Diabetes Management Panel

Fasting Required

Fasting is required for this test. Please DO NOT eat or drink anything except water for 8-12 hours before your test. DO NOT stop taking your prescription medications. If your healthcare provider advised you to take your medications with food, consult with your healthcare provider before fasting.

Download a Test Sheet

View an informational sheet on this test to share with family and friends.

A diabetes management panel is comprised of two common tests, a glucose screen and a hemoglobin A1c test. These two lab tests can be combined to help detect or monitor a diabetic condition.

What is diabetes?

Diabetes is a leading cause of death worldwide, particularly in developed countries. It is estimated that nearly one‐third of all people with diabetes in the U.S. are not even aware they have the disease. Diabetes is caused by the body’s inability to properly process glucose, a form of sugar found in your bloodstream, into energy.

What are the risk factors for diabetes?

Diabetes risk factors include:

  • Obesity
  • Family history
  • High-risk ethnicity
  • High blood pressure
  • High triglycerides
  • High cholesterol
  • Low HDL
  • Gestational diabetes during pregnancy

Blood Glucose Screen

A glucose test is performed to identify the glucose level in your blood to detect if you have low blood glucose (hypoglycemia) or high blood glucose (hyperglycemia), and can determine your risk for diabetes or a pre‐diabetic condition.

What are the symptoms of hyperglycemia?

A person with high blood glucose may exhibit one or more of the following symptoms:

  • Increased thirst
  • Fatigue
  • Blurred vision
  • Slow-healing wounds or infections

What are the symptoms of hypoglycemia?

A person with low blood glucose may exhibit one or more of the following symptoms:

  • Sweating
  • Hunger
  • Trembling
  • Anxiety
  • Confusion
  • Blurred vision

What should I do if my results are abnormal or out-of-range?

It is always recommended you meet with a healthcare provider to determine what your laboratory test results mean to you. Your healthcare provider will review all of your test results and, combined with your health history, will be able to provide an accurate picture of your health status.

If your results were high: Abnormally high results may indicate that you have impaired fasting glucose (pre‐diabetes) or diabetes.

If your results were low range: Abnormally low results can indicate hypoglycemia.

As with any abnormal results, it’s important that you discuss their implications with your healthcare provider.

Hemoglobin A1c (HbA1c)

A hemoglobin A1c test helps identify those at an increased risk of developing diabetes, as well as monitor a diabetic patient to help in treatment decisions. The A1c test evaluates the average amount of glucose in the blood over the last 2 to 3 months by measuring the percentage of glycated (glycosylated) hemoglobin.

What is hemoglobin?

Hemoglobin is an oxygen-transporting protein found inside red blood cells. There are several types of normal hemoglobin, but the predominant form – about 95-98% – is hemoglobin A. As glucose circulates in the blood, some of it spontaneously binds to hemoglobin A. Hemoglobin A1c, also called glycated hemoglobin, is hemoglobin with glucose attached. The higher the level of glucose in the blood, the more glycated hemoglobin is formed.

When should I have an A1c test done?

Hemoglobin A1c may be ordered as part of a health checkup or when someone is suspected of having diabetes because of classical signs or symptoms of increased blood glucose levels (hyperglycemia) such as:

  • Increased thirst
  • Fatigue
  • Blurred vision
  • Increased urination
  • Increased appetite
  • Slow-healing wounds or infections

An A1c test may also be considered in overweight adults with the following risk factors:

  • Physical inactivity
  • High-risk ethnicity
  • High blood pressure
  • Abnormal lipid profile
  • High cholesterol
  • History of cardiovascular disease
  • First-degree relative (sibling or parent) with diabetes

What should I do if my results are abnormal or out of range?

It is always recommended you meet with a healthcare provider to determine what your laboratory test results mean to you. Your healthcare provider will review all of your test results and, combined with your health history, will be able to provide an accurate picture of your health status.

If your results were high: If you have not been diagnosed with diabetes, high levels could indicate an increased risk of developing diabetes. If you have diabetes, abnormal results could indicate that your diabetes is not being controlled and you may be at risk for complications. Keeping A1c levels close to normal is a key part of diabetes care. The American Diabetic Association recommends diabetics keep their A1c levels at less than 7%. As with any abnormal results, it’s important that you discuss their implications with your healthcare provider.

If your results were within normal range: Because your test results give a measure of how well your diabetes is being controlled, they can provide important information for your healthcare provider. Talk with your healthcare provider about your results and how you can use them to better manage your diabetes.

TEST RESULTS

HOW DO I GET TESTED?

To order your own lab tests, you just need to follow these three easy steps:

  1. Complete a lab order form for your test online and print it out to take with you to the DLO Patient Service Center. Follow the instructions on the laboratory test order form if fasting is required for the testing you are ordering.
  2. Visit any DLO Patient Service Center throughout Oklahoma. Check in with our friendly staff and give them your completed order form. Full payment is due at time of service before sample collection is performed. Note that we accept all major credit cards and checks. Unfortunately, we cannot accept cash payments. Have one of our skilled phlebotomists draw a blood sample or take a urine sample, who will send your sample to our laboratory for testing.
  3. Create a MyQuest™ account and view your test results through the MyQuest online patient portal. Test results are available through MyQuest within 7-10 business days of completing your lab work.

WHAT SHOULD I DO IF MY RESULTS ARE ABNORMAL OR OUT OF RANGE?

It is always recommended you meet with a healthcare provider to determine what your laboratory test results mean to you. Your healthcare provider will review all of your test results and, combined with your health history, will be able to provide an accurate picture of your health status.

If any of your results were out of range: If you have one or more tests that are out of range, you should share your results with your healthcare provider. These panels are typically evaluated as a group to look for patterns and only your healthcare provider can fully assess your test results to determine if further testing or treatment is needed.

If your results were within normal range: If all of your basic health screen test components were within normal range, you should follow the screening guidelines for your age and health status. Your healthcare provider is best suited to advise you on a timetable for all screening tests.

WHAT OTHER RESOURCES ARE AVAILABLE TO LEARN MORE ABOUT MY HEALTH AND LABORATORY TESTS?

DLO Direct™ offers direct access to laboratory testing for informational purposes only. A DLO Direct lab test result is not a medical diagnosis and is not intended as medical advice. Only a healthcare provider can interpret lab results and diagnose a medical condition or disease.

Because tests have not been ordered by a healthcare provider, third party entities, including Medicare and Medicaid, will not reimburse for these tests.