Glucose Tolerance Test
- PMID: 30422510
- Bookshelf ID: NBK532915
Glucose Tolerance Test
Excerpt
A glucose tolerance test (GTT) is a procedure that determines whether a patient can use and store glucose normally. The test is typically used to diagnose diabetes mellitus, insulin resistance, impaired pancreatic β-cell function, and, occasionally, reactive hypoglycemia or acromegaly, as well as rarer disorders of carbohydrate metabolism. In the most commonly performed version, the oral glucose tolerance test (OGTT), a standard dose of glucose is ingested by mouth, and blood levels are measured 2 hours later. Many variations of the GTT have been developed over the years for different purposes, with varying standard glucose doses, administration routes, sampling intervals, and measurements of additional substances beyond blood glucose.
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Sections
- Introduction
- Etiology and Epidemiology
- Pathophysiology
- Specimen Requirements and Procedure
- Diagnostic Tests
- Testing Procedures
- Interfering Factors
- Results, Reporting, and Critical Findings
- Clinical Significance
- Quality Control and Lab Safety
- Enhancing Healthcare Team Outcomes
- Review Questions
- References
References
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- Stern MP, Williams K, Haffner SM. Do we need the oral glucose tolerance test to identify future cases of type 2 diabetes? Diabetes Care. 2003 Mar;26(3):940-1. - PubMed
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- Phillips PJ. Oral glucose tolerance testing. Aust Fam Physician. 2012 Jun;41(6):391-3. - PubMed
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- Genuth SM, Palmer JP, Nathan DM. Classification and Diagnosis of Diabetes. In: Cowie CC, Casagrande SS, Menke A, Cissell MA, Eberhardt MS, Meigs JB, Gregg EW, Knowler WC, Barrett-Connor E, Becker DJ, Brancati FL, Boyko EJ, Herman WH, Howard BV, Narayan KMV, Rewers M, Fradkin JE, editors. Diabetes in America. 3rd. National Institute of Diabetes and Digestive and Kidney Diseases (US); Bethesda (MD): 2018. Aug,
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