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Serum Insulin PP after 75gm Glucose load

Unit Test
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Details

Assesses insulin levels in blood; used in diagnosing insulin resistance and metabolic syndrome.

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🧪 What is Serum Insulin PP after 75 gm Glucose Load?

This test measures the level of insulin in the blood 2 hours after ingestion of 75 grams of glucose. It evaluates how the pancreas responds to a glucose challenge, reflecting insulin secretion and sensitivity.

❓ Why is the Test Done?

To:

  • Assess insulin resistance and beta-cell function
  • Diagnose and monitor prediabetes and Type 2 diabetes
  • Evaluate metabolic syndrome and polycystic ovarian syndrome (PCOS)
  • Investigate causes of hypoglycemia or reactive hypoglycemia
  • Guide treatment decisions related to glucose metabolism disorders

📊 Normal Range

Insulin Level (µIU/mL)

Interpretation

< 50

Normal insulin response

50 – 80

Possible hyperinsulinemia/insulin resistance

> 80

Significant insulin resistance

Reference ranges may vary by laboratory and method.

📈 Interpretation of Results

Result

Clinical Significance

Low Insulin

Possible beta-cell failure (Type 1 diabetes)

Normal Insulin

Adequate pancreatic response

High Insulin

Insulin resistance, early Type 2 diabetes, PCOS

Very High Insulin

Severe insulin resistance or hyperinsulinemic state

🧠 Associated Conditions

Condition

Details

Type 2 diabetes

Insulin resistance and relative insulin deficiency

Prediabetes

Early metabolic dysfunction

Polycystic ovarian syndrome (PCOS)

Often associated with hyperinsulinemia

Hypoglycemia

Investigate reactive or insulinoma-related causes

🔄 Related / Follow-Up Tests

  • Fasting Insulin
  • Fasting and postprandial glucose
  • HbA1c
  • HOMA-IR (Homeostatic Model Assessment for Insulin Resistance)
  • C-peptide
  • Lipid profile

✅ Fasting Required?

Test

Fasting Required

Insulin PP after 75 gm glucose load

✅ Initial fasting required before glucose load; sample taken 2 hours after ingestion

📝 Summary Table

Parameter

Details

What

Measures insulin 2 hours after 75 gm oral glucose load

Why

Assess insulin secretion, insulin resistance, beta-cell function

Normal Range

< 50 µIU/mL

High Levels

Insulin resistance, PCOS, early Type 2 diabetes

Low Levels

Beta-cell failure (Type 1 diabetes)

Associated Conditions

Diabetes, prediabetes, PCOS, hypoglycemia

Follow-up Tests

Fasting insulin, glucose, HbA1c, HOMA-IR

Fasting Required

✅ Yes, fasting before glucose load, then sample 2 hours post ingestion

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