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Editor's Correspondence
May 27, 2013

Is It Time to Eliminate the Need for Overnight Fasting for Lipid Tests in Patients With Diabetes?—Reply

Author Affiliations

Author Affiliations: Department of Pathology and Laboratory Medicine, University of Calgary (Drs Sidhu and Naugler), and Calgary Laboratory Services (Dr Naugler), Calgary, Alberta, Canada.

JAMA Intern Med. 2013;173(10):936-937. doi:10.1001/jamainternmed.2013.663

In reply

It is gratifying to see that our recent article in this journal1 has led to renewed discussions of the utility of a fasting requirement for routine cholesterol testing. Aldasouqi and Grunberger raise an excellent point in their commentary on our article: there are patients for whom fasting is not only an inconvenience but may also represent a safety risk. It is also worth pointing out that while the risk of hypoglycemia may be particularly high for patients with diabetes,2 nondiabetic patients may also experience hypoglycemia after a prolonged fast.

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