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

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

This test evaluates how your body processes glucose (sugar) and hormones like insulin and C-peptide after consuming a specific dose of sugar. It helps check for diabetes, insulin resistance, or other metabolic conditions.

Quick summary

["Assesses blood sugar and hormone responses to help diagnose or monitor diabetes and metabolic health."]

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

Key facts at a glance

LOINC
40339-4
Short code
GH 2h p Triple Bolus SerPl-mCnc
Synonyms
GH 2h 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

What Is an Oral Glucose Tolerance Test (OGTT)?

An OGTT, also called a triple bolus test, measures your body’s response to glucose over time. You’ll drink a sugary solution, and blood samples are taken at set intervals to check glucose, insulin, and C-peptide levels. This helps doctors assess how well your pancreas produces insulin and how your body uses glucose.

Why Might You Need This Test?

Your doctor may recommend this test if you have symptoms of diabetes (like frequent urination, extreme thirst, or fatigue), a family history of diabetes, or if you’re pregnant (gestational diabetes). It’s also used to monitor conditions like prediabetes or insulin resistance.

How Is the Test Performed?

You’ll fast for 8–12 hours before the test. On test day, you’ll drink a sugary liquid, and blood samples will be drawn at 30-minute intervals for 2–3 hours. The test is quick but requires careful timing to ensure accurate results.

What Do the Results Mean?

Results show how your blood sugar and hormone levels change after eating. Abnormal patterns may indicate diabetes, insulin resistance, or other metabolic issues. Your doctor will interpret these results in the context of your overall health.

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 diabetes (including gestational diabetes) and evaluating insulin function. Abnormal glucose or hormone levels may signal conditions requiring lifestyle changes, medication, or further testing.

Short name

OGTT (Triple Bolus)

Frequently asked questions

How long does the test take?
The test itself takes about 2–3 hours, including fasting preparation. Blood draws are quick but may cause slight discomfort.
What should I do before the test?
Follow your doctor’s instructions carefully: avoid sugary foods/drinks, don’t smoke, and stay hydrated (except for the sugary drink on test day). Wear comfortable clothes for blood draws.
Will I need to take any special steps afterward?
You may feel tired or hungry afterward. Avoid driving if you’re sleepy, and follow up with your doctor if you have questions about results or next steps.
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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