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Glutamic Acid Decarboxylase-65 Antibody

Test Code

34878

CPT Code(s)

86341

Preferred Specimen(s)

1 mL serum

Minimum Volume

0.2 mL

Transport Temperature

Refrigerated (cold packs)

Specimen Stability

Room temperature: 8 hours

Refrigerated: 7 days

Frozen: 6 months

Reject Criteria

Received room temperature

Methodology

Radiobinding Assay

Performing Laboratory

Quest Diagnostics Nichols Institute

33608 Ortega Highway

San Juan Capistrano, CA 92690-6130

Setup Schedule

Set up: Sun, Tues, Thurs; Report Available: 5-6 days

Limitations

GAD-65 antibodies are detected in 20% of diabetic twins who remain disease-free for long periods of time and in 8% of healthy individuals.

Reference Range(s)

≤1.0  U/mL

Clinical Significance

Glutamic Acid Decarboxylase (GAD-65) Antibody is useful to diagnose insulin dependent diabetes mellitus (IDDM, Type I diabetes), to assess risk for development of IDDM, to predict onset of IDDM, and risk of development of related endocrine disorders, e.g., thyroiditis. Before clinical onset, Type I diabetes is characterized by lymphocytic infiltration of the islet cells, and by circulating autoantibodies against a variety of islet cell antigens, including GAD-65, IA-2 (a tyrosine phosphatase-like protein), and insulin autoantibody (IAA).

Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.

(The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.)

* The tests listed by specialist are a select group of tests offered. For a complete list of Quest Diagnostics tests, please refer to our Directory of Services.