Glucose Challenge

Test Code
GCHAL


Alias/See Also
Epic: LAB2288


Preferred Specimen

Specimen Type: Plasma
Collection Container: Grey top (potassium oxalate/sodium fluoride)
Specimen Volume: 3 mL




Patient Preparation
  1. Cigarette smoking will affect results and should be avoided.
  2. Fasting is not necessary. 


Minimum Volume

0.1 mL




Other Acceptable Specimens

Specimen Type: Plasma 
Collection Container: Green top (Lithium heparin)

Specimen Type: Serum
Collection Container: Serum gel, red top




Instructions
  1. No fasting sample is collected.
  2. Administer 50 grams oral glucose solution.  Ingestion should be completed within five (5) minutes.
  3. Draw sample one (1) hour after ingestion of oral glucose.
  4. Centrifuge and separate cells after clot formation and within 4 hours of collection. 


Transport Container
Plastic vial


Specimen Stability

Room temperature: 2 days
Refrigerated: 7 days
Frozen: 1 day




Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

Unlabeled, mislabeled, wrong tube type, QNS, hemolyzed.




Methodology

Hexokinase / G-6-PDH



Setup Schedule

Daily




Report Available

Same day




Reference Range
See laboratory report


Clinical Significance
Blood glucose determinations are commonly used as an aide in the diagnosis and treatment of diabetes. Elevated glucose levels (hyperglycemia) may also occur with pancreatic neoplasm, hyperthyroidism, and adrenal cortical hyperfunction as well as other disorders. Decreased glucose levels (hypoglycemia) may result from excessive insulin therapy or various liver diseases.


Performing Laboratory

Inova Laboratories

2832 Juniper Street

Fairfax, VA 22031




Last Updated: April 25, 2024
Last Review: N. Wolford, April 25, 2024


The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.