

Blood sugar and insulin tests are among the most essential medical screenings used to detect diabetes and insulin resistance. They are routinely performed to monitor the health status of millions of patients worldwide. In this guide from Dalili Medical, we break down everything you need to know in a simple and clear way:
What Are the Types of Blood Sugar Tests?
When should you take them?
How do you interpret the results?
What’s the difference between blood sugar and insulin tests?
Can they detect prediabetes?
Keep reading to discover the most important tests that could help protect your health before it’s too late!
A blood sugar (glucose) test measures the level of glucose in your blood. It is commonly used to diagnose:
Type 1 and Type 2 diabetes
Prediabetes
Abnormal drops or spikes in blood sugar
When? After fasting (no food or drink except water) for at least 8 hours.
Normal ranges:
Less than 100 mg/dL = Normal
100–125 mg/dL = Prediabetes
126 mg/dL or higher = Diabetes
✅ Purpose: This is the primary test used to detect early blood sugar problems.
When? Can be taken at any time of the day, with or without fasting.
Interpretation:
If the result is 200 mg/dL or higher along with symptoms like thirst, frequent urination, and fatigue, it may indicate diabetes.
✅ Purpose: Useful in emergency situations or when sudden symptoms arise.
⏳ Measures: The average blood sugar level over the past 3 months.
Normal ranges:
Less than 5.7% = Normal
5.7% to 6.4% = Prediabetes
6.5% or higher = Diabetes
✅ Purpose: This is the most important test for monitoring chronic diabetes and evaluating how well treatment is working.
Commonly used to diagnose gestational diabetes or prediabetes
Involves drinking a glucose solution and measuring blood sugar after 2 hours
Result ≥ 200 mg/dL after 2 hours = Diabetes
✅ This test is very accurate but requires preparation and more time.
The insulin test is often done along with a fasting glucose test to detect:
Insulin resistance (a precursor to diabetes)
Metabolic disorders
Polycystic Ovary Syndrome (PCOS)
Normal insulin levels vary by lab, but high insulin with normal glucose may indicate insulin resistance.
Feature | Glucose Test | Insulin Test |
---|---|---|
Measures what? | Blood glucose (sugar) level | Blood insulin hormone level |
Main purpose | Diagnose diabetes or prediabetes | Detect insulin resistance |
Requires fasting? | Yes, for some types | Yes – often done with fasting glucose |
Recommended for? | Everyone (routine screening) | People with risk factors or symptoms |
Every 6 months if you:
Are overweight or obese
Have a family history of diabetes
Experience symptoms like: excessive thirst, frequent urination, extreme hunger, or fatigue
Monthly or as recommended by your doctor if:
You already have diabetes
You have PCOS or hormonal imbalances
Unexplained chronic fatigue
Difficulty losing weight despite dieting
Dark patches on the neck or underarms
Intense cravings for sweets
Irregular menstrual cycles
To ensure accurate results:
Fast for 8–12 hours before the test (water only)
Avoid intense exercise right before the test
Inform the lab about any medications or supplements
Stay relaxed and seated before the blood draw to reduce stress
Not always. Doctors usually recommend a panel of tests to confirm the diagnosis, such as:
Fasting glucose + insulin
HOMA-IR test (calculated from glucose and insulin levels)
HbA1c (3-month average blood sugar)
Fasting & random glucose: Within minutes
HbA1c and insulin: 6 to 24 hours, depending on the lab
OGTT: Test is completed in 2–3 hours
Always discuss your results with a licensed healthcare provider
Don’t rely on a single test result to make decisions
If any irregularities are found, begin a healthy diet and start regular medical follow-ups immediately
✅ Summary: Why Are These Tests Essential?
Blood sugar and insulin tests are not just for diagnosing diabetes — they’re crucial tools for early detection of insulin resistance, prediabetes, and metabolic disorders. The earlier you identify a problem, the better your chances of preventing complications and starting effective treatment.
Make these tests a regular part of your annual health checkup.
Your health starts with a single drop of blood!