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Fasting Glucose (Serum) with 24-Hour Urine Collection for Glucose Excretion

Published: August 9, 2026Updated: August 16, 2026

This test measures your blood glucose level after fasting and checks how much glucose appears in your urine over 24 hours.

Quick summary

["Assesses blood sugar control and kidney handling of glucose."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
33101-7
Short code
GA from FL.Osaka89
Synonyms
GA from FL.Osaka89
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
us-estimated-from-fl-osaka
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Is Done

Your doctor may order this test to evaluate blood sugar management, especially if you have diabetes or are at risk for it. It helps determine whether your kidneys are properly filtering glucose into urine, which can indicate kidney function or diabetes-related complications.

What to Expect Before the Test

You’ll need to fast (not eat or drink except water) for 8–12 hours before your blood draw. A 24-hour urine collection will also be required, starting after your fasting period. Follow your healthcare provider’s instructions precisely for accurate results.

What Happens During the Test

A blood sample is taken from a vein in your arm to measure fasting glucose levels. Separately, you’ll collect all urine over 24 hours in a container, discarding the first morning urine and saving the rest until the next day.

What the Results Mean

High fasting glucose or glucose in urine may signal diabetes, kidney issues, or poor blood sugar control. Low results may raise questions about metabolic health, but interpretation depends on clinical context and other test results.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Elevated fasting glucose or urinary glucose excretion can confirm or monitor diabetes, assess kidney function, or identify metabolic disorders. This test helps guide treatment plans for blood sugar management and kidney health.

Frequently asked questions

What does a ‘normal’ result mean for this test?
A ‘normal’ result doesn’t mean you’re healthy—it means your fasting glucose and urine glucose levels fall within expected ranges for your body. Your doctor will compare these results with other tests and your medical history to determine if further action is needed.
Why do I need both blood and urine tests together?
The blood test checks your current blood sugar level, while the urine test assesses how much glucose your kidneys filter over time. Together, they provide a clearer picture of your glucose metabolism and kidney function.
Can I eat or drink anything before the urine collection?
No, you must follow your fasting instructions for the blood draw and collect urine *only* during the 24-hour period as directed. Avoid caffeine, alcohol, or sugary drinks, as they can affect results.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy