A blood glucose test measures the amount of a sugar called glucose in a sample of your blood.
Glucose is a major source of energy for most cells of the body, including brain cells. Carbohydrates are found in fruit, cereal, bread, pasta, and rice. They are quickly turned into glucose in your body. This raises your blood glucose level.
Hormones made in the body help control blood glucose levels.
Random blood sugar; Blood sugar level; Fasting blood sugar; Glucose test
How the Test is Performed
A blood sample is needed.
How to Prepare for the Test
The test may be done in two ways:
After you have not eaten anything for at least 8 hours (fasting)
At any time of the day (random)
How the Test will Feel
When the needle is inserted to draw blood, some people feel moderate pain. Others feel only a prick or stinging. Afterward, there may be some throbbing or slight bruising. This soon goes away.
Why the Test Is Performed
Your doctor may order this test if you have signs of diabetes. More than likely, the doctor will order a fasting blood sugar test.
The blood glucose test is also used to monitor patients who already have diabetes.
The test may also be done if you have:
An increase in how often you need to urinate
Confusion or a change in the way you normally talk or behave
Seizures (for the first time)
SCREENING FOR DIABETES
This test may also be used to screen a person for diabetes.
High blood sugar and diabetes may not cause symptoms in the early stages. A fasting blood sugar test is almost always done to screen for diabetes.
If you are over age 45, you should be tested every 3 years.
If you have any of the risk factors below, ask your health care provider about getting tested at an earlier age and more often:
Overweight (body mass index, or BMI, of 25 or higher) and other risk factors
Blood pressure of 140/90 mmHg or higher, or unhealthy cholesterol levels
Member of a high-risk ethnic group (African American, Hispanic American, Native American, Asian American, or Pacific Islander)
Woman who has delivered a baby weighing 9 pounds or more, or who had gestational diabetes
Polycystic ovary disease
Close relative with diabetes (such as a parent, brother or sister)
Children age 10 and older who are overweight and have at least two of the risk factors listed above should be tested for type 2 diabetes every 3 years, even if they have no symptoms.
If you had a fasting blood glucose test, a level between 70 and 100 milligrams per deciliter (mg/dL) is considered normal.
If you had a random blood glucose test, a normal result depends on when you last ate. Most of the time, the blood glucose level will be below 125 mg/dL.
The examples above show the common measurements for results of these tests. Normal value ranges may vary slightly among different laboratories. Some laboratories use different measurements or may test different specimens. Talk to your doctor about the meaning of your specific test results.
What Abnormal Results Mean
If you had a fasting blood glucose test:
A level of 100 to 125 mg/dL means you have impaired fasting glucose, a type of prediabetes. This increases your risk of developing type 2 diabetes.
A level of 126 mg/dL and higher usually means you have diabetes.
If you had a random blood glucose test:
A level of 200 mg/dL or higher often means you have diabetes.
Brent Wisse, MD, Associate Professor of Medicine, Division of Metabolism, Endocrinology & Nutrition, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial Team.