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10 Essential Blood Tests You Need to Know

 Tue Jan 07 2025

Reading time : 13 mins

Regular blood testing is vital for tracking physical wellbeing and maintaining a comprehensive understanding of your health. Doctors use blood tests to assess substances like proteins, cells, and chemicals, providing insights into overall health. These tests help diagnose diseases, monitor chronic conditions, evaluate organ function, and measure immune strength. Read on this blog to discover significant aspects of blood testing and find out the most important blood tests necessary to track your health on a routine basis.

What do blood tests check?

Blood tests provide valuable insights into how your body’s organs are functioning, including the heart, thyroid, liver, and kidneys. If you are worried what would show up in a routine blood test, note that it can help identify markers for various diseases and health conditions, such as:

  • Diabetes
  • HIV
  • Anaemia
  • Cancer
  • Coronary heart disease

Even if heart disease is not present, blood tests can assess your risk of developing it in the future.

Blood tests can also evaluate whether medications are working effectively and check how well your blood is clotting. These tests are essential for diagnosing, monitoring, and preventing health issues, enabling your doctor to tailor treatments as per your specific needs. Always discuss your results with your healthcare provider for proper interpretation.

When do you need blood test?

Blood tests are an essential diagnostic and monitoring tool that you may undergo in various circumstances:

  1. Annual Physical Exam

As part of routine checkups, doctors often order general tests like a Complete Blood Count (CBC) to assess overall health.

  1. Risk of Health Conditions

If you are at a higher risk for certain diseases or have a genetic predisposition, specific blood tests can help monitor or detect early signs of the condition.

  1. Known Conditions

If you have an existing diagnosis, blood tests track the progression of your condition and evaluate the effectiveness of your ongoing treatment.

  1. Symptoms

If you are experiencing symptoms, your doctor may use blood tests to confirm a suspected diagnosis or determine if more specialised tests are needed.

  1. Pregnancy

Blood tests, including CBC and blood type determination, are common during pregnancy to ensure maternal and foetal health.

  1. Pre-Surgery

Before surgery, blood tests check for potential risks, such as excessive bleeding or underlying conditions that might affect the procedure.

  1. Health Optimisation

Blood tests measuring HDL and LDL cholesterol or other markers can guide adjustments to diet and exercise for better health outcomes.

10 Common and Important Blood Tests

Here are some common blood tests which you must undertake on a routine basis.

  1. Complete Blood Count (CBC)

A routine complete blood count (CBC) test, also known as full blood panel, evaluates the levels of 10 different components within the three major types of blood cells: white blood cells, red blood cells, and platelets. Key measurements include red blood cell count, haemoglobin, and haematocrit levels.

Normal ranges for these components differ slightly at particular conditions, but generally include:

  • Red blood cells (oxygen carriers)

Male: 4.5–6.1 × 10⁶/μL

Female: 4.0–5.4 × 10⁶/μL

  • White blood cells (immune cells defending body)

4.0–10.8 × 10³/μL for both males and females

  • Platelets (blood clotting substances)

150–400 × 10³/μL for both males and females

  • Haemoglobin (proteins carrying oxygen to tissues and organs and transporting carbon dioxide back to lungs)

Male: 13.0–17.0 g/dL

Female: 12.0–16.0 g/dL

  • Haematocrit (red blood cell percentage)

Male: 40–52%

Female: 37–47%

Abnormal levels in a CBC may signal nutritional deficiencies (for example, vitamin B6 or B12), iron deficiency or anaemia, clotting issues, blood cancer, infections, or immune disorders. If your results are beyond the normal range, your doctor may recommend additional tests to confirm the findings and determine a diagnosis.

  1. Basic Metabolic Panel (BMP)

A basic metabolic panel (BMP) measures 8 key blood compounds: blood urea nitrogen (BUN), creatinine, glucose, bicarbonate, calcium, sodium, potassium, and chloride. It helps evaluate your overall health and organ function. Fasting for at least 8 hours prior the test may be required, depending on your doctor’s instructions and the purpose of the test. This test provides essential insights into electrolyte balance, kidney function, and blood sugar levels.

Here are approximate healthy ranges and purpose of tests included in the basic metabolic panel (BMP).

  • BUN (Blood Urea Nitrogen): 6–20 mg/dL (Kidney Test)
  • Creatinine:6–1.3 mg/dL (Kidney Test)
  • Glucose: 70–100 mg/dL (Sugar Metabolism)
  • CO₂ (Carbon Dioxide/Bicarbonate): 23–29 mEq/L (Electrolyte Panel)
  • Calcium (Ca⁺):5–10.2 mg/dL (Electrolyte Panel)
  • Sodium (Na⁺): 135–145 mEq/L (Electrolyte Panel)
  • Potassium (K⁺):7–5.2 mEq/L (Electrolyte Panel)
  • Chloride (Cl⁻): 96–106 mEq/L (Electrolyte Panel)

Abnormal results may signal kidney disease, diabetes, or electrolyte imbalances. Your doctor may recommend follow-up tests to confirm a diagnosis.

