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Test Code LAB909 Non-Gestational 2HR Glucose Tolerance Test

Clinical Information

This test is intended for the diagnosis of diabetes mellitus in non-pregnant patients. It is to be used with a 75 g oral glucose load and includes a fasting plasma glucose sample (fasting defined as no caloric intake for 8 hours) and a plasma glucose sample obtained 2 hours post-75g oral glucose load.

Synonym

  • GTF
  • G2T

Profile Information

Reporting Name Available Separately Always Reported
Glucose, Fasting (Non-Gestational) Yes Yes
Glucose Tolerance, 2Hr (Non-Gestational) Yes Yes

Specimen Required

Preferred Container/Tube: Mint Green Top
Acceptable Container/Tube: Mint Green Top, Gold SST Top
Specimen Volume: 3 mL
Specimen Minimum Volume: 1 mL

Specimen Stability Information

Ambient: 8 hours
Refrigerated: 3 days

Rejection Due To

  • Gross hemolysis
  • Gross icterus
  • Quantity not sufficient
  • Quality not acceptable

Reference Values

Glucose, Fasting

70-125 mg/dL

 

Glucose Tolerance, 2 Hr

70-199 mg/dL

Interpretation

According to the American Diabetes Association's clinical practice recommendations, the diagnosis of diabetes mellitus can be made if either the fasting plasma glucose or the 2hr post-glucose samples meet or exceed 126 mg/dL or 200 mg/dL, respectively. The recommendations also note that in the absence of unequivocal hyperglycemia, the diagnosis requires two abnormal test results from the same sample or in two separate test samples.

The ADA criteria for prediabetes is a fasting plasma glucose of 100-125 mg/dL or 2hr post-glucose sample of 140-199 mg/dL.

Cautions

Falsely elevated glucose results may occur in patients taking Eltrombopag.  In some cases of monoclonal gammopathies (especially Waldenstrom's macroglobulinemia with very high concentrations of IgM), glucose results may be unreliable.

Method Description

Photometric rate with hexokinase

Performing Lab

Clinical Lab UH
Clinical Lab University East
Clinical Lab Martha Morehouse
Clinical Lab Spielman

Day(s) Performed

Monday through Sunday

Report Available

Same day/1 day

Reporting Name

Glucose, Fasting (Non-Gestational)
Glucose Tolerance, 2Hr (Non-Gestational)

CPT Code Information

82947
82950

LOINC Code Information

2345-7 x2