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Labs/Diabetes Tests
Clinical Test & Procedure Reference

Diabetes Tests

Diabetes , also known as diabetes mellitus, is a disease that affects how your body uses glucose ( blood sugar ).

Diabetes , also known as diabetes mellitus, is a disease that affects how your body uses glucose ( blood sugar ). Glucose is your body's main source of energy. A hormone (a chemical messenger in your bloodstream that controls the actions of certain cells or organs) called insulin helps move glucose from your bloodstream into your cells. 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 , which can lead to serious health conditions . These may include heart disease , nerve damage , eye problems , and kidney disease . Your blood glucose can also drop below what is healthy for you . If it drops very low, you could lose consciousness or have a seizure . Diabetes tests most often measure glucose levels in your blood to monitor your blood glucose level or see if you have or are at risk for diabetes. Urine tests for diabetes are not used as much since they are not as accurate, and you would need a blood test to diagnose diabetes. Other names: blood glucose, fasting plasma glucose, FPG, oral glucose tolerance test, OGTT, glucose screening test, glucose in urine test, hemoglobin A1c, random blood sugar, blood sugar, fasting blood sugar (FBS)

Why is this test ordered? You may need testing to monitor your blood glucose level or if you have symptoms of diabetes, such as: Increased thirst Frequent urination Increased hunger Fatigue Blurred vision Unexplained weight loss Sores that are slow to heal Numbness or tingling in your feet Symptoms of type 1 diabetes usually come on quickly and can be severe. Symptoms of type 2 diabetes and prediabetes often develop slowly, even over years. Gestational diabetes doesn't usually cause symptoms in the early stages of your pregnancy, but you will most likely be screened for the condition between 24 and 28 weeks of pregnancy. If testing shows your glucose levels are too high, you will be tested again to confirm the diagnosis. You may also need testing if you have certain risk factors for type 2 diabetes. You may be at higher risk for developing it 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 . Previously had gestational diabetes. 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.

Clinical Interpretation

Depending on the type of test or tests you had, your results may show one of the following: Your glucose is at a healthy level for you. This means you probably are not at risk for or do not have diabetes. Prediabetes. This means you have glucose levels that are higher than what is healthy for you and may be at risk of getting diabetes. Type 1 or type 2 diabetes. Gestational diabetes. If you have been diagnosed with type 1 diabetes, talk to your provider about how to best manage the disease. There is no cure for type 1 diabetes, but it may be controlled with regular glucose monitoring and taking insulin. If you've been diagnosed with prediabetes or type 2 diabetes, your condition may be managed or even reversed by taking diabetes medicines and making lifestyle changes. These include eating a healthy diet , losing weight , and increasing exercise . If you've been diagnosed with gestational diabetes, you may be able to lower your glucose levels by eating a healthy diet and getting regular exercise. But be sure to talk to your provider about treatment options. Most of the time, gestational diabetes goes away after giving birth. But you will be at higher risk for developing type 2 diabetes in the future. If you have other questions about your diabetes diagnosis or treatment, talk to your provider. Learn more about laboratory tests, reference ranges, and understanding results .

Clinical Protocol & Patient Advice

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    You will need to fast (not eat or drink) for a blood glucose and an oral glucose tolerance test. You don't need any special preparations for a random blood sugar test, glucose challenge test, hemoglobin A1c test, or glucose in urine 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.