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Glucose, Insulin, and C-peptide levels measured during a triple bolus glucose tolerance test (serum/plasma)

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

This test evaluates how your body responds to glucose by measuring blood levels of glucose, insulin, and C-peptide after three carefully timed doses of glucose.

Quick summary

["Assesses insulin sensitivity and pancreatic function during controlled glucose exposure."]

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

Key facts at a glance

LOINC
40335-2
Short code
GH 15M p Triple Bolus SerPl-mCnc
Synonyms
GH 15M p Triple Bolus SerPl-mCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0.8
Ref high
1.2
Critical range
— – 5 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
85610
SNOMED
396252006
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

A triple bolus glucose tolerance test (GTT) is often used to diagnose or monitor conditions like diabetes, prediabetes, or gestational diabetes. It helps doctors understand how your pancreas produces insulin and how your body responds to glucose over time. This test may also be used in research or specialized clinical settings to assess metabolic health in specific patient populations.

What to Expect During the Test

You’ll receive three small doses of glucose (sweet liquid) at set intervals while blood samples are drawn from a vein in your arm. The test typically lasts about 3 hours. You’ll need to stay seated and may be asked to avoid eating or drinking anything except water for a few hours beforehand.

Blood Sample Collection

Blood is drawn at multiple time points to measure glucose, insulin, and C-peptide levels. These analytes help assess how your body processes glucose and produces insulin. The test uses serum or plasma, depending on the lab’s method.

Preparation and Restrictions

Do not eat or drink anything (except water) for 8–12 hours before the test. Avoid caffeine, alcohol, or strenuous activity on the day of testing. Wear comfortable clothing and bring your ID and insurance info if required.

Reference range

INR: 0.8-1.2 (warfarin: 2.0-3.0)N/A

Specimen: serum

Inform your healthcare provider if you are taking blood thinners. No special preparation required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: This test is critical for diagnosing or managing diabetes and related metabolic disorders by providing detailed insights into glucose metabolism, insulin secretion, and pancreatic function. Abnormal results may indicate impaired glucose tolerance, insulin resistance, or other endocrine conditions requiring further medical evaluation.

Short name

Triple Bolus GTT (Serum/Plasma)

Frequently asked questions

What does a triple bolus GTT measure?
It measures blood levels of glucose, insulin, and C-peptide at multiple time points after three controlled doses of glucose to evaluate how your body responds to sugar.
Why is this test different from a standard glucose tolerance test?
A triple bolus GTT uses three precise glucose doses instead of one, providing a more detailed profile of insulin response and glucose metabolism over time.
Can I eat or drink anything before this test?
No, you must fast for 8–12 hours before the test, only drinking water. Follow your doctor’s specific instructions for preparation.
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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