Glucose Tolerance Test (GTT), 2 Specimens

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The glucose tolerance test is a medical test in which glucose is given and blood samples taken afterward to determine how quickly it is cleared from the blood. The test is usually used to test for diabetes, insulin resistance, impaired beta cell function, and sometimes reactive hypoglycemia and acromegaly, or rarer disorders of carbohydrate metabolism. In the most commonly performed version of the test, an oral glucose tolerance test (OGTT), a standard dose of glucose is ingested by mouth and glucose blood levels are checked right after ingestion and then two hours later.
The glucose tolerance test is a medical test in which glucose is given and blood samples taken afterward to determine how quickly it is cleared from the blood. The test is usually used to test for diabetes, insulin resistance, impaired beta cell function, and sometimes reactive hypoglycemia and acromegaly, or rarer disorders of carbohydrate metabolism. In the most commonly performed version of the test, an oral glucose tolerance test (OGTT), a standard dose of glucose is ingested by mouth and blood levels are checked two hours later.
Fasting is required. Fasting is defined as no consumption of food or beverage other than water for at least 8 hours before specimen collection.
AT THE LAB:
First: A fasting blood glucose test is done. This is a simple blood test that checks your blood sugar before you drink the glucose drink.
Next: The lab technician will tell you to drink the glucose drink. It will taste very sweet. It's important to drink the whole amount fairly quickly.
For appropriate interpretation of this test, the patient must fast overnight and ingest a 75 g load of glucose, immediately after, a fasting specimen is obtained. The lab technician will tell you to drink the glucose drink. It will taste very sweet. It's important to drink the whole amount fairly quickly.
Waiting: After you finish drinking all of the glucose drink, you'll be asked to sit until it's time for your next blood test (about 2 hours later). You may read, listen to music, talk, or do another quiet activity while you are waiting.
Fasting plasma glucose (measured before the OGTT begins) should be below 6.1 mmol/L (110 mg/dL). Fasting levels between 6.1 and 7.0 mmol/L (110 and 125 mg/dL) are borderline ("impaired fasting glycaemia"), and fasting levels repeatedly at or above 7.0 mmol/L (>126 mg/dL) are diagnostic of diabetes.
For a 2 hour GTT with 75 g intake, a glucose level below 7.8 mmol/L (140 mg/dL) is normal, whereas higher levels indicate hyperglycemia. Blood plasma glucose between 7.8 mmol/L (140 mg/dL) and 11.1 mmol/L (200 mg/dL) indicate "impaired glucose tolerance", and levels above 11.1 mmol/L at 2 hours confirm a diagnosis of diabetes.