Information about a laboratory test

Lactate: What Does This Test Measure?

The Lactate test measures the level of lactate produced during energy metabolism, which can provide context about tissue perfusion, oxygen use and metabolic stress.

Test summary

Test name
Lactate
Abbreviations
Lactate, Lactic acid
Category
Metabolic / Perfusion Markers
Panel
Acute Illness / Perfusion Assessment
Specimen
Whole blood / plasma
Common units
mmol/L, mg/dL

What does the test measure?

The Lactate test measures the level of lactate produced during energy metabolism, which can provide context about tissue perfusion, oxygen use and metabolic stress.

Why is the test ordered?

It may be ordered in severe illness to provide information about tissue perfusion and metabolic stress, for example during assessment of shock or sepsis.

Information about a low result

A low value is usually not interpreted as a clinical problem by itself; the purpose of testing and laboratory context matter.

Information about a high result

High lactate can occur for many reasons, including reduced tissue perfusion, severe infection or sepsis, shock, seizures, intense exercise, liver dysfunction and certain medicines.

Reference and clinical context

Start with the performing laboratory's reference interval, unit, specimen type and method. Numeric information on this page is stored as sourced example intervals or clinical thresholds.

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

Lactate can change rapidly and is sensitive to specimen collection and processing. In severe illness, clinical status and change on serial measurements may be more informative than one value.

Related specialties

  • Emergency Medicine
  • Internal Medicine
  • Infectious Diseases
  • Cardiology

Frequently asked questions

More information about this test

Sources

  1. Procalcitonin Test — U.S. National Library of Medicine (MedlinePlus)

    Government medical reference · 2025 · Procalcitonin, systemic bacterial infection and sepsis context · Verified: Aug 12, 2026

  2. Lactate Test — U.S. National Library of Medicine (MedlinePlus)

    Government medical reference · 2024 · Lactate testing in perfusion, hypoxia and severe-illness contexts · Verified: Aug 12, 2026