cortisol glucose tolerance test

Cortisone can promote gluconeogenesis, inhibit the use of glucose by tissues, and increase blood sugar and glucose tolerance. Therefore, the glucose cortisone tolerance test can also be used for suspicious cases that cannot be diagnosed by glucose tolerance test. This method is basically the same as the glucose tolerance test, but 0.5 h and 2 h before the administration of sugar, 50 mg of oral cortisone acetate or 10 mg of oral prednisolone 2 h before the administration of sugar, and then blood is taken according to the oral glucose tolerance test method. Leave urine for inspection. Basic Information Specialist classification: urinary examination classification: blood examination Applicable gender: whether men and women apply fasting: fasting Tips: After taking blood, you need to press it at the pinhole for 3-5 minutes to stop bleeding. Normal value (1) Oral fasting <6.1mmol/L (110mg/dl), post-meal 30min<9.45mmol/L (170mg/dl), 60min<8.9mmol/L (130mg/dl), 120min<6.7mmol/L ( 121 mg/dl), 180 min < 6.1 mmol/L (110 mg/dl). The urine sugar in the test was negative. (2) In the first 30 minutes of the intravenous method, the highest peak was 11.2-14 mmol/L (200-250 mg/dl) and 120 min<6.72 mmol/L (120 mg/dl). The urine sugar in the test was negative. Clinical significance Those with abnormal abnormality tolerance are occult diabetes. Precautions Before inspection: 1, do not eat too greasy, high-protein food the day before the blood, to avoid heavy drinking. The alcohol content in the blood directly affects the test results. 2. After 8 pm on the day before the medical examination, you should start fasting for 12 hours to avoid affecting the test results. 3, should relax when taking blood, to avoid the contraction of blood vessels caused by fear, increase the difficulty of blood collection. After inspection: 1. After blood is drawn, local compression is required at the pinhole for 3-5 minutes to stop bleeding. Note: Do not rub, so as not to cause subcutaneous hematoma. 2, the pressing time should be sufficient. There is a difference in clotting time for each person, and some people need a little longer to clotting. Therefore, when the surface of the skin appears to be bleeding, the compression is stopped immediately, and the blood may be infiltrated into the skin due to incomplete hemostasis. Therefore, the compression time is longer to completely stop bleeding. If there is a tendency to bleed, the compression time should be extended. 3, after the blood draw symptoms of fainting such as: dizziness, vertigo, fatigue, etc. should immediately lie down, drink a small amount of syrup, and then undergo a physical examination after the symptoms are relieved. 4. If there is localized congestion, use a warm towel after 24 hours to promote absorption. Inspection process Inspection method: draw blood. Not suitable for the crowd Have a coagulopathy such as hemophilia. Adverse reactions and risks Discomfort: There may be pain, swelling, tenderness, and visible subcutaneous ecchymosis at the puncture site.

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