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Diabetes In Adults
Last updated October 2004
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How Is Diabetes Diagnosed?

Diabetes is often diagnosed by measuring fasting glucose levels. If that value is lower than the value necessary to diagnose diabetes but your doctor suspects you still may have diabetes, an oral glucose tolerance test may be done. This is a special test that shows how well the body uses glucose.

Talk to your doctor about how often you should be tested. How frequently you are tested for diabetes depends on your age and risk factors for the condition.

  • If you are 45 years old or older, you need to get tested for diabetes, even if you do not have any risk factors.

  • If you are younger than 45 and have one or more risk factors, you should also get tested.

  • After the age of 45, people should be tested for diabetes every three years.

How-To Information:

Oral Glucose Tolerance Test

If you are scheduled for an oral glucose tolerance test, your doctor or nurse will most likely give you written instructions for what to do before and after the test, and what to expect during the test. The instructions may include the following:

  • For three days before the test, eat an unrestricted diet high in carbohydrates and limit alcoholic beverages.

  • Fast for 12 hours before the test.

  • The test will last slightly more than two hours.

How the test works:

  • You will be given a liquid to drink, which contains glucose. The liquid will cause your blood glucose level to rise.

  • Samples of blood and urine will be taken before you drink the glucose solution and two hours later to measure glucose levels.

During the oral glucose tolerance test, some people feel:

  • Nausea

  • Stomach discomfort

  • Headache

These side effects usually go away quickly.

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