Diabetes screening tests

What is a diabetes test?

Diabetes can be diagnosed by a blood test that checks your blood glucose (sugar) levels. If you are at a high risk of diabetes, or you are having symptoms, your doctor may refer you for a diabetes test.

Who should have a diabetes test?

Because you can have diabetes even without experiencing any symptoms, you should have a diabetes test regularly if you are at a high risk of type 2 diabetes. An Australian Type 2 Diabetes Risk Assessment Tool (AUSDRISK) score of 12 or more is considered high risk.

You may also be at high risk of diabetes if you:

• have had a heart attack or stroke
• have had gestational diabetes(a type of diabetes that occurs during pregnancy)
• have polycystic ovary syndrome
• take medicines to treat psychosis

You should also have a diabetes test every year if you have pre-diabetes.

Am I at risk of diabetes?

You can ask your doctor about your risk for diabetes. There are several different types of diabetes.

The Australian Type 2 Diabetes Risk Assessment Tool (AUSDRISK) can help you understand your risk of getting type 2 diabetes. This is a simple way for you to check your risk.

You may be at increased risk of type 2 diabetes if you:

• are over 55 years of age
• are over 45 years and have high blood pressure and/or are living with overweight or obesity
• have a family member with type 2 diabetes
• are from an Aboriginal and/or Torres Strait Islander background
• were born in Asia
• are not physically active

What happens during a diabetes test?

Diabetes is usually tested by using a blood glucose test. Normally, a blood sample is taken from your vein and sent to a pathology lab for analysis.

There are different types of blood tests used in different situations. You may be asked to fast overnight beforehand (fasting blood glucose test) or you may not need to prepare.

In some cases, your doctor may recommend an oral glucose tolerance test (OGTT). For this test, you will need to fast overnight. In the morning, you will have a blood sample taken, then drink a sugary drink provided for you and have additional blood samples taken 1 and 2 hours later.

What does a diabetes test cost?

If you have a Medicare card and your doctor orders the diabetes test for you, the test is usually bulk billed. That means there are no out-of-pocket or additional costs to you.

It’s always a good idea to ask the pathology lab about any out-of-pocket or additional costs when you book your appointment.

How can I get tested?

If you are concerned about your diabetes risk, speak to your doctor, who can refer you for a blood test.

What follow-up is involved?

You will usually need to see your doctor to get your test results. Ask your doctor when you should return for your next diabetes test. This will depend on your level of risk.