What It Is
A blood glucose test measures the amount of glucose (the main type of sugar in the body) in a blood sample.
Glucose is the body's major source of energy. Our bodies break down food into glucose and other nutrients, which are then absorbed into the bloodstream from the gastrointestinal tract. Glucose levels in the blood rise after a meal and trigger the pancreas to make the hormone insulin and release it into the blood.
Insulin works like a key that opens the doors to cells and allows glucose in. Without insulin, glucose can't get into cells and it stays in the bloodstream. As a result, levels of sugar in the blood remain higher than normal.
High blood sugar (hyperglycemia) is a concern because, if left untreated, it can cause health problems, both short-term (such as extreme thirst, frequent urination, and fatigue) and long-term (such as organ failure and nerve damage). Blood sugar that's too low (hypoglycemia) can also be a problem, causing symptoms such as sweating, trembling, and lightheadedness.
Diabetes is the most common cause of abnormal rises in blood sugar. People with diabetes either can't make or can't respond to insulin properly. This means they must carefully monitor their glucose levels and follow a doctor-prescribed management plan that uses diet, medications (such as insulin shots), and exercise to keep those levels within a healthy range.
Why It's Done
The blood glucose test is ordered to measure the amount of sugar in the blood. It may be performed as part of a routine physical, to help diagnose type 1 or type 2 diabetes, or during pregnancy to check for gestational diabetes (high glucose levels that can affect the health of both mother and baby).
In a person with diabetes, frequent glucose testing (both self-testing with a home monitor and testing at the doctor's office) is an important part of any good management plan.
Your doctor will let you know if any special preparations are needed for this test. Sometimes it's necessary for kids to fast (not having anything to eat or drink for 8 hours prior to the test). This is known as a fasting blood sugar test. Other times, doctors may want to check levels at specific times, such as right after a meal.
A health professional will usually draw the blood from a vein or a finger prick. For an infant, the blood may be obtained by puncturing the heel with a small needle (lancet). If the blood is being drawn from a vein, the skin surface is cleaned with antiseptic, and an elastic band (tourniquet) is placed around the upper arm to apply pressure and cause the veins to swell with blood. A needle is inserted into a vein (usually in the arm inside of the elbow or on the back of the hand) and blood is withdrawn and collected in a vial or syringe.
After the procedure, the elastic band is removed. Once the blood has been collected, the needle is removed and the area is covered with cotton or a bandage to stop the bleeding. Collecting blood for this test will only take a few minutes.
What to Expect
Either method (heel or finger prick or vein withdrawal) of collecting a blood sample is only temporarily uncomfortable and can feel like a quick pinprick. Afterward, there may be some mild bruising, which should go away in a few days.
Getting the Results
Many doctors, especially those who specialize in treating diabetes, have blood-analysis equipment in their office and will be able to analyze the results right away. Sometimes, though, the doctor also may send a blood sample to the lab.
The blood glucose test is considered a safe procedure. However, as with many medical tests, some problems can occur with having blood drawn:
- fainting or feeling lightheaded
- hematoma (blood accumulating under the skin causing a lump or bruise)
- pain associated with multiple punctures to locate a vein
Helping Your Child
Having a blood test is relatively painless. Still, many children are afraid of needles. Explaining the test in terms your child can understand might help ease some of the fear.
Allow your child to ask the technician any questions he or she might have. Tell your child to try to relax and stay still during the procedure, as tensing muscles and moving can make it harder and more painful to draw blood. It also may help for your child to look away when the needle is being inserted into the skin.
If You Have Questions
If you have questions about the blood glucose test, speak with your doctor.
Reviewed by: Steven Dowshen, MD
Date reviewed: February 2011
|National Institute of Diabetes and Digestive and Kidney Diseases This group conducts and supports research on many serious diseases affecting public health.|
|American Academy of Pediatrics (AAP) The AAP is committed to the health and well-being of infants, adolescents, and young adults. The website offers news articles and tips on health for families.|
|American Diabetes Association (ADA) The ADA website includes news, information, tips, and recipes for people with diabetes.|
|Children With Diabetes This website offers true stories about kids and teens who have diabetes.|
|Juvenile Diabetes Research Foundation International (JDRF) JDF's mission is to find a cure for diabetes and its complications through the support of research.|
|What Is Gestational Diabetes? Find out what the experts have to say.|
|Definition: Hyperglycemia Hyperglycemia occurs when the level of glucose in the blood is higher than it should be.|
|Definition: Hypoglycemia Hypoglycemia occurs when the level of glucose in the blood is lower than it should be.|
|Hyperglycemia and Diabetic Ketoacidosis When blood glucose levels (also called blood sugar levels) are too high, it's called hyperglycemia. A major goal in controlling diabetes is to keep blood sugar levels as close to the desired range as possible.|
|Hypoglycemia When blood glucose levels drop too low, it's called hypoglycemia. Very low blood sugar levels can cause severe symptoms that require immediate treatment.|
|Helping Kids Deal With Injections and Blood Tests Blood tests and insulin injections can be a challenge for kids with diabetes and their parents. Here are some strategies for coping with these necessary procedures.|
|Type 2 Diabetes: What Is It? With some practical knowledge about type 2 diabetes, you can become your child's most important ally in learning to live with the disease.|
Note: All information is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor.
© 1995-2012 The Nemours Foundation/KidsHealth. All rights reserved.