Yes, apart from fasting plasma glucose (FPG), postprandial glucose (PPG), and HbA1c, another important test used in the diagnosis of diabetes is:
Oral Glucose Tolerance Test (OGTT)
• Procedure: The patient fasts overnight, then consumes a solution containing 75 grams of glucose, and plasma glucose is measured 2 hours later.
• Diagnostic criteria:
• ≥ 200 mg/dL (11.1 mmol/L) at 2 hours = Diabetes
• 140–199 mg/dL = Impaired glucose tolerance (IGT)
• < 140 mg/dL = Normal
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Special/Additional Tests (less commonly used for diagnosis but sometimes relevant):
1. Random Plasma Glucose (RPG):
• If ≥ 200 mg/dL with classic symptoms of hyperglycemia (polyuria, polydipsia, weight loss), it is diagnostic of diabetes.
2. C-Peptide Test:
• Helps differentiate type 1 vs type 2 diabetes (low in type 1).
3. Autoantibody testing (e.g., GAD, IA2 antibodies):
• For diagnosing Type 1 diabetes or Latent Autoimmune Diabetes in Adults (LADA).
4. Fructosamine:
• Reflects average glucose over the past 2–3 weeks; useful if HbA1c is unreliable (e.g., hemoglobinopathies, recent blood loss).
5. Continuous Glucose Monitoring (CGM):
• Not used for initial diagnosis, but very useful in glycemic pattern analysis for management, especially in type 1 diabetes.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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