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Sugar (Glucose) Post Prandial

Diabetes
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Report in 4Hrs

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Fasting Required

Details

Measures blood sugar levels to diagnose diabetes

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Sugar (Glucose) Post Prandial - Comprehensive Medical Test Guide

  • Why is it done?
    • Measures blood glucose level 2 hours after consuming a meal or glucose drink to assess how the body processes and manages blood sugar after food intake
    • Screens for and diagnoses diabetes mellitus, particularly Type 2 diabetes and gestational diabetes
    • Evaluates glucose tolerance and pancreatic beta cell function in response to dietary carbohydrates
    • Monitors glucose control in patients already diagnosed with diabetes
    • Identifies individuals at risk for metabolic syndrome and cardiovascular disease
    • Typically ordered during routine health screening, pregnancy assessment, or when symptoms of hyperglycemia are present (excessive thirst, frequent urination, fatigue)
  • Normal Range
    • Normal Range: Less than 140 mg/dL (7.8 mmol/L) for non-diabetic individuals
    • Impaired Glucose Tolerance (IGT): 140-199 mg/dL (7.8-11.0 mmol/L) - indicates prediabetes
    • Diabetes Mellitus: 200 mg/dL (11.1 mmol/L) or higher - diagnostic for diabetes
    • Gestational Diabetes Screening: Normal <140 mg/dL, Abnormal ≥140 mg/dL during pregnancy glucose tolerance test
    • Units of Measurement: mg/dL (milligrams per deciliter) or mmol/L (millimoles per liter)
    • Interpretation: Normal results indicate efficient glucose metabolism and good insulin response. Elevated results suggest impaired glucose tolerance or diabetes requiring further evaluation and lifestyle modification or medical intervention
  • Interpretation
    • Results <140 mg/dL (Normal): Indicates normal glucose regulation and adequate insulin secretion and sensitivity
    • Results 140-199 mg/dL (Impaired Glucose Tolerance): Prediabetic state with decreased insulin sensitivity; significant risk for developing Type 2 diabetes within 5-10 years without intervention
    • Results ≥200 mg/dL (Diabetic): Diagnostic of diabetes mellitus; indicates significant impairment in glucose metabolism and insulin function; warrants immediate medical management
    • Factors Affecting Results: Stress, infection, illness, menstrual cycle, physical activity level, dietary composition (high glycemic index foods), medications (corticosteroids, beta-blockers), smoking, caffeine consumption, and obesity
    • Clinical Significance: Post-prandial glucose testing is more sensitive than fasting glucose for detecting impaired glucose tolerance and early diabetes; consistently elevated values indicate poor metabolic control and increased cardiovascular and microvascular complication risks
    • Variability in Interpretation: Results may vary based on meal composition, portion size, and individual metabolic responses; ethnic and age-related variations exist
  • Associated Organs
    • Primary Organ Systems: Endocrine system (pancreatic beta cells), liver (glucose production and regulation), muscles (glucose uptake and utilization)
    • Associated Conditions with Elevated Post-Prandial Glucose: Type 2 Diabetes Mellitus, Type 1 Diabetes Mellitus, Gestational Diabetes Mellitus, Insulin Resistance, Metabolic Syndrome, Prediabetes
    • Secondary Conditions Associated with Elevated Glucose: Polycystic Ovary Syndrome (PCOS), Cushing's Syndrome, Hyperthyroidism, Pancreatic disease, Liver cirrhosis, Hemochromatosis, Acromegaly
    • Potential Complications of Prolonged Elevated Post-Prandial Glucose: Diabetic retinopathy (eye damage), Diabetic nephropathy (kidney disease), Diabetic neuropathy (nerve damage), Coronary artery disease, Cerebrovascular disease, Diabetic foot ulcers, Accelerated atherosclerosis
    • Target Organs for Chronic Hyperglycemia Damage: Kidneys, Eyes, Peripheral nerves, Heart and blood vessels, Brain
  • Follow-up Tests
    • If Results are Abnormal: Fasting Blood Glucose (FBG) to assess baseline glucose levels
    • Hemoglobin A1C (HbA1C) to evaluate average glucose control over 2-3 months
    • Oral Glucose Tolerance Test (OGTT) for comprehensive glucose response evaluation
    • Fasting Insulin or C-peptide to assess pancreatic insulin production
    • Lipid panel (cholesterol, triglycerides, HDL, LDL) to assess cardiovascular risk
    • Liver function tests and renal function tests (creatinine, eGFR) to monitor diabetes complications
    • Urinalysis and microalbumin testing to detect early kidney damage
    • For Diabetic Patients - Routine Monitoring: HbA1C every 3-6 months (target <7% for most adults)
    • Home glucose monitoring as prescribed by healthcare provider
    • Annual comprehensive metabolic panel and renal/liver function assessment
    • Annual eye examinations and foot assessments
    • For Gestational Diabetes Screening Abnormalities: 3-hour Glucose Tolerance Test for confirmatory diagnosis
    • Fetal ultrasound monitoring and maternal glycemic control assessment
  • Fasting Required?
    • Fasting Required: NO - This is a non-fasting test
    • Pre-Test Instructions: Patient should eat a normal meal or consume standard glucose drink (75g glucose load for diagnostic OGTT)
    • Blood sample collection should occur EXACTLY 2 hours after meal consumption or glucose drink ingestion
    • Patient should refrain from eating or drinking (except water) during the 2-hour waiting period
    • Medication Instructions: Continue regular medications unless specifically instructed otherwise by physician
    • Inform provider of medications that may affect glucose metabolism (corticosteroids, thiazide diuretics, beta-blockers, oral contraceptives)
    • Additional Preparation Requirements: Maintain normal physical activity level in days preceding test
    • Minimize stress and ensure adequate sleep night before testing
    • Avoid smoking and excess caffeine on test day
    • Wear comfortable, loose-fitting clothing for easy blood draw access
    • Inform phlebotomist of any previous difficulties with blood draws or vasovagal responses

How our test process works!

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