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Test Code GT3HR Glucose Tolerance Test, Gestational; 100 Gm Load LAB164

Performing Laboratory

UnityPoint The Finley Hospital

Test Method

Enzymatic; Roche cobas Pro

Performance

Testing is performed Monday through Friday.

Same day turn around time.

Specimen Requirement

 

  • The test is administered in the morning following a fast of
    between 8-10 hours. The fasting specimen must be tested and within
    normal range before Trutol is administered.
  • The patient should have had at least 3 days of unrestricted
    diet and normal physical activity. Instruct the patient to remain
    seated or reclined throughout the procedure.
  • The patient may have water to drink but nothing else. Coffee
    and smoking materials are prohibited.
  • The NIH (National Institute of Health) recommends 3 hours
    in pregnant subjects, with an additional specimen collected at the
    first and third hour.
  • A physician can request a longer OGTT (Oral Glucose
    Tolerance Test) with different dosages and specimen collection
    intervals. Consult a pathologist when this occurs.
  1. Lithium heparin plasma (green) is the specimen of choice. 0.5mL
  2. Serum (red/gold) and EDTA plasma (purple) are also acceptable sample types.
  3. It is recommended that the serum or plasma be separated from contact with cells within 30 minutes from time of collection.
  4. Serum/plasma glucose specimens are stable for 8 hours at 25°C, or 72 hours at 4°C. 

Useful For

Diagnosis of Gestational Diabetes Melitis

Reference Values

“Gestational diabetes” if 2 or more patient values fall within
the following parameters :

  • Fasting: ≥ 95 mg/dL
  • 1 hour: ≥ 180 mg/dL
  • 2 hour: ≥ 155 mg/dL
  • 3 hour: ≥ 140 mg/dL

CPT Code Information

82951 Chemistry: Glucose Testing Glucose; tolerance test (GTT),
3 specimens (includes glucose)

82952 Chemisty: Glucose Testing Glucose; tolerance test (GTT),
each additional beyond 3 specimens (List separately in addition to
code for primary procedure)

LOINC Code Information

50608-9 Glucose Tolerance 3 Hours Gestational Panel-Serum Or
Plasma