Test Code 124 Glucose Tolerance Test, Gestational; 100 Gm Load
Additional Codes
ALAB: GLUC3HR
PowerChart: Glucose Tolerance Gestational
MA Cerner: GTT 3 Hr Gestational
Test Method
MercyOne DBQ:
Timed Endpoint; Beckman DXC880i
Mercy DV and MQMA:
Catalytic Oxidation Electrode; iSTAT
MA East and West:
Enzymatic Colorimetric Method; Roche Cobas 6000
Specimen Requirement
0.5 mL serum or plasma is required.
Additional Specimen Collection Information
Collect blood in a lithium heparin, green-top or red-top tube fasting and at specified time intervals after the patient has consumed 100 gm of Trutol. PST and SST (gel tubes) are acceptable. Samples with ≥ 3+ lipemia must be cleared prior to analysis. The serum or plasma must be physically separated from the cells within 2 hours of collection.
- 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.
Performance
Testing is performed Monday through Friday.
Same day turn around time.
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)
Useful For
Diagnosis of Gestational Diabetes Melitis
LOINC Code Information
50608-9 Glucose Tolerance 3 Hours Gestational Panel-Serum Or Plasma