How much does a glucose tolerance test cost?

The glucose tolerance test is to check whether the pregnant mother has gestational hyperglycemia. Gestational diabetes may increase the probability of various diseases such as fetal miscarriage, intrauterine language retardation, malformation, macrosomia, low birth weight, etc. It is also easy to cause a variety of neonatal complications, such as total bilirubinuria, respiratory distress syndrome, etc. So how much does it cost to do a glucose tolerance test at which few months of pregnancy?

How much does it cost to do a glucose tolerance test during pregnancy?

For pregnant women with normal sugar screening results, there is no need to do sugar screening again. However, for pregnant women with positive glucose screening results, a glucose tolerance test should be conducted to diagnose whether it is gestational diabetes.

Gestational diabetes refers to a woman who is preparing to become pregnant but does not have diabetes. However, during pregnancy, her blood sugar level will rise due to various reasons and she may develop diabetes. This type of disease can cause serious damage to the mother's physical and mental health and the normal growth and development of the fetus. The chances of placental abruption, premature birth, and macrosomia will continue to increase, so it should be taken seriously. Patients with impaired glucose tolerance generally have no obvious symptoms and are not easily taken seriously. They only discover abnormal blood sugar levels during casual routine physical examinations. Generally speaking, there are three primary types of patients with impaired glucose tolerance: the first is the transformation into true diabetes, the second is the maintenance of impaired glucose tolerance, and the third is the restoration of normal blood sugar. However, there are not a few patients who actually develop diabetes. Therefore, glucose tolerance test is very necessary, which can detect existing problems early and deal with them properly.

How much is the glucose tolerance test worth? When examining patients with abnormal diabetes, doctors usually conduct glucose screening. Glucose tolerance refers to the body's ability to withstand glucose. Especially when checking for diabetes during pregnancy, sugar screening is used. So how much is the standard value of glucose tolerance?

Normally, the blood sugar level rises rapidly within 1/2 to 1 hour after taking sugar, and returns to the fasting level after 2 hours. If it does not return to the normal level within 2 hours after taking sugar, and the urine sugar is positive, it means impaired glucose tolerance. The standard values ​​of glucose tolerance for 75 grams of OGCT are as follows: blood glucose ≤5.1mmol/L; 1-hour blood glucose level ≤10.0 mmol/L; 2-hour blood glucose level ≤8.5 mmol/L.

If the blood sugar level is close to 7.8-11.1 mmol/l 2 hours after taking sugar, it means that the body's glucose tolerance is reduced, in other words, the body's absorption and utilization of sugar is worse than normal people. There is no obvious discomfort caused by impaired glucose tolerance, but you must not take chances. Sugar screening method: OGTT (OGTT), mostly used for abnormal diabetic patients. After an average person takes a certain amount of glucose, their blood sugar level will rise first, but after a certain period of time, the body will convert the glucose into glycogen for storage, and the blood sugar level will return to the fasting level. If after taking a certain amount of glucose, the blood sugar level and urine sugar are measured at a certain interval, the changes in blood sugar concentration before and after the sugar administration are observed, and the insulin secretion status is inferred, this measurement is called glucose screening.

When should the glucose tolerance test be done? Before, we talked about the relevant content about B-ultrasound for fetal abnormality screening. The best time for B-ultrasound for fetal abnormality screening is between 24 and 28 weeks of pregnancy, because the fetus can be observed most clearly at this time. There are regulations on the time for major fetal abnormality screening.

Similarly, the glucose tolerance test also has certain time requirements. At present, hospitals in my country widely use the national standards of the Ministry of Health for the diagnosis of diabetes during pregnancy, that is, for pregnant women with normal blood sugar in the early pregnancy, it is recommended to conduct a 75g reliable glucose screening at 24-28 weeks of pregnancy to test blood sugar levels on an empty stomach and 1 hour and 2 hours after drinking sugar. If any one of the three items reaches or exceeds the specified value, that is, the blood sugar level and the blood sugar level 1 hour and 2 hours after taking sugar are respectively: 5.1mmol/L, 10.0Mmol/L, and 8.5mmol/L, then gestational diabetes can be diagnosed. It is not difficult to find that many examinations will be conducted in the time range of 24-28 weeks, because this time range is very important for pregnant women and fetuses, because at this stage the fetus has been formed, various organs have also developed, and it is the best time to observe the fetus. The glucose tolerance test is particularly important for expectant mothers and babies. Therefore, pregnant mothers should attach great importance to the glucose tolerance test and pay attention to the best time for the glucose tolerance test.