| A B C D E F G H I J K L M N O P Q R S T U V W X Y Z # |
FEMM - GT/Insulin/Prolactin/TSH
MessageThe FEMM1 Panel consists of 5 timed draws.
- Draw fasting specimen
- Administer 75g oral glucose (Glucola)
- Draw specimen 30 minuites after consumption of oral glucose
- Draw specimen 60 minutes after consumption of oral glucose
- Draw specimen 90 minutes after consumption of oral glucose
- Draw specimen 120 minutes after consumption of oral glucose
Test Code
FEMM1
CPT Codes
82951, 82952x2, 83525x5, 84443x3, 84146x3
Includes
Glucose x5, Insulin x5, TSH x3, Prolactin x3
Preferred Specimen
Serum - Gold tube (gel separator)
Patient Preparation
Fasting 8-12 hours.
Minimum Volume
1.0 mL
Other Acceptable Specimens
None
Instructions
Separate from red cells ASAP to minimize loss of glucose through glycolysis. Refrigerate until tested
Transport Temperature
Refrigerated
Specimen Stability
2-8˚C up to 3 days
15-30˚C up to 8 hours
15-30˚C up to 8 hours
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Hemolysis
Methodology
Glucose - Hexokinase
Insulin - Chemiluminescent immunoassay
TSH - Chemiluminescent immunoassay
Prolactin - Chemiluminescent immunoassay
Setup Schedule
M, T, W, Th, F, Sa, Sun
Report Available
Within 48 hours of receipt at performing laboratory
Reference Range
Reference ranges adopted from the Fertility Education and Medical Management Organization
| FASTING | |
| GLUCOSE | 72-90 mg/dL |
| INSULIN | 3-10 mIU/mL |
| TSH | 0.35-2.5 mIU/L |
| PROLACTIN | 5.0-15.0 ng/mL |
| 30 MIN POST GLUCOLA | |
| GLUCOSE | 72-160 mg/dL |
| INSULIN | 3-100 mIU/mL |
| TSH | 0.35-2.5 mIU/L |
| PROLACTIN | 5.0-15.0 |
| 60 MIN POST GLUCOLA | |
| GLUCOSE | 72-160 mg/dL |
| INSULIN | 3-100 mIU/mL |
| TSH | 0.35-2.5 mIU/L |
| PROLACTIN | 5.0-15.0 |
| 90 MIN POST GLUCOLA | |
| GLUCOSE | 72-160 mg/dL |
| INSULIN | 3-100 mIU/mL |
| 120 MIN POST GLUCOLA | |
| GLUCOSE | 72-140 mg/dL |
| INSULIN | 3-60 mIU/mL |
Performed By
Alverno Laboratories
Performing Laboratory
Alverno Laboratories
Last Updated: June 25, 2026
