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Akron Children's > For Healthcare Professionals > Lab Tests : Akron | Mahoning Valley

Glucose Challenge - MFM, 1 Hour

PATIENT INFO
Patient Name:
Medical Record #:
BD:       /      /         Sex:   F   M

PHYSICIAN INFO
Physician Name :
Address:
Ph: (      )      -          Fax: (      )      -       
Additional Report to:
Ph: (      )      -          Fax: (      )      -       

TESTS REQUESTED
Test Name: ICD9 Code: (required)
1. Glucose Challenge - MFM, 1 Hour  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
MFMGL
Test Workstation :
MACH1
Specimen Type:
Blood
Tube Type:
Green top (lithium or sodium heparin) tube
Collection Volume:
500 uL microtainer; 1.5 mL macrotainer
Minimum Volume:
500 uL microtainer; 1.5 mL macrotainer
Preferred Volume:
500 uL microtainer; 1.5 mL macrotainer
Storage:
Refrigerated
Availability:
Mon-Fri
Methodology:
Enzymatic reference method with hexokinase
Special Instructions:
Prior to drawing patient, see Specimen Collection Procedure Glucose Tolerance Testing. Outpatients must be scheduled in advance. Patients should eat their usual diet for 35 days and fast 8 hours prior to testing. Glucose dose will be orally administered and blood will be collected at the 1 hour interval post glucose ingestion. For Outpatients, test should only be drawn in outpatient locations within the Hospital at the Beeghly campus.
Lab/Phone:
330-746-9623
TAT:
1 hour/draw
Additional Info:
Criteria for Diagnosis of Gestational Diabetes Mellitus(GDM) Effective 6/22/2011 50g, 1HR Glucose Challenge >130 mg/dl Detects 90% of those who will develop GDM >140 mg/dl Detects 80% of those who will develop GDM
CPT Code:
82950

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