OGT Post-Test Care and Clinical Follow-Up

Question 1

After completing a 2-hour OGTT, what should the patient be advised to eat immediately?

Accepted Answer

A balanced meal to restore normal glucose levels

Answer

After fasting and glucose loading, patients should eat a balanced meal to restore their glycemic equilibrium and prevent symptomatic hypoglycemia.

Question 2

Which symptom during the OGTT should prompt the clinician to draw blood immediately and evaluate for hypoglycemia?

Accepted Answer

Diaphoresis, trembling, and confusion

Answer

Diaphoresis, trembling, and confusion are classic signs of hypoglycemia; blood should be drawn immediately to measure glucose and address the episode.

Question 3

A patient diagnosed with prediabetes on OGTT should be referred to which type of program as primary intervention?

Accepted Answer

Diabetes Prevention Program (DPP) or equivalent lifestyle intervention

Answer

The CDC-recognized Diabetes Prevention Program (DPP) reduces type 2 diabetes risk by approximately 58% in prediabetic individuals through structured lifestyle changes.

Question 4

How often should a patient with confirmed prediabetes have their glucose tolerance reassessed?

Accepted Answer

Every 1–2 years

Answer

ADA guidelines recommend annual to biennial glucose testing for individuals with prediabetes due to the significant risk of progression to type 2 diabetes.

Question 5

A newly diagnosed type 2 diabetes patient after OGTT should have which laboratory test ordered to assess average glucose over the prior 2–3 months?

Accepted Answer

Hemoglobin A1c (HbA1c)

Answer

HbA1c reflects average plasma glucose over the preceding 2–3 months and is essential for establishing a baseline and monitoring response to treatment.

OGT - Oral Glucose Tolerance Practice Test

OGT - Oral Glucose Tolerance Practice Test

OGT Post-Test Care and Clinical Follow-Up