2-point insulin resistance test

Disorders of sugar balance – with the exception of type I diabetes – develop over a long period of time.

In such cases, a fasting blood sugar level or a fasting insulin level cannot reveal the abnormal condition and does not identify the increased risk of the disease.

So, during a dynamic study, when sugar balance is observed during operation we can get a more accurate, layered and detailed picture.

The more times we record the blood sugar and insulin levels during the 120-minute exercise, the more informative our results will be. The two most important values are the glucose and insulin levels measured after 0 and 120 minutes. The diagnosis of insulin resistance can be established from these two measurements during this 2-point test.

It is important to point out that at Whitelab, we do not only register blood sugar levels, but also test insulin values at every sampling occasion. This allows us to get a complex picture of the about the health or disturbance of the functioning of the sugar household.

The glucose solution is provided by Whitelab to all of its patients.

We start the test with a hunger test. Please arrive after 10-12 hours of fasting (i.e. on an empty stomach).

Since we are going to burden your sugar balance, a quick fingertip test is necessary. If the fasting blood sugar level is abnormally high, we do not perform the test!

The test starts by drinking the glucose solution (75 mg glucose dissolved in 2.5 dl of drinking water). Drinking the solution should not take longer than 5 minutes!

The exact course of the examination:

  1. POC blood sugar determination
  2. first blood test
  3. Load – Drinking the glucose solution
  4. 120 minutes waitint
  5. second blood sampling – 120 minutes



  • If possible, the days before the examination (2-3 days) should be spent in an average physical activity with activity!
  • Stop any diet that is less than 150 grams before the test
    it only makes it possible to consume carbohydrates!
  • Do not eat any food in the 10-12 hours immediately before the examination,
    however, you can drink plenty of water!
  • During the examination (120 minutes), do not perform any activity involving serious physical strain, and don’t smoke!
  • Postponement of the examination if there is an acute illness (e.g. cold, diarrhea, etc.). recommended. It can be done after healing.

During this stress test, blood is taken twice in a 120-minute time interval. 120 minutes pass between samplings. Please do so before your next blood test report at least 5 minutes in advance and signal this to the blood collection assistant by knocking!

If 1 or more of the following symptoms, conditions or risk factors exist:

  • overweight
  • reduced physical activity
  • waist circumference over 90 cm for women and over 100 cm for men
  • a diabetic person in the family
  • insulin resistance in the family
  • a symptom of polycystic ovary syndrome
  • Age over 45 years
  • Blood pressure higher than 140/90 mm Hg / taking blood pressure lowering medication
  • higher than normal blood fat levels
  • unsuccessful weight loss
  • infertility

Reasons for exclusion:

  • Age group under 14 years
  • For patients between 14 and 18 years of age, it is recommended to perform the examination with the recommendation of a specialist
  • Body weight below 42 kg
  • A fasting capillary blood sugar value above 7 mmol/l
  • Fasting before the test is less than 10 hours