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Glucose Tolerance Test

Methodology

Ortho Vitros 7600, Integrated System, Colormertic

Performing Laboratory

Heart of the Rockies Regional Medical Center

Specimen Requirements

Specimen Type: Serum/plasma
Container/Tube:

Serum: Yellow top or red top

Plasma: Light-green top

Specimen Volume: Full tube

Collection Instructions:

1. The patient should be fasting for 8 hours before testing, and should arrive at 7:30am.

2. First draw a fasting glucose specimen. If the fasting glucose is >150 mg/dL, notify physician to be sure it is okay to continue with the test.

3. Have the patient drink the 75g glucose beverage and note the time.

4. At one hour after the glucose is given, draw the one-hour specimen. Subsequent specimens are obtained at 2 hours, 3 hours, etc. according to the Physician’s request.

Specimen Transport Temperature

Ambient/Refrigerated OK

Reference Values

Fasting Glucose Values

Interpretation              
<100 mg/dL Normal fasting glucose
100-125 mg/dL Impaired fasting glucose
≥126 mg/dL

Provisional diagnosis of DM

(confirmation required)*

2-Hour Post Load Glucose  
<140 mg/dL Normal glucose tolerance
140-199 mg/dL Impaired glucose tolerance
≥200 mg/dL

Provisional diagnosis of DM

(confirmation required)*

*Glucose values should be interpreted in the context of clinical findings

 

Criteria for the etiologic classification of Diabetes Mellitus (DM) according to the Expert Committee on the Diagnosis and Classification of DM:

-Symptoms and a random glucose of >200 mg/dL or

-A fasting glucose concentration of >126 mg/dL or

-Two hour glucose concentration of >200 mg/dL

Test Classification and CPT Coding

82951-3 specimens

82959-Each additional specimen beyond 3