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Glucose test

(Redirected fromFasting plasma glucose)

Many types ofglucose tests exist and they can be used to estimateblood sugar levels at a given time or, over a longer period of time, to obtain average levels or to see how fast the body is able to normalize changedglucose levels. Eating food for example leads to elevated blood sugar levels. In healthy people, these levels quickly return to normal via increasedcellular glucose uptake which is primarily mediated by increase in bloodinsulin levels.[citation needed]

Glucose test
Purposeestimate blood sugar levels

Glucose tests can reveal temporary/long-termhyperglycemia orhypoglycemia. These conditions may not have obvious symptoms and can damage organs in the long-term. Abnormally high/low levels, slow return to normal levels from either of these conditions and/or inability to normalize blood sugar levels means that the person being tested probably has some kind of medical condition liketype 2 diabetes which is caused by cellular insensitivity to insulin. Glucose tests are thus often used to diagnose such conditions.

Testing methods

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Tests that can be performed at home are used inblood glucose monitoring for illnesses that have already been diagnosed medically so that these illnesses can be maintained via medication and meal timing. Some of the home testing methods include[citation needed]

Laboratory tests are often used to diagnose illnesses and such methods include

Some laboratory tests don't measure glucose levels directly from body fluids or tissues but still indicate elevated blood sugar levels. Such tests measure the levels ofglycated hemoglobin, otherglycated proteins,1,5-anhydroglucitol etc. from blood.[1]

Use in medical diagnosis

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Glucose testing can be used to diagnose or indicate certain medical conditions.[citation needed]

High blood sugar may indicate

  • gestational diabetes. This temporary form of diabetes appears during pregnancy, and with glucose-controlling medication orinsulin symptoms can be improved.[3]
  • type 1 andtype 2 diabetes orprediabetes. If diagnosed with diabetes, regular glucose tests can help manage or maintain conditions. Type 1, is commonly seen in children or teenagers whose bodies are not producing enough insulin. Type 2 diabetes, is typically seen in adults who are overweight. The insulin in their bodies are either not working normally, or there is not being enough produced.

Low blood sugar may indicate

Preparing for testing

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Fasting prior to glucose testing may be required with some test types. Fasting blood sugar test, for example, requires 10–16 hour-long period of not eating before the test.[1]

Blood sugar levels can be affected by some drugs and prior to some glucose tests these medications should be temporarily given up or their dosages should be decreased. Such drugs may includesalicylates (Aspirin),birth control pills,corticosteroids,tricyclic antidepressants,lithium,diuretics andphenytoin.[medical citation needed]

Some foods containcaffeine (coffee,tea,colas,energy drinks etc.). Blood sugar levels of healthy people are generally not significantly changed by caffeine, but in diabetics caffeine intake may elevate these levels via its ability to stimulate theadrenergic nervous system.[4]

Reference ranges

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Fasting blood sugar

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A level below 5.6 mmol/L (100 mg/dL) 10–16 hours without eating is normal. 5.6–6 mmol/L (100–109 mg/dL) may indicateprediabetes andoral glucose tolerance test (OGTT) should be offered to high-risk individuals (old people, those withhigh blood pressure etc.). 6.1–6.9 mmol/L (110–125 mg/dL) means OGTT should be offered even if other indicators of diabetes are not present. 7 mmol/L (126 mg/dL) and above indicates diabetes and the fasting test should be repeated.[5]

Glucose tolerance test

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Postprandial glucose test

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Random glucose test

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See also

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References

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  1. ^abcdKhatib, Oussama MN (2006).Guidelines for the prevention, management and care of diabetes mellitus. World Health Organization, Regional Office for the Eastern Mediterranean. pp. 30, 37.ISBN 9789290214045.OCLC 76821700.
  2. ^MedlinePlus Encyclopedia:Glucose tolerance test
  3. ^"Is the glucose test during pregnancy optional? - Today's Parent".Today's Parent. 2017-08-30. Retrieved2018-05-05.
  4. ^"How Does Coffee Affect Your Blood Sugar?".WebMD. Retrieved2018-08-30.
  5. ^"Diabetes – tests and diagnosis".Archived from the original on 2013-11-14. Retrieved2013-12-21.

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