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Should You Fast Before a Blood Draw? How It Affects Your Results

Three plates one empty, one with a clock, and one with food. Representing the choice of fasting before a blood draw.

The Future of Medicine health screening program provides blood tests to measure various health risks. While fasting is not required for the screening, some of your results may differ based on whether you decide to fast before your blood draw.

What does ‘fasting’ before a blood draw actually mean?

FASTING

Not eating or drinking anything except water for 9-12 hours before your blood test.

NON-FASTING

Eating and drinking as usual before the test.

How are certain tests impacted by fasting or non-fasting?

Lp(a)

A type of cholesterol driven by your genes, not diet and lifestyle.

Impacted by Fasting?

Next Steps

No, levels remain stable.
If too low, increase healthy fats in your diet, exercise more, avoid smoking, and consult your healthcare provider.

HDL

High-Density Lipoprotein, considered the “good” cholesterol because it carries bad cholesterol away from the arteries, allowing it to be removed from the body.

Impacted by Fasting?

Next Steps

No, levels remain stable.
If too low, increase healthy fats in your diet, exercise more, avoid smoking, and consult your healthcare provider.

LDL

Low-Density Lipoprotein, sometimes referred to as “bad” cholesterol because it can build up in the arteries.

Impacted by Fasting?

Next Steps

Yes, levels could be impacted.
If too high, consider retesting while fasting and consult your healthcare provider.

VLDL

Very Low-Density Lipoprotein, primarily carries triglycerides. High levels of VLDL can contribute to the buildup of plaque in the arteries.

Impacted by Fasting?

Next Steps

Yes, levels could be impacted.
If too high, consider retesting while fasting and consult your healthcare provider.

Total Cholesterol

Includes both LDL “bad” and HDL “good” cholesterol.

Impacted by Fasting?

Next Steps

No, levels remain stable.
If too high, consult your healthcare provider.

Triglycerides

A type of fat in the blood. Elevated levels of triglycerides are linked with an increased risk of heart disease.

Impacted by Fasting?

Next Steps

Yes, levels could be impacted.
If too high, consider retesting while fasting and consult your healthcare provider.

A1c

Measures your average blood sugar levels over the past 2-3 months. High levels indicate diabetes or an increased risk of diabetes.

Impacted by Fasting?

Next Steps

No, levels remain stable.
If too high, consult your healthcare provider for diabetes management.

eGFR

Measures how well your kidneys are working by assessing the amount of creatinine in your blood.

Impacted by Fasting?

Next Steps

No, levels remain stable.
If too low, consult your healthcare provider for further evaluation.

hsCRP

Measures levels of C-reactive protein in your blood, a substance produced by the liver in response to inflammation.

Impacted by Fasting?

Next Steps

No, levels remain stable.
If hsCRP is too high, consult your healthcare provider for further evaluation.
While a fasting blood draw offers the most accurate results for certain components of your health screening, especially triglycerides, LDL, VLDL, and pTau, other tests like Lp(a), HDL, A1c, eGFR are not impacted by fasting. If any of your results are abnormal, follow up with your healthcare provider to discuss the next steps and potential treatments.

CONTRIBUTING EXPERT

Dr.Green

Sinikka Green, MD

Dr. Green is the Medical Director and a Principal Investigator at Care Access. She is board certified in emergency medicine.

DISCLAIMER

The information provided on Care Access is intended for informational purposes only and should not be considered as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition. Our products and content are not intended to diagnose, treat, cure, or prevent any disease.

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