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Patient's name Date Tests advised Come on Time

Fasting needed

YesNo

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Blood tests

Test	Food and drink	Also remember
Fasting blood sugar	Nothing except plain water for 8 to 12 hours. An overnight fast is best.	Take diabetes tablets and mealtime insulin only after the sample, with breakfast. Take long-acting insulin at its usual time. No tea, coffee, chewing gum, smoking or exercise during the fast.
Sugar after a meal	Eat your usual meal. The sample is taken exactly 2 hours after the first bite.	Take your usual diabetes medicines with that meal. Nothing more to eat until the sample.
HbA1c	No fasting. Any time of day.
Thyroid tests	No fasting needed.	If you take a thyroid tablet, give the sample before that day's tablet. Stop biotin (hair and nail vitamins) for 2 days before.
Cholesterol (lipid profile)	Fasting is usually not essential. Fast 8 to 12 hours if your doctor wrote fasting, if it is done with a fasting sugar, or if your triglycerides are high.
Blood count, kidney, liver, vitamin D, B12	No fasting needed.

Urine tests

Test	How	Also remember
Urine protein (ACR)	The first urine of the morning is best.	Not within 24 hours of hard exercise, and not during periods, fever or a urine infection.
Routine or culture	A midstream sample. See samples at home.
24-hour urine	See the 24-hour urine sheet.

Scans and other tests

Test	Before you come	Also remember
FibroScan (liver)	No food for 3 hours before. Water is allowed.	Painless. Takes 5 to 10 minutes.
Body composition test	No heavy meal for 2 hours. No exercise just before. Empty your bladder.	Light clothes, bare feet. Not done if you have a pacemaker or other implanted electronic device, or if you are pregnant.
Ultrasound of the abdomen	No food for 6 hours. Water is allowed, milk is not.	If you have diabetes, ask for an early morning time.
Ultrasound of the pelvis	Drink 1 litre of water, finishing about 1 hour before. Do not pass urine until the scan is done.
ECG	No preparation.	No oil, lotion or powder on the chest. Wear a top that opens easily. Bring old ECGs.
2D echo	Eat and drink as usual.	Takes 30 to 40 minutes.
EEG	Eat normally. Take your usual medicines unless told otherwise.	Hair washed and dry, with no oil or gel. Takes 45 to 60 minutes.
Nerve conduction study	Eat normally.	No oil, cream or lotion on the arms and legs that day. Keep hands and feet warm. Tell the staff about a pacemaker or a blood thinner.
X-ray	No preparation.	Tell the staff if you are or may be pregnant. Remove jewellery and clothes with metal.
Spirometry	See the spirometry sheet.

Bring with you

The doctor's request slip
Your previous reports of the same test
A list of your medicines, or the strips themselves
Your diabetes tablets or insulin and something to eat, if you are fasting

If you have diabetes and are asked to fast

Ask for the earliest time in the morning.
Do not take diabetes tablets or mealtime insulin until you are about to eat. Take long-acting insulin at its usual time.
If you feel low (sweating, shaking, hunger, confusion), treat it at once with sugar and tell the staff. The test can be repeated another day.

Questions about this sheet? Call Caspian Healthcare reception on +91 89193 41154. A doctor is on duty at all hours for problems that are not critical. Caspian has no emergency department: in an emergency call 108.

Where this comes from

Prepared by Caspian Healthcare from the sources above. Last reviewed October 2026. General information: your own doctor's written instructions come first.