.

Folate is low

3.15 ng/mLNew finding

Tested for the first time and came back below normal. Folate is a B vitamin needed to build healthy red blood cells.

Why this matters

A folate shortage can keep anemia going even when iron and B12 are fine. It is usually straightforward to correct, so this is a hopeful lead on the stubborn anemia.

Uric acid is high

8.2 mg/dLWatch

Above range, and it has been high before. High uric acid can lead to gout and, over time, kidney stones.

Why this matters

Often helped by diet (less red meat, organ meat, alcohol, sugary drinks; more water) and sometimes medication. Worth raising, especially if she gets joint pain.

Vitamin D slightly low

27.7 ng/mLWatch

Just under the sufficient mark of 30, though up from 20 in May. Easy to top up.

Cholesterol worth watching

LDL 117, HDL 40Watch

The "bad" cholesterol is a little above optimal and the "good" cholesterol is at the low end. Not alarming, but a direction to keep an eye on.

→Next steps

Book a doctor visit soon and bring the recent reports so the trend is visible side by side.
Sort out the sugar question. Ask the doctor to reconcile the HbA1c (9.2%) against the fasting and after-meal readings, given anemia can inflate HbA1c, and decide whether to start managing diabetes now.
Ask about the persistent anemia. Folate is low and a likely factor. The doctor may suggest folate plus continued iron, and may want to look into why it keeps returning.
Top up vitamin D and ask whether anything is needed for the high uric acid.
Plan a recheck of blood count and sugar in a few weeks to see whether changes are working.

Questions for the doctor

A short list to take to the appointment, drawn straight from the findings above. Worth jotting the answers next to each one.

?AnemiaCould the low folate be the reason the anemia is not lifting? Should she take folate alongside iron?
?AnemiaThe anemia has been there at every visit for two years, even though iron itself reads okay. Is it worth investigating why it keeps coming back?
?Blood sugarBoth fasting (130) and after-meal (193) sugar are now in the diabetic range. Should we start managing this now, or recheck first?
?HbA1cIs the 9.2% HbA1c reliable given her anemia, which can inflate it? Should it be repeated or checked a different way (for example, fructosamine)?
?Uric acidUric acid is high again (8.2). Does she need treatment, or just diet changes? Any link to joint pain if she has it?
?Vitamin DVitamin D is just under range (27.7). What dose should she take, and for how long?
?PlateletsPlatelets dipped twice (115k and 120k) then recovered. Is that up-and-down worth looking into, or just normal variation?
?PracticalWould it help to do future tests at one lab, so results compare cleanly instead of jumping between methods?

Visit by visit

9 visits, Feb 2024 to Jun 2026 · tap to expand ▾

In range Borderline / watch Out of range

Feb 2024Nulife · age 56Anemia & colitis workup

Hb8.5 Platelets428k Fasting sugar89

First record on file. Already anemic with small red cells; sugar normal.

Oct 2024General Diagnostics · age 57Full panel

Hb9.2 Platelets152k Fasting sugar85.5 HbA1c4.9 B12190 Vit D39.7

Dec 2024General DiagnosticsBlood count check

Hb8.9 Platelets186k HbA1c5.2

Jan 2025General DiagnosticsFull panel

Hb9.2 Platelets160k Fasting sugar136 HbA1c4.9 B12238 Vit D31.9

One high fasting sugar (136), but HbA1c stayed normal. A single reading, not yet a pattern.

Apr 2025General DiagnosticsFever, typhoid positive

Hb8.2 Platelets115k

Sick with typhoid. Hemoglobin and platelets both at their lowest, which an acute infection can cause.

May 2025Sun Diagnostic · age 57Typhoid illness

Hb10.6 Platelets199k HbA1c5.6 B12190

Different lab, during illness. Liver enzymes and uric acid were temporarily high, and red-cell size read very differently here, likely the infection plus a different machine.

Jan 2026General Diagnostics · age 58Blood count check

Hb9.8 Platelets174k HbA1c5.1

Recovered from the illness. Hemoglobin back up near 9.8, platelets fine.

May 2026General DiagnosticsFull panel

Hb9.3 Platelets120k Fasting sugar105.6 HbA1c4.8 B12171 Vit D20.2

Platelets dipped again to 120k and were rechecked. Vitamin D fell to the low end.

Jun 2026Dr Bhasin's Lab · age 58Latest, full panel

Hb8.6 Platelets224k Fasting / PP130 / 193 HbA1c9.2* B12482 Folate3.15 Vit D27.7

Platelets and B12 recovered. New concerns: sugar up, folate low, and the HbA1c of 9.2 needs a closer look (see the breakdown above).

Reading the long view

Anemia is the constant. Across every visit for more than two years, hemoglobin has never reached the normal range (12+), with small pale red cells throughout, the long-standing iron-deficiency pattern.
Platelets dip and recover. They fell to 115k and 120k at two points and climbed back both times, now at 224k.
Sugar is the newer story. Fasting sugar was in the 80s in 2024 and has trended up to the diabetic range now. This is the main thing genuinely changing.
B12 and vitamin D move with supplements. Both swing the way you would expect when supplements start and stop.
Two visits were during illness. April and May 2025 were typhoid episodes, so those points are not a fair guide to her baseline.