THE STANDARD TWO-HOUR ORAL GLUCOSE TOLERANCE TEST IN THE DIAGNOSIS OF DIABETES MELLITUS IN SUBJECTS WITHOUT FASTING HYPERGLYCEMIA
Authors: ROGER H. UNGER
Journal: Annals of Internal Medicine (1957)

Article1 December 1957THE STANDARD TWO-HOUR ORAL GLUCOSE TOLERANCE TEST IN THE DIAGNOSIS OF DIABETES MELLITUS IN SUBJECTS WITHOUT FASTING HYPERGLYCEMIAROGER H. UNGER, M.D.ROGER H. UNGER, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-47-6-1138 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe convenience of the standard two-hour oral glucose tolerance test has led to its widespread use as a means of detecting early derangements of carbohydrate metabolism in individuals with normal fasting blood sugars.In adequately prepared subjects, failure of the blood sugar to return to 100 mg.% ("true glucose") within two hours after an oral glucose load is commonly interpreted as evidence of diabetes mellitus or "prediabetes."1Despite this, the diagnostic specificity for diabetes mellitus of modest elevations in two-hour blood sugar level has never been established. 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Author, Article, and Disclosure InformationAffiliations: Dallas, Texas*Received for publication July 19, 1957.From the Department of Internal Medicine, The University of Texas Southwestern Medical School, and the Veterans Administration Hospital, Dallas, Texas.†With the technical assistance of ROSA M. ADAIR, M.S., Dallas, Texas, ARCHER COPLEY, B. S., Washington, D. C., and HELEN W. HART, Dallas, Texas.Requests for reprints should be addressed to Roger H. Unger, M.D., Veterans Administration Hospital, 4500 South Lancaster Road, Dallas 2, Texas. 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COLKER, M.D., HAROLD M. LANGS, M.D., REUBIN ANDRES, M.D.Periodontal Status and Glucose ToleranceDetection of DiabetesEvaluation of Radioisotopic Triolein Techniques in the Detection of SteatorrheaThe prediabetic stateThe Blood Sugar in Office Practice: Practical and Laboratory AspectsThe Diagnosis of Diabetes MellitusTHE INTRAVENOUS TOLBUTAMIDE RESPONSE TEST IN THE DIAGNOSIS OF MILD DIABETESDiabetes Mellitus 1 December 1957Volume 47, Issue 6Page: 1138-1153KeywordsBlood sugarCarbohydrate metabolismDiabetes mellitusGlucoseGratitudeHospital medicineHyperglycemiaIngestionOral glucose tolerance testSpecificity Issue Published: 1 December 1957 PDF DownloadLoading ...