  1. Comprehensive Metabolic Panel (CMP)

A comprehensive metabolic panel (CMP) includes all the tests in a basic metabolic panel (BMP) plus additional measurements related to liver function. This test checks for:

  • Albumin
  • Total protein
  • Alkaline phosphatase (ALP) – an enzyme occurring in bones and liver
  • Alanine aminotransferase (ALT) – aliver enzyme,
  • Aspartate aminotransferase (AST) – anenzyme in the liver and other tissues
  • Bilirubin, a waste product produced from the breakdown of red blood cell and filtered by the liver

A comprehensive metabolic panel (CMP) allows for the same conclusions as a basic metabolic panel (BMP), but it also provides insights into additional abnormalities, allowing diagnosing underlying conditions. High or low levels of specific markers can indicate different health issues:

  • High ALP may indicate bile duct blockage, cirrhosis, gallbladder inflammation, gallstones, hepatitis, mononucleosis, or Paget’s disease; while low ALP could signal bone metabolism disorders, malnutrition, or zinc deficiency.
  • High ALT is associated with cirrhosis, hepatitis, liver cancer, or liver damage; while low ALT level is not much concerning.
  • While high AST suggests cirrhosis, heart conditions, hepatitis, mononucleosis, or pancreatitis; low AST does not have much impact.
  • High bilirubin is linked to haemolysis, adverse medication reactions, bile duct blockage, Gilbert’s syndrome, or hepatitis, but low bilirubin is typically not problematic.

A CMP provides broader diagnostic insights for metabolic and liver-related health conditions.

  1. Lipid Panel

This test measures two types of cholesterol – high density lipoprotein (HDL) and low density lipoprotein (LDL). HDL, known as “good” cholesterol, helps remove harmful substances from the blood and supports the liver in breaking them down into waste. On the other hand, LDL or “bad” cholesterol contributes to plaque build-up in arteries, increasing the risk of heart disease.

Before undergoing this test, you may need to fast for at least 8 hours to get accurate results.For HDL cholesterol, a level of 60 mg/dL or higher is considered healthy for your heart, while levels below 40 mg/dL are a major risk factor for heart disease. For LDL cholesterol, levels of 100 mg/dL or lower are optimal for good health, but levels of 160 mg/dL or higher are dangerously high.

It is important to note that normal cholesterol levels may vary based on age. Regular monitoring of these levels is essential for maintaining cardiovascular health and identifying risks early.

  1. Thyroid Panel

A thyroid panel, or thyroid function test, evaluates the performance of the thyroid gland by measuring key hormones, including:

  • Tri-iodothyronine (T3) which works with T4 to regulate heart rate and body temperature.
  • Thyroxine (T4) collaborates with T3 to control metabolism and growth.
  • Thyroid stimulating hormone (TSH) manages the levels of T3 and T4 released by the thyroid.

The thyroid is a small gland located in the neck, which plays a vital role in maintaining bodily functions such as metabolism, mood, and energy levels.

Normal levels for these thyroid hormones are:

  • T3: 80–180 ng/dL of blood
  • T4:8–1.8 ng/dL in adults
  • TSH:5–4 mIU/L) of blood

Abnormal levels of T3, T4, or TSH can point to various conditions, such as low protein levels, thyroid growth disorders, or hormonal imbalances involving testosterone or oestrogen. Monitoring these levels provides essential insights into thyroid health and overall hormonal balance, helping in the diagnosis and management of related disorders.

  1. Cardiac Biomarkers

Enzymes are proteins essential for various chemical processes in your body, such as food breakdown and blood clotting. They play a vital role in numerous physiological functions. Below are the normal ranges for some commonly tested enzymes:

  • High sensitivity cardiac troponin (hs-cTn): Less than 1 ng/mL
  • B-type natriuretic peptide (BNP): Less than 100 pg/mL
  • N-terminal pro b-type natriuretic peptide (NT-proBNP): Less than or equals to 300 pg/mL
  • Creatine kinase (CK): 30–200 U/L
  • Creatine kinase-MB (CK-MB): 0–12 IU/L

If these enzymes exist in your body beyond the normal levels, it might lead to problems like:

  • Elevated levels of hs-cTn suggest heart injury, as this enzyme leaks into the blood during cardiac damage.
  • High levels of both BNP and NT-proBNP produced in the heart may indicate congestive heart failure, signalling stress or damage to heart tissue.
  • Found mainly in the brain, heart, and skeletal muscles, elevated CK levels often result from muscle damage, as the enzyme seeps into the bloodstream.
  • Occurring mainly in the heart, increased levels of CK-MB are typically associated with heart attacks or other heart related injuries.

