100 gram, fasting, 3-hour gestational glucose tolerance confirmation




Test Mnemonic

GTGST3

CPT Codes

  • 82951 - QTY (1)
  • 82952 - QTY (1)

Includes

  • Glucose, Fasting
  • Glucose, 1 hr
  • Glucose 2 hr
  • Glucose 3 hr

Performing Laboratory

Cleveland Clinic Laboratories


Specimen Requirements

Volume Type Container Collect Temperature Transport Temperature Special Instructions
1 mLPlasmaPotassium oxalate/sodium fluoride (Gray) Centrifuge and refrigerate.Aliquot into CCL aliquot tube

Minimum Specimen Requirements

Volume Type Container Collect Temperature Transport Temperature Special Instructions
0.3 mL     

Stability

Environmental Condition Description
Ambient 24 hours
RefrigeratedAfter removed from cells: 72 hours
FrozenUnacceptable

Days Performed

Sun - Sat

Turnaround Time

8 hours

Methodology

Name Description
Glucose Hexokinase 

Reference Range

Glucose GST, 1 Hr
Sex Age From Age To Type Range Range Unit
       Normal74-179mg/dL
   Years99 YearsUrgent>500mg/dL
       UrgentInpatient only: 40-49 mg/dL (First result only, once every 24 hours.)mg/dL
   Years99 YearsCritical<40mg/dL
Glucose GST, 2 Hr
Sex Age From Age To Type Range Range Unit
       Normal74-154mg/dL
   Years99 YearsUrgent>500mg/dL
       UrgentInpatient only: 40-49 mg/dL (First result only, once every 24 hours.)mg/dL
   Years99 YearsCritical<40mg/dL
Glucose GST, 3 Hr
Sex Age From Age To Type Range Range Unit
       Normal74-139mg/dL
   Years99 YearsUrgent>500mg/dL
       UrgentInpatient only: 40-49 mg/dL (First result only, once every 24 hours.)mg/dL
   Years99 YearsCritical<40mg/dL
Glucose GST, Fasting
Sex Age From Age To Type Range Range Unit
       Normal74-94mg/dL
   Years99 YearsUrgent>500mg/dL
       UrgentInpatient only: 40-49 mg/dL (First result only, once every 24 hours.)mg/dL
   Years99 YearsCritical<40mg/dL

Special Info

Patient should be fasting at least 8 hours prior to test. Collect a fasting specimen, then administer 100 gm of Dextrose within 5 minutes. Collect specimens at 1, 2 and 3 hours post glucose load. Indicate collection time on each specimen.

Clinical Info

Confirmation of Gestational Diabetes Mellitus American Congress of Obstetricians and Gynecologists (Carpenter/Coustan) guidelines state gestational diabetes mellitus is present when 2 or more of the plasma glucose concentrations meet or exceed the following levels: fasting: 95 mg/dL; 1 hr: 180 mg/dL; 2 hr: 155 mg/dL; and 3 hr: 140 mg/dL.

Technical Brief