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Dear colleagues, I'm wondering if anyone has experience of dealing with a request for a GTT in a patient who needs thickener added in order to be able to drink the glucose solution. This issue arose yesterday but in the end the patient managed to take the glucose drink without added thickener. However, as it is quite possible this issue will arise again I thought it would be worthwhile to check if anyone else has dealt with such a situation In our hospital we use Nutilis Powder (Nutricia) as a thickening agent for patients with dysphagia. This is a starch-based agent but is claimed to be amylase-resistant. The ingredients are listed as Ingredients Maltodextrin, modified maize starch (E1442), tara gum, xanthan gum, guar gum. NUTILIS POWDER IS GLUTEN AND LACTOSE FREE. AVERAGE CONTENTS UNIT per 100g Protein: g 0.2 Carbohydrate: g 86.0 sugars g 1.4 polysaccharides g 84.5 Fat: g 0.1 Dietary fibre: g 6.4 The question is whether one could interpret a GTT result if it was done. Any help would be appreciated. best wishes. Peadar Dr Peadar McGing, FRCPath EurClinChem, Principal Biochemist, Biochemistry Dept., Mater Misericordiae University Hospital, Eccles Street, Dublin 7, Ireland. Tel: (+353 1)8032374; Fax: (+353 1)8034781. This e-mail and any files transmitted with it contain information which may be confidential and which may also be privileged and is intended solely for the use of the individual or entity to which it is addressed. Unless you are the intended recipient you may not copy or use it, or disclose it to anyone else. Any opinions expressed are that of the individual and not necessarily that of Mater Misericordiae University Hospital. ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk Green Laboratories Work http://www.laboratorymedicine.nhs.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/