Monitoring these enzymes helps diagnose and manage conditions affecting the heart, muscles, and overall metabolic health.

  1. Sexually Transmitted Infection (STI) Tests

Many sexually transmitted infections (STIs) can be identified through blood tests, often run along with urine samples or tissue swabs for greater diagnostic precision.

The following STIs are commonly diagnosed with blood tests:

It is important to note that blood tests may not always detect an infection immediately after exposure. For instance, in the case of HIV, you may need to wait at least a month from after your exposure for the virus to be detected in a blood test. This waiting period gives the body enough time to produce detectable levels of antibodies or viral markers.

Combining blood tests with other diagnostic methods ensures more reliable results, allowing early detection and effective treatment of STIs. Always consult a healthcare provider for diagnostic recommendations and follow-up care.

  1. Coagulation Panel

Coagulation tests evaluate how effectively and quickly your blood clots, providing essential insights into your body’s ability to stop bleeding. Common tests include the prothrombin time (PT) test and fibrinogen activity test.

Clotting is a vital process which prevents excessive bleeding after an injury, but abnormal clotting can be dangerous. A clot forming in a vein or artery can block blood flow to critical organs like the brain, heart, or lungs, potentially leading to life-threatening conditions such as heart attack or stroke.

Test results depend on your overall health and any underlying conditions affecting blood clotting. Abnormal findings can indicate various issues, including:

  • Excessive bleeding disorders like haemophilia when the blood cannot clot effectively, and leads to prolonged bleeding.
  • Thrombosis, a condition where clots form unnecessarily, risking blockages in blood vessels.
  • Since the liver produces clotting factors, its dysfunction can affect clotting.
  • Vitamin K is essential for clotting, and a deficiency of vitamin K can impair this process.

Coagulation tests are critical for diagnosing and managing bleeding disorders, clotting abnormalities, and associated health conditions. Your healthcare provider can use these results to guide treatment and reduce risks.

  1. DHEA – Sulphate Serum Test

Dehydroepiandrosterone (DHEA) is a hormone produced by the adrenal glands, and its levels can be assessed with a DHEA test to determine if they are too high or low.

In men, DHEA contributes to developing traits like body hair growth, so low levels are abnormal. In women, high DHEA levels may cause male-associated traits, such as excessive body hair growth, while low levels are generally normal.

Here are some reasons contributing to low DHEA levels:

  • Addison’s disease
  • Adrenal dysfunction
  • Hypopituitarism
  • Premature puberty in females
  • Use of steroid medications

High DHEA levels in both males and females may result from:

  • Congenital adrenal hyperplasia, a genetic disorder affecting adrenal glands
  • Benign or malignant adrenal gland tumours
  • Polycystic ovary syndrome (PCOS)
  • Ovarian tumours

This test helps identify conditions affecting the adrenal glands and hormone balance, guiding diagnosis and treatment. Consult a healthcare provider for proper interpretation and care.

  1. C-reactive Protein Test

C-reactive protein (CRP) is produced by the liver in response to inflammation in the body. Higher CRP levels are associated with an increased risk of heart disease. The levels of CRP can help assess the extent of inflammation and identify underlying health conditions:

  • <0.3 mg/dL is approximately normal
  • 3 to 1.0 mg/dL suggests minor elevation, which can be influenced by factors like sex, body mass index (BMI), or conditions like depression or insomnia
  • 0 to 10.0 mg/dL indicates moderate elevation, typically linked to systemic inflammation caused by conditions such as autoimmune diseases, bronchitis, heart attack, or cancer
  • >10.0 mg/dL shows marked elevation, usually due to serious bacterial or viral infections, major trauma, or systemic vasculitis
  • >50.0 mg/dL suggests severe elevation, often caused by acute bacterial infections

High CRP levels indicate inflammation from various causes, including:

  • Bacterial or viral infections
  • Autoimmune diseases such as lupus or rheumatoid arthritis
  • Inflammation related to diabetes
  • Trauma or smoking-related inflammation
  • Cancer

Monitoring CRP levels helps healthcare providers diagnose and manage inflammatory conditions and assess risks of heart disease.

What to expect?

Doctors usually order blood tests during physical exams, checkups, or to screen for specific conditions. Alternatively, you can go through routine blood tests directly by contacting laboratories or diagnostic clinics, though health insurance may not cover these tests. While these direct tests offer convenience and accessibility, interpreting the results without a medical professional can be challenging.

