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glucose challenge test

A pregnancy screening test that measures blood glucose 1 hour after drinking a sweet glucose drink.

GLOO-kose CHAL-enj test noun

What it means

The usual first step in screening for gestational diabetesjes-TAY-shun-ul dy-uh-BEE-teezHigh blood sugar that first develops during pregnancy in a person who did not have diabetes before.gestat carrying a pregnancy-al relating toFull entry , most often at 24 to 28 weeks. The client drinks 50 grams of glucose, without needing to fast, and blood is drawn 1 hour later. A result at or above the cutoff does not diagnose diabetes; it leads to a longer, fasting 3-hour oral glucose tolerance test.

For the nurse

Teach the client to drink the whole drink within about 5 minutes and stay in the clinic, without eating or smoking, until the blood draw.

At a glance

Normal rangeLess than 140 mg/dL [7.8 mmol/L] at 1 hour; some programs use 130 or 135 mg/dL.
Also written1-hour glucose challenge test, one-hour glucose test, GCT

Related terms

blood glucose

The amount of sugar (glucose) in the blood at the time it is measured.

gestational diabetes

High blood sugar that first develops during pregnancy in a person who did not have diabetes before.

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