Test Code LAB2786 GESTATIONAL GTT (Pregnant Females Only)
Additional Codes
CPT Code: 82951
Methodology
Includes fasting, 1-, 2-, and 3-hour glucose levels.
Performing Laboratory
Peninsula Regional Medical Center - Chemistry
Specimen Requirements
Patient Preparation
1. Patient should be on unrestricted physical activity and on
a “normal” diet for 3 days prior to test.
2. Patient should be instructed to eat and drink nothing except for water for 10 to 16 hours prior to test.
3. Patient should be instructed to refrain from smoking and drinking coffee just before and during test.
Specimen Collection
Plasma
Draw blood in a green-top (lithium heparin) tube from a
fasting patient (10-16 hours). (Hemolyzed specimen is not
acceptable.) Spin down and send 2 mL of lithium
heparin plasma as follows:
1. Draw a fasting glucose.
2. If fasting glucose is >126 mg/dL DO NOT continue test - DO NOT administer glucose solution.
3. If fasting glucose is ≤ 126 mg/dL, patient is given a 100 g glucose solution orally.
4. Start timing when patient begins to drink glucose solution. Instruct patient to drink whole amount within several mins.
5. Have patient remain quiet for duration of test.
6. Draw specimens at 1-, 2-, and 3-hours post glucose administration.
Note: Label specimens appropriately (corresponding draw time).
Reference Values
Fasting: <95 mg/dL
1 hour: <180 mg/dL
2 hours: <155 mg/dL
3 hours: <140 mg/dL
Two or more results must exceed their respective cut-offs to establish a diagnosis of gestational diabetes.
Note: A fasting glucose of 100-125 mg/dL is termed “impaired fasting glucose.”
Pediatric Critical value for Fasting Glucose (automatic call-back) < 16 years: <50 mg/dL or >400 mg/dL
Adult Critical value (automatic call-back) ≥ 16 years: <50 mg/dL or >500 mg/dL