Administering a glucose load is an artificial situation and can cause a degree of "reactive hypoglycaemia" in some individuals; this may not be clinically significant. In addition, glucose intolerance in its early stages when due to insulin resistance can manifest as an inability to maintain normoglycaemia when fasting, but adequate insulin release after a carbohydrate load. We add appropriate comments along these lines automatically to GTT reports in these occasional situations.
Dr. David Oleesky
Consultant Chemical Pathologist & Clinical Lead for Biochemistry
Cheshire Pathology Services, Mid Cheshire Hospitals NHS Foundation Trust
Biochemistry Department, Macclesfield District General Hospital
Victoria Road, MACCLESFIELD, Cheshire, SK10 3BL
Tel: 01625-661826 Fax: 01625-661804
e-mail: [log in to unmask]
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