Before undertaking a blood test, consult your doctor for instructions you need to follow to get appropriate results. Also make sure to discuss about any ongoing medication or supplement you are having with your doctor as they might affect your test results.

Where can I get my blood tests done?

Blood testing can be done in various locations, each offering different advantages and requirements:

  1. Private Laboratories: Hospitals may use private labs to handle overflow or for specialised tests. Health insurance plans often require you to use specific labs within their network to ensure coverage, so it is important to confirm this beforehand.

  2. Point-of-Care Testing: This refers to tests performed at the location where you receive care, such as your doctor’s clinic during an appointment. It provides quick results and is commonly used for routine checks or when immediate results are necessary.

  3. Direct Access Testing (Direct-to-Consumer): This allows you to order tests directly from a lab without needing a doctor’s referral. You can get the test done at a specialised laboratory, making it convenient for those seeking privacy or specific tests not readily available through traditional healthcare channels.

  4. Home Testing: Some tests are available at pharmacies, allowing you to perform them at home. These may require a prescription, like certain blood tests, while others, such as blood glucose monitoring for diabetes or the faecal occult blood test for colorectal cancer screening, can be purchased over the counter. However, all home tests must be ensured by the FDA to ensure safety and precision before they are available to consumers.

Each of these options offers flexibility, but it is important to consider factors like cost, insurance coverage, and the need for professional interpretation of results when choosing where to get tested.

Do I require fasting before blood test?

Some medical tests may require fasting for 8 to 12 hours beforehand. This is because the food and drinks you consume contain nutrients like vitamins, proteins, and sugars that can temporarily affect the levels of certain substances in your blood, potentially influencing the test results. Fasting ensures the most accurate readings by eliminating these temporary fluctuations.

Common tests that typically require fasting include:

Always follow your healthcare provider’s instructions regarding fasting, as the requirements may vary depending on the specific test being performed.

Blood Testing Procedure

If you are choosing to undertake a blood test at any of our partner clinics at MD.co.uk, you will have to go through the following procedure:

  1. Make an Appointment: Choose one of our partner blood test clinics located across London. Our clinics operate 7 days a week, offering flexible appointment times to accommodate your schedule.

  2. GP ConsultationOn your appointment day, you will have a meeting with our General Practitioner (GP) at the clinic. During the consultation, our GP will discuss your health concerns, assess your symptoms, and determine the most appropriate blood test for your needs.

  3. Provide a Blood Sample: One of our trained nurses or phlebotomists will collect your blood sample during the visit. The process is quick and typically takes less than a minute, ensuring minimal discomfort.

  4. Receive Your Results: In most cases, clinics offer fast turnaround times, often providing results on the same day. Once ready, your results will be sent to you via email. If needed, you can schedule a follow-up appointment with our GP to discuss the test results and explore further steps for your health.

This streamlined process ensures a convenient and efficient way to manage your health and access important medical information.

What quantity of blood is drawn in a blood test?

The amount of blood drawn for testing is usually enough to fill a small vial. If multiple tests are required, several vials of blood may be collected. Typically, this requires up to 5 to 20 ml of blood. This small quantity for testing is minimal and poses no risk to your health.

How long does it take to get test results?

Blood test results can take from a few hours to several days to come, depending on the type of test and the lab’s processing times. Here is an estimated timeline for some common blood tests:

  • CBC: 24 hours
  • BMP: 24 hours
  • CMP: 24 to 72 hours
  • Lipid panel: 24 hours

The duration may vary based on the specific lab and the number of tests ordered. If multiple tests are performed, you might not receive all results until every test is completed.

Interpreting Blood Test Results

  1. Quantitative Test Results: For tests measuring specific quantities, such as cholesterol levels, results are presented numerically.

  2. Abnormal Markers: Reports often highlight results that come beyond the normal range. For highly abnormal results, additional comments may appear, and your doctor might contact you directly for urgent follow-up.

  3. Reference Range: Each lab establishes its own reference range for various tests. This range will be displayed alongside your result to help you understand where your blood scores stand as compared to the normal values.

Understanding your laboratory report involves reviewing these components carefully. If you have questions about your results or what they mean for your health, consulting your doctor is recommended for detailed interpretation.

Key Takeaways

Regular blood tests are crucial for monitoring your health, diagnosing conditions, and managing ongoing treatments. By assessing key substances in your blood, doctors can identify early signs of disease, track organ function, and personalise treatment for your health. Moreover, discussing your results with a healthcare provider ensures proper understanding and follow-up for your better health in the long run.