Information about a laboratory test

High OGTT: What Does It Mean?

A high post-load glucose result can occur when the body has impaired handling of a glucose load.

Test summary

Test name
OGTT
Abbreviations
OGTT, GTT
Category
Endocrinology / Glucose Metabolism
Panel
Diabetes / Glucose Tolerance
Specimen
Plasma / serum
Common units
mg/dL, mmol/L

What does the test measure?

Measures the blood-glucose response before and after drinking a defined glucose load.

Why is the test ordered?

Can be used to evaluate prediabetes, type 2 diabetes, and gestational diabetes.

Information about a low result

A low post-load glucose result depends on timing, symptoms, and clinical context and is not diagnostic by itself.

Information about a high result

A high post-load glucose result can occur when the body has impaired handling of a glucose load.

Reference and clinical context

Use the performing laboratory's report and the sampling conditions first. Fasting status, timing, and whether the test is diagnostic or for monitoring can change interpretation.

Reference context 1

<= 139 mg/dL

Population
Nonpregnant adults
Pregnancy status
No
Specimen
Plasma

Normal 2-hour OGTT context

The source uses <=139 mg/dL as the threshold for this context. Individual risk and laboratory context still matter.

Reference context 2

>= 140 – <= 199 mg/dL

Population
Nonpregnant adults
Pregnancy status
No
Specimen
Plasma

Impaired glucose tolerance / prediabetes

This sourced diagnostic threshold of >=140–<=199 mg/dL applies to nonpregnant testing; confirmation is usually required when classic symptoms are absent.

Reference context 3

>= 200 mg/dL

Population
Nonpregnant adults
Pregnancy status
No
Specimen
Plasma

Diabetes diagnostic threshold

This sourced diagnostic threshold of >=200 mg/dL applies to nonpregnant testing; confirmation is usually required when classic symptoms are absent.

Reference ranges may vary by laboratory, method used, age, sex, pregnancy status, and clinical context. The reference range on your own laboratory report takes precedence.

Interpretation notes

Pregnancy OGTT protocols and cutoffs can differ from nonpregnant diagnostic testing; the exact protocol must be known.

Related specialties

  • Endocrinology
  • Internal Medicine
  • Family Medicine
  • Pediatric Endocrinology

Frequently asked questions

Sources

  1. Diabetes Tests & Diagnosis — National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

    U.S. government medical reference · 2026 · Fasting plasma glucose, A1C, OGTT, random glucose; diagnostic thresholds and pregnancy caveats · Verified: Aug 12, 2026

  2. Tests & Diagnosis for Gestational Diabetes — National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

    U.S. government medical reference · 2026 · Glucose challenge and OGTT in pregnancy; protocol-specific interpretation · Verified: Aug 12, 2026