Description
Ready-made glucose solution Lemon Top Star 200ml 75gr , with a lemon flavor for a sugar curve that is used to diagnose diabetes mellitus and gestational diabetes.
The glucose tolerance test (sugar curve) is a medical diagnostic test in which glucose is consumed by the patient and then regular measurements of glucose in the blood are made, in order to determine the rate at which it is metabolized by the body. This test is used in adults to diagnose diabetes, gestational diabetes, and megalacria (an adult condition caused by excessive amounts of growth hormone secretion), and it often helps investigate the presence of insulin resistance or reactive hypoglycemia.
The glucose curve should be done when there is doubt about the diagnosis of diabetes and in people who, while having normal sugar, have a very high risk of developing diabetes. The glucose curve or better the Glucose Tolerance Test should be done when the fasting glucose values ??are above normal limits (100 mg/dl) and below the limit of (126 mg/dL) for whole blood or below (144 mg/dL) for capillary blood.
Determination of glucose is done by an enzymatic method in plasma or serum. Samples must be centrifuged within 60 minutes, if delayed the tubes must be placed on ice. The test should not be performed when there is an active infection, recent surgery or other acute condition (acute myocardial infarction, etc.). Regarding type I, the frequency is low, its appearance is accompanied by very intense symptoms, and therefore its diagnosis is made quickly after its onset. Risk factors for its appearance are both genetic and environmental (viruses, dietary components, etc.). It is a mistake to screen, e.g. by measuring specific antibodies, etc., with the aim of early diagnosis.
In addition to these cases, the glucose tolerance test must also be performed in the following cases:
Patients with glycosuria and normal fasting blood glucose levels.
Patients with elevated blood glucose levels 2 hours after taking a meal containing 100 g of carbohydrates.
People with a family history of diabetes (one of the parents, a sibling, etc.), especially when obesity is present.
Women in the first trimester of pregnancy.
Women with a history of miscarriage, premature birth, dead fetuses, increased perinatal mortality of newborns, toxemia of pregnancy, excessive fetal weight, with a history of hydronephrosis.
People who were overweight at birth.
Patients with a history of transient glycosuria or hyperglycemia during surgery, trauma, emotional events, myocardial infarction, cerebrovascular attacks or in cases of cortisone therapy or administration of other drugs that can cause an increase in blood sugar. The Glucose Tolerance Test should be done after removing the above-mentioned triggers.
Patients with symptoms of spontaneous hypoglycemia (especially if there is a family history of diabetes mellitus).
Patients with retinopathy, nephropathy, peripheral vasculopathy, hypercholesterolemia, coronary artery disease, cerebrovascular disease.
Patients with renal or trophic glycosuria.
Glucose curve during pregnancy
The sugar curve is performed on all pregnant women between the 24th and 28th week of pregnancy, because in this period insulin resistance occurs naturally due to pregnancy. Because 15% of women who develop gestational diabetes will develop diabetes in the following years, it is therefore important to check all pregnant women, initially with the 50g glucose test and then if it is positive with the sugar curve with 100 gr of glucose and measurement of plasma glucose every hour, for three hours. Normal values ??are different from those of other adults, i.e. the following are considered normal values:
Fasting glucose < 92 mg/dl
Glucose at 1 hour < 180 mg/dl
Glucose at 2 hours < 153 mg/dl
Glucose at 3 hours < 140 mg/dl If during pregnancy a fasting glucose > 125 mg/dl or a random serum glucose value > 200 mg/dl is determined in two consecutive measurements, type II diabetes mellitus is diagnosed and there is no need to perform the curve.
If there are risk factors, the curve is also performed from the 1st trimester of pregnancy. High-risk pregnant women are those who have had diabetes in a previous pregnancy, those with a history of giving birth to a macrosomic newborn (> 4 Kg), if there was a previous unexplained intrauterine death, if there is marked obesity and finally, if there is glycosuria.