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Clinical Test & Procedure Reference

Blood Glucose Test

A blood glucose test measures the glucose levels in your blood.

A blood glucose test measures the glucose levels in your blood. Glucose is a type of sugar. It is your body's main source of energy. It comes from the food you eat. A hormone called insulin helps move glucose from your bloodstream into your cells for use as energy. If you have too much or too little glucose in your blood, it may be a sign of a serious medical condition. High blood glucose levels ( hyperglycemia ) may be a sign of prediabetes or diabetes . Prediabetes is a condition in which your blood glucose levels are higher than what is healthy for you, but not high enough to be considered diabetes. If you have diabetes , your body can't make insulin or can't use it as well as it should, or both. Too much glucose stays in your blood and doesn't reach your cells. This can cause glucose levels to get too high. If blood glucose isn't controlled, it can lead to serious, long-term health conditions , such as heart disease and nerve problems . High blood glucose may also be caused by other conditions that can affect insulin or glucose levels in your blood, such as problems with your pancreas or adrenal glands , and side effects from certain medicines. Low blood glucose levels ( hypoglycemia ) is often caused by certain diabetes medicines for type 1 diabetes or type 2 diabetes , including insulin. In people without diabetes, low blood glucose is much less common. It may be caused by certain medicines and conditions, such as some kidney or liver diseases . Without treatment, severe low blood glucose can lead to major health problems, including seizures and brain damage. Several types of blood tests check blood glucose levels. Your health care provider will choose the test that's right for you. Other names: blood sugar, self-monitoring of blood glucose (SMBG), fasting plasma glucose (FPG), fasting blood sugar (FBS), fasting blood glucose (FBG), random blood sugar, glucose challenge test, oral glucose tolerance test (OGTT)

Why is this test ordered? Your provider may order a blood glucose test as part of your routine checkup. Routine blood tests that include a glucose test include a basic metabolic panel (BMP) and a comprehensive metabolic panel (CMP) . The most common reasons for a blood glucose test are to screen for and monitor prediabetes and diabetes. Your provider may order a blood glucose test if: You have a high risk for developing type 2 diabetes. Your risk may be high if you: Are over 35 years old. The American Diabetes Association recommends diabetes screening for prediabetes and diabetes beginning at age 35 years and older. Have prediabetes. Are overweight or have obesity. Have a family history of diabetes. Have high blood pressure or heart disease . Have ever had gestational diabetes (diabetes that develops during pregnancy) or given birth to a baby who weighed over 9 pounds. Exercise less than three times a week. Have metabolic dysfunction-associated steatotic liver disease (MASLD). Are an African American, Hispanic or Latino, American Indian, or an Alaska Native. Some Pacific Islander people and Asian American people also have a higher risk for developing type 2 diabetes. You have symptoms of high or low glucose levels , which could mean you have diabetes or another condition that affects blood glucose levels. Symptoms of high blood glucose levels include: Increased thirst Frequent urination (peeing) Blurred vision Fatigue Sores that are slow to heal Losing weight without trying Numbness or tingling in your feet or hands Symptoms of low blood glucose levels include: Feeling shaky or jittery Hunger Fatigue Feeling dizzy , confused, or irritable Headache A fast heartbeat or arrhythmia (a problem with the rate or rhythm of your heartbeat) Having trouble seeing or speaking clearly Fainting or seizures You have prediabetes or diabetes. Your provider may schedule blood glucose tests to monitor your condition. You may also monitor your blood glucose at home. You are pregnant. You will likely have a blood glucose test between the 24th and 28th week of your pregnancy to check for gestational diabetes. If you have a high risk for gestational diabetes, your provider may test you earlier. You take long-term medicines, other than diabetes medicines, that may affect blood glucose levels. Examples of medicines that may cause high blood glucose in some people include certain types of: Steroids Antipsychotics Beta-blockers Statins Examples of medicines that may cause low blood glucose in some people include certain types of: ACE inhibitors Antibiotics called quinolones Medicines to treat malaria

