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Glucose in Serum (Fasting)

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

This test measures the amount of glucose (sugar) in your blood after you’ve gone without food for at least 8 hours. It helps doctors check how well your body is using sugar for energy and can help detect diabetes or other metabolic conditions.

Quick summary

["A fasting glucose test helps assess blood sugar control and identify potential diabetes or other health risks."]

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

Key facts at a glance

LOINC
39478-3
Short code
Glucose Vitf-sCnc
Synonyms
Glucose Vitf-sCnc
Category
glucose
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
70
Ref high
100
Critical range
50 N/A – 400 N/A
Fasting
true
Population
adult
Sex
all
Age range
18–65 years
CPT
82947
SNOMED
260395008
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 Is This Test Done?

Doctors order fasting serum glucose tests to diagnose diabetes, monitor blood sugar levels in people with diabetes, or check for conditions like hypoglycemia (low blood sugar). It may also be used during pregnancy (gestational diabetes) or before certain treatments.

What to Expect Before the Test

You’ll need to fast (not eat or drink anything except water) for 8–12 hours before the test. Avoid alcohol and strenuous activity. Bring any medications you’re taking to discuss with your provider.

How the Test Is Done

A healthcare professional will draw blood from a vein in your arm. You may feel a slight pinch, but it’s usually over quickly. The blood sample is sent to a lab for analysis.

What the Results Mean

Results are reported in milligrams per deciliter (mg/dL) or millimoles per liter (mmol/L). High results may indicate diabetes or insulin resistance, while very low results could signal hypoglycemia. Your doctor will interpret results in the context of your overall health.

Reference range

Fasting: 70-100 mg/dLN/A

Specimen: serum

Fasting for 8-12 hours required. Water is permitted. Avoid chewing gum and smoking before the test.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

High fasting glucose levels (above normal ranges) are a key diagnostic marker for type 2 diabetes. Repeatedly elevated results may prompt further testing, like an A1C or oral glucose tolerance test. Low levels can cause fatigue, dizziness, or confusion, requiring medical attention.

Short name

Fasting Serum Glucose

Frequently asked questions

What causes fasting serum glucose to be high?
Several factors can lead to elevated fasting glucose, including obesity, poor diet, lack of physical activity, genetics, or certain medications (like steroids). Chronic stress, sleep deprivation, or infections may also temporarily raise blood sugar.
What should I do if my fasting glucose is high?
If your results are above normal, follow your doctor’s advice—this may include lifestyle changes (diet, exercise), medication adjustments, or further testing. Never ignore high results without professional guidance.
Can I eat or drink anything before my fasting test?
No, you must fast strictly for 8–12 hours before the test. Only water is allowed. If you’re unsure, ask your lab or doctor to confirm the fasting window.
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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