Impaired Glucose Tolerance and Fasting Glucose Referral Guidelines

Clinical Findings

  • Obesity (BMI > 97%ile)
  • Acanthosis
  • Positive Family History of Diabetes
  • May NOT have increased thirst and urination

Referral Timeframe

Routine: First available appointment

Pre-Referral Workup

  • Impaired Fasting Blood Glucose (100-125 mg/dl)
  • Impaired 2 hour OGTT (140-199 mg/dl)
  • HgA1C (abnormal >6%)
  • 2 hour OGTT (8 years and over) – 1.75 grams of glucola/kg to max of 75 grams
  • Renal Function and Liver Function tests

Referral Requirements

  • Growth chart
  • Laboratory results
  • Recent clinical notes