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Glucose, Tolerance Test, Non-Gestational 2 Hour

Important Note

ADA recommendation for non-gestational diabetes screening

Additional Codes

Atlas

Test Code Test Name
GTT2 Glucose Tol, 2 Hr

 

Cerner

Test Code Test Name
N/A GTT 2 Hour

 

Specimen Requirements

Patient Preparation

For 3 days prior to day of testing, the patient should consume unrestricted high carbohydrate diet (150 g/day) and have normal physical activity.  Patient should fast 8 hours prior to start of test.

 

Draw a fasting specimen

 

Patient is given 75 g glucola or 75g Fresh Test (give children 1.75 g glucose per kg of child’s weight).  Fresh Test is an alternative to Glucola, and is provided by the patient.  NOTE:  It is also acceptable to have the patient consume another source of glucose (jellybeans, sugar water, etc) if directed to by their provider.

 

Blood is to be drawn two hours later

 

Instruct patient to remain fasting, (no food, no drinks, only sips of water) throughout test.  Advise no smoking and limited exercise.  Advise patient to inform lab or nursing staff when symptoms of nausea, vomiting, dizziness,dyspnea, fainting occur.

 

Container Type: 

Gold Top 6mL SST Gel & Clot Activator Tube

Or

 

Green Top 5mL Lithium Heparin Separator Tube

Or

 

5.5mL Sodium Fluoride(NaF)/Potassium Oxalate Grey Top Tube

Specimen Type:

Serum or Plasma

 

Specimen Volume: 

2.5 mL Serum or Plasma

minimum .5 mL of Serum or Plasma

 

Specimen Handling/Transport:

Separate serum or plasma  from cells within 2 hours of collection if not in NaF (grey top).  Transport ambient room temperature.

 

Specimen Stability/Storage:

8 hours ambient room temperature or 24 hours ambient room temperature if NaF (grey top)

3 days refrigerated 2-8°C

Performing Laboratory

Munson Healthcare Laboratories

Priority, Frequency, & Turnaround

Priority:

Non-Emergent

 

Frequency:

Monday through Sunday

 

Turnaround:

0-1 Day

Methodology

Glucose Hexokinase

Reporting

Reference Range:

70 - 140 mg/dL

 

Critical Decision:

Pediatric patients up to 21 years old   35 mg/dL, ≥ 200 mg/dL 

Patients 21 years and older  ≤ 50mg/dL, ≥500 mg/dL

 

Note:  Critical values are called to the provider and communicated as critical.  Documentation of the call is recorded in the patient record.

Clinical Significance

Glucose is the major energy source for the human body.  Glucose determinations are ordered for the diagnosis and follow-up of abnormalities of carbohydrate metabolism.  This tolerance is a definitive test for diabetes in nonpregnant patients and definitive test for diabetes in childhood.

CPT Code(s)

82947-Glucose, quantitative

82950-Post-glucose dose