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Test Code INSLNPD Insulin Post Dose

Specimen Requirements

Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)
Pediatric Minimum Volume
(no repeat)
No Serum Serum Separator Tube (SST) Red Top Tube (RTT) 0.5 mL 0.3 mL 0.25 mL

Collection/Processing Instructions

Samples collected in a RTT must be removed from clot within one hour for storage or transport.

 

Samples collected in gel barrier tubes must be removed from the primary tube prior to transporting to Marshfield.

 

Do not send the primary collection tube.

 

When ordering this test, you will be asked to enter a comment relaying the dosing regimen and timing information (Example: 60 minutes post glucola).

Specimen Stability Information

Specimen Type Temperature Time
Serum Ambient 8 hours
Refrigerated 24 hours
Frozen >24 hours

Rejection Criteria

Grossly hemolyzed

Test Information

Patients on long-term insulin therapy may have anti-insulin antibodies which will falsely lower insulin results. Insulin assay measures exogenous as well as endogenous insulin; measurement of C-peptide may be helpful in differentiating the insulin source and in assessing the cause of hypoglycemic states.


Note: after 48 hours of refrigeration, insulin loses about 10% of its activity.

Interpretations

All results will be reported with the standard fasting insulin reference range. It is not related to any specific dosing regimen.

Reference Range Information

Performing Location Reference Range
Marshfield Fasting: 2.6 - 37.6 uU/mL

Marshfield Labs Performing Department

Marshfield Labs Chemistry

Performing Information

Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Marshfield Monday through Friday 1 day  Two-site Sandwich Immunoassay using Direct Chemiluminometric Technology/Siemens Centaur

CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
83525         

Outreach CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
83525         

Ordering Applications

Ordering Application Description
Cerner Insulin, Post Dose