Test Code LACTOT Lactose Tolerance Test
Additional Codes
LAB9164
Methodology
Used to diagnose lactose deficiency.
Performing Laboratory
St. Mary's Regional Medical Center-Chemistry
Specimen Requirements
Patient Preparation
Patient should be instructed to eat and drink nothing except water for 8 hours prior to test and throughout the test. Patient should be instructed to refrain from smoking during test. Fasting specimens are drawn. Patient ingests 100 g of lactose dissolved in 250 mL of water. Additional blood specimens are drawn at 15 minutes, 30 minutes, 1 hour, and 2 hour intervals. Lactose deficiency is suggested if <20 mg/dL rise in glucose occurs.
Note: 1. It is recommended that a glucose tolerance test be performed previously to provide a basis for comparison.
2. Laboratory should be notified 2-3 days prior to date of testing to allow for preparation of the lactose solution.
3. A lactose tolerance test consists of a fasting specimen and 4 additional specimens, for a total of 5 blood specimens.
Specimen Collection
Submit only 1 of the following specimens:
Plasma
Container/Tube: Light green-top (lithium heparin) tube
Specimen: 1 mL of lithium heparin plasma
Transport Temperature: Ambient
Collection Instructions: Fasting (8 hour)
Note: 1. Indicate plasma.
2. Label specimen appropriately (plasma).
3. All test specimens should be the same specimen type.
Serum
Container/Tube: Plain, red-top tube or serum gel tube
Specimen: 1 mL of serum
Transport Temperature: Ambient
Collection Instructions: Fasting (8 hour)
Note: 1. Indicate serum.
2. Label specimen appropriately (serum).
3. All test specimens should be the same specimen type.
Reference Values
Results are similar to those observed with a glucose tolerance test.
Less than 20 mg/dL rise in glucose suggests lactose deficiency.
Day(s) Test Set Up
Monday through Saturday