Glucose Tolerance, 3 Hour (Pregnant)

Message
Performing Lab: Central Lab, Hudson, Lakeview, Regions, Sartell, Westfields


Test Code
EP3321


Alias/See Also
Sunquest: GTT3P


CPT Codes
82951, 82952

Preferred Specimen
0.2 mL Lithium Heparin Plasma (light green-top) tube


Minimum Volume
0.1 mL


Other Acceptable Specimens
Serum separator (gold-top), Lithium Heparin (light green-top) on ICE, Red, Red/Gray


Instructions
Glucose Tolerance testing involves administration of a glucose solution. Contact performing laboratory for instructions on administration, collection and test performance


Transport Temperature
Refrigerated


Specimen Stability
Room Temperature: 24 hours
Refrigerated: 7 days
Frozen: 1 year

 


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Samples not removed from cellular material within 30 minutes, hemolysis


Methodology
Colorimetric

Setup Schedule
Hospital: Daily
Clinics: Monday - Friday


Report Available
Same day.


Reference Range
Fasting: 70 - 95 mg/dL
1 hour: 70 - 180 mg/dL
2 hour: 70 - 155 mg/dL
3 hour: 70 - 140 mg/dL
Critical Low: <= 50 mg/dL
Critical High: >= 450 mg/dL


Clinical Significance
During pregnancy, about 4% of women with no prior history of diabetes will develop gestational diabetes. Although it can occur at any time, most cases will develop during the later part of the pregnancy. If increased blood sugar levels in the pregnant woman are uncontrolled, they can cause the fetus to increase in size and weight. They can also cause the baby to be born with very low glucose levels and to have breathing difficulties. Most women are checked for gestational diabetes between 24 and 28 weeks of pregnancy. For those with gestational diabetes, diet control and/or insulin injections throughout the rest of the pregnancy may be required to bring glucose levels down to normal levels. In most cases, gestational diabetes will go away after delivery, but women who have gestational diabetes will be at an increased risk of having it again with subsequent pregnancies and of developing type 2 diabetes in the future.




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.