Oral glucose challenge test

Screening for gestational diabetes mellitus utilizes the oral glucose challenge test. Groups at high risk are African Americans, Native Americans, Asian Americans, Latino Americans, and Pacific Islanders. 

ADA (American Diabetes Association) does not recommend the use of an oral glucose tolerance test. Consequently the use of ADA-criteria will normally not allow for identification of individuals with IGT or diabetic individuals where only the post-challenge value is abnormal. 

These studies were the first to challenge the concept that the more convenient diagnosis based on fasting glucose values equalises the more complicated diagnosis based on the oral glucose tolerance test. The observations were, however, confirmed by others, and this was the rationale for WHO in... 

Along with the mentioned above methods, metabolic challenge protocols, such as the oral glucose tolerance test, that can uncover early alterations also in lipid metabolism preceding chronic diseases, were developed and are being successfully used for humans, as discussed by Krug et... 

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