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Test Code GTTGES Glucose Tolerance Gestational, 3 hours, LAB2491

Important Note

Note: A fasting glucose must be collected and run before glucose load is given. If fasting glucose is greater than 125 mg/dL, notify the ordering provider and verify testing should proceed.

Performing Laboratory

St. Luke's Hospital Cedar Rapids

Specimen Requirements

Container/Tube:

Preferred: Green-top (lithium heparin) tube

Acceptable: Gold-top serum gel tube or plain red-top tube separated from cells
Specimen Volume: 0.1 mL of plasma or serum

Stability: Separated specimens are stable for as long as 8 hours at 25°C and up to 72 hours at 4°C.

Collection Instructions: A fasting specimen will be drawn and reported prior to a 100 g glucose load given.

Additional specimens will be drawn at 1 hour, 2 hour, and 3 hours post dose.
Note: Label specimen appropriately (fasting, 1 hour, 2 hours or 3 hours post dose).

Reference Values

Fasting: 70-94 mg/dL

1 Hour: <180 mg/dL

2 Hour: <155 mg/dL

3 Hour: <140 mg/dL

 

Critical Lows

0-2 days:  <46 mg/dL

>2 days:  <70 mg/dL

Critical Highs

0-7 days: >200 mg/dL

>1 week: >400 mg/dL

Day(s) Test Set Up

Monday through Sunday

Useful For

Glucose tolerance tests have traditionally been used for the diagnosis of reactive hypoglycemia. “Reactive” hypoglycemia is hypoglycemia that occurs following a meal and is classified as alimentary, functional, or that found in diabetics or people with impaired glucose tolerance.

Methodology

Hexokinase/Ultraviolet

Test Classification and CPT Coding

82951-First 3 specimens

82952-Each additional specimen

Report Available

Within 3 hours of receipt