GTT 5th
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GTT 5th

The 5th Glucose Tolerance Test (GTT) involves a sequence of blood sugar assessments to diagnose how well the body processes glucose.

The Ibn Sina Trust
Praava Health
Dr Lal PathLabs
Omnicare Diagnostic Limited
Thyrocare Bangladesh Ltd
Brac Healthcare
Popular Diagnostic Centre Ltd
JG Healthcare
128
160
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Sample Type
blood
Fasting Required
No
Description

The 5th Glucose Tolerance Test (GTT) involves a sequence of blood sugar assessments to diagnose how well the body processes glucose. This extended test begins with a fasting blood glucose measurement, followed by the administration of a glucose-rich drink. Blood samples are then taken at multiple intervals—typically at 30 minutes, 1 hour, 2 hours, 3 hours, and a final sample at 5 hours post-ingestion. This extended monitoring period helps to provide a comprehensive understanding of the body's glucose metabolism, particularly useful for diagnosing severe cases of glucose intolerance, insulin resistance, or other metabolic disorders.

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Step 1

Sample Collection

Vaccinated Phlebotomists collects from syringe in the barcoded vials

Step 2

Sample Storage

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Step 3

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Lab ingests the sample into processing machines which are 100% automated

Step 4

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The reports are generated by the processing machines and clinically correlated by doctors

Overview

The GTT involves measuring blood glucose levels at multiple intervals after consuming a glucose-rich solution. The 5th test refers to the fifth blood sample taken during the test, often around the 2- or 3-hour mark depending on the protocol.

 

Risk Assessment

Risk Assessment

The test evaluates the risk for conditions such as:

  • Type 2 Diabetes: Insufficient insulin production or insulin resistance.
  • Gestational Diabetes: Glucose intolerance during pregnancy.
  • Hypoglycemia: Abnormally low blood sugar levels.
  • Impaired Glucose Tolerance (IGT): A prediabetic condition with higher-than-normal glucose levels after a meal or glucose intake.

 

Normal Range

Normal Range

The normal glucose range for the GTT depends on the time of the sample.
For a 75g oral glucose tolerance test (OGTT):

  • Fasting: < 100 mg/dL (5.6 mmol/L)
  • 1 hour: < 180 mg/dL (10.0 mmol/L)
  • 2 hours: < 140 mg/dL (7.8 mmol/L)
  • 3 hours (if measured): Normal glucose levels should return close to fasting levels.

 

Interpretation

Interpretation

  • Normal: Blood glucose levels return to baseline by the final sample.
  • Impaired Glucose Tolerance: 2-hour value between 140–199 mg/dL (7.8–11.0 mmol/L).
  • Diabetes: 2-hour value ≥ 200 mg/dL (11.1 mmol/L).
  • Hypoglycemia: Glucose levels fall below the fasting threshold during the test.

The 5th test result provides insight into late glucose clearance dynamics.

 

Sample Type

Sample Type

  • Type: Venous blood sample.
  • Method: Plasma glucose is typically measured using enzymatic assays like glucose oxidase or hexokinase methods.

Frequently Asked Question