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A standardized oral glucose tolerance test (OGTT) [51] should be done in the morning after an overnight fast of between 8 and 14 hours. During the three previous days the subject must have an unrestricted diet (containing at least 150 g carbohydrate per day) and unlimited physical activity.
The glucose tolerance test was first described in 1923 by Jerome W. Conn. [4]The test was based on the previous work in 1913 by A. T. B. Jacobson in determining that carbohydrate ingestion results in blood glucose fluctuations, [5] and the premise (named the Staub-Traugott Phenomenon after its first observers H. Staub in 1921 and K. Traugott in 1922) that a normal patient fed glucose will ...
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 indicate prediabetes and oral glucose tolerance test (OGTT) should be offered to high-risk individuals (old people, those with high blood pressure etc.). 6.1–6.9 mmol/L (110–125 mg/dL) means OGTT should be offered even if other ...
The blood sugar level should be below 95 mg/dL (5.3 mmol/L) on awakening, below 140 mg/dL (7.8 mmol/L) one hour after a meal and below 120 mg/dL (6.7 mmol/L) two hours after a meal. Each time when checking the blood sugar level, keep a proper record of the results and present to the health care team for evaluation and modification of the treatment.
The metabolic response to a carbohydrate challenge is conveniently assessed by a postprandial glucose level drawn 2 hours after a meal or a glucose load. In addition, the glucose tolerance test, consisting of several timed measurements after a standardized amount of oral glucose intake, is used to aid in the diagnosis of diabetes. [citation needed]
In non-diabetic individuals, levels peak at about an hour after the start of a meal, rarely exceed 140 mg/dl, and return to preprandial levels within 2–3 hours. [1] These time-profiles are heavily altered in diabetic patients. [1]
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