Clinical Interpretation

The meaning of your test results will depend on which test you had, the results of other tests, and your medical history. Ask your provider what your test results say about your health. In general: If your results show higher than normal glucose levels , it may mean you have or are at risk for getting diabetes. Prediabetes and diabetes are the most common causes of high glucose levels, but other possible causes include: An overactive thyroid gland ( hyperthyroidism ) A problem with your pancreas, including pancreatitis Stress from surgery, very serious illness, or trauma A problem with your adrenal glands, including Cushing's syndrome and pheochromocytoma Certain medicines If you have diabetes, glucose levels that are lower than normal for you may be caused by: Certain diabetes medicines and other medicines that may lower blood glucose Not eating enough, especially after taking diabetes medicine Being more physically active than usual If you don't have diabetes, low blood glucose levels aren't common. If they happen, they may be caused by: Liver or kidney disease Underactive adrenal glands, for example, Addison disease Certain pituitary disorders An underactive thyroid gland ( hypothyroidism ) Malnutrition Certain medicines Alcohol use disorder (AUD) Learn more about laboratory tests, reference ranges, and understanding results .

Medicare Coverage — diagnoses supporting medical necessity (NCD)

A15.0Tuberculosis of lungMedicare medical-necessity (NCD 190.20)A15.5Tuberculosis of larynx, trachea and bronchusMedicare medical-necessity (NCD 190.20)A22.1Pulmonary anthraxMedicare medical-necessity (NCD 190.20)A37.01Whooping cough due to Bordetella pertussis with pneumoniaMedicare medical-necessity (NCD 190.20)A37.11Whooping cough due to Bordetella parapertussis with pneumoniaMedicare medical-necessity (NCD 190.20)A37.81Whooping cough due to other Bordetella species with pneumoniaMedicare medical-necessity (NCD 190.20)A37.91Whooping cough, unspecified species with pneumoniaMedicare medical-necessity (NCD 190.20)A40.0Sepsis due to streptococcus, group AMedicare medical-necessity (NCD 190.20)A40.1Sepsis due to streptococcus, group BMedicare medical-necessity (NCD 190.20)A40.3Sepsis due to Streptococcus pneumoniaeMedicare medical-necessity (NCD 190.20)A40.8Other streptococcal sepsisMedicare medical-necessity (NCD 190.20)A40.9Streptococcal sepsis, unspecifiedMedicare medical-necessity (NCD 190.20)A41.01Sepsis due to Methicillin susceptible Staphylococcus aureusMedicare medical-necessity (NCD 190.20)A41.02Sepsis due to Methicillin resistant Staphylococcus aureusMedicare medical-necessity (NCD 190.20)A41.1Sepsis due to other specified staphylococcusMedicare medical-necessity (NCD 190.20)A41.2Sepsis due to unspecified staphylococcusMedicare medical-necessity (NCD 190.20)A41.3Sepsis due to Hemophilus influenzaeMedicare medical-necessity (NCD 190.20)A41.4Sepsis due to anaerobesMedicare medical-necessity (NCD 190.20)

Showing 18 of 2,575 diagnoses Medicare covers for this test under NCD 190.20. The complete list is in CMS's Lab NCD code list.

Clinical Protocol & Patient Advice

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    If your provider orders a fasting blood glucose test or an oral glucose tolerance test, you will need to fast for at least eight hours before the test. If your glucose test is part of a BMP or CMP test, you may need to fast. Other blood glucose tests don't require any special preparations. Ask your provider whether you need to fast before your glucose test.

Usage Guidance

  • Reference ranges vary by laboratory. Always discuss your specific results with a qualified healthcare professional.

Source: MedlinePlus, National Library of Medicine. View the original.

Read from: MedlinePlus (NLM); reference ranges only where NIDDK, NIH ODS or NCI states the value, linked per page — Curated from federal sources. All data sources · How to read the labels