Can you drink coffee while fasting for lab work

How do you prepare for a blood test?

Some blood tests will require you to fast beforehand. In these cases, your doctor will instruct you not to eat or drink anything, except water, in the hours leading up to the test.

Fasting before certain blood tests is important to help make sure that your test results are accurate. The vitamins, minerals, fats, carbohydrates, and proteins that make up all food and beverages can impact blood-level readings, clouding the results of your test.

Not all blood tests will require you to fast beforehand. Blood tests that you will likely need to fast for include:

  • blood glucose test
  • liver function test
  • cholesterol test
  • triglyceride level test
  • high-density lipoprotein (HDL) level test
  • low-density lipoprotein (LDL) level test
  • basic metabolic panel
  • renal function panel
  • lipoprotein panel

If your doctor has prescribed a new blood test for you, or doesn’t mention whether or not you should fast or for how long, ask them if fasting is required. Some tests, such as a fecal occult blood test, don’t require fasting but do limit certain foods. Red meats, broccoli, and even some medications may cause a false positive test. Always follow your doctor’s advice when preparing for a test.

The amount of time you need to fast for will vary depending on the test. For most tests, you will be told not to consume anything but water for eight hours leading up to the test. For a few tests, a 12-hour fast may be needed.

Even if you drink it black, coffee can interfere with blood test results. That’s because it contains caffeine and soluble plant matter, which might skew your test results.

Coffee is also a diuretic, which means that it will increase how much you pee. This can have a dehydrating effect. The less hydrated you are, the harder it can be for the nurse or other medical professional who’s doing your blood test to find a vein. This can make the blood test harder or more stressful for you.

Some blood tests, such as those that assess liver health or triglyceride levels, may require you to not drink any alcohol for a full 24 hours. Trace amounts of alcohol can remain in your bloodstream for several days. If you have any concerns about alcohol consumption, discuss this with your doctor when you schedule your test.

Also ask your doctor if you can smoke cigarettes before the test, or if you should refrain from smoking during your fast.

It’s fine to drink water before a blood test, unless you’re instructed otherwise by your doctor. This is different from some surgical procedures, which may require you to have a totally empty stomach.

Tap or bottled water are both OK, but leave the squeeze of lemon for another time. Seltzer and club soda are off-limits. Carbonated beverages, flavored or otherwise, shouldn’t be consumed during a fast, and neither should any type of tea.

Just like adults, children may need blood tests that require them to fast beforehand. If so, your child’s pediatrician will let you know how long your child should abstain from eating and drinking.

There are several blood tests you may need if you’re pregnant. These are designed to assess any potential health concerns that you or your baby might experience during pregnancy or after you give birth. Some of these tests will require you to fast beforehand. Your doctor will advise you how to prepare for each test.

Fasting is usually safe if you’re pregnant, provided you’re in good health and aren’t having a high-risk pregnancy. For your overall comfort, your doctor may advise you to drink extra water or to remain indoors, especially if the weather is very hot or humid.

Fasting may increase heartburn in some pregnant women. If you experience uncomfortable or concerning symptoms of any kind while you’re waiting to have your blood drawn, let your doctor know immediately.

If you’re seeing a doctor other than your obstetrician-gynecologist, make sure they are made aware of your pregnancy before your blood test.

Can you drink coffee while fasting for lab work

TL;DR while experts have varying opinions on whether you can drink coffee before a blood test or not, the rule of thumb is to know what kind of fast you'll need to do. Some allow coffee (and even eating), while others will be better off without both. The best way to know is to ask the medical professional prior to the test to eliminate any doubts!

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You’re a coffee lover. Coffee’s part of your morning routine.

But what if you have to take a blood test first thing in the morning? Can you still have your caffeine fix?

This seems to be the million dollar question for many. So today, we’re embarking on a mission to find out what the real deal is.

Why fast before blood tests?

WebMD answers the question about why one needs to fast: [1]

Nutrients in food and drinks go into your bloodstream and can change things measured by the tests, skewing your results. For instance, if you eat or drink before a fasting blood glucose test, your blood sugar probably will be higher than if you hadn’t had anything. When you’re fasting, doctors get a baseline result so tests can be compared to give a true picture of your sugar levels over time.

Can you drink water before a blood test?

Registered nurse Kathy Reutter writing at One Medical, says many people mistakenly think they need to avoid water during fasts. [2] Not so, she says. In fact, drinking enough water may help you feel better during a fast and also plump the veins for an easier blood draw by the phlebotomist. She states that blood is about 50 percent water.

Blood work and coffee

But what about coffee? Is drinking it acceptable when fasting?

Doctors keep telling patients that it’s all right to have black coffee before fasting blood work.

However, if you go through various online reports, you’ll note one thing - THEY SAY DIFFERENT THINGS! It seems that jury’s still out on this one.

So here’s the game plan. We’ve taken the liberty to put together what various reports say and we’ll try to come up with a conclusion. Wait 'til you get to the end of this article for the verdict.

  • How about starting off with good news for coffee lovers? According to William Kormos, M.D., the Editor in Chief of Harvard Men’s Health Watch, it’s okay to drink water, plain coffee, or black tea. [3]
  • A 2005 study in The Annals of Pharmacotherapy found that one 6-oz cup of black coffee consumed an hour before the test led to very little (“clinically insignificant”) changes. However, if results turned out to be borderline, it may be worth retaking the test sans coffee. [4, 5]
  • If you forget and have some coffee with cream and sugar or even a meal the morning of a cholesterol test, don’t panic just yet. CBS News reports that when researchers examined data from 209,000 participants in one study with fasting times ranging from one to 16 hours, there were small differences. [6]
  • This article on Livestrong seems to contradict everything else about a fasting blood test: [7]

“While you may consider black coffee little more than water, drinking it causes you to absorb caffeine and other organic compounds into your bloodstream. You need only plain water, without added vitamins, flavoring or carbonation, to achieve the correct fluid and electrolyte balance in your blood chemistry.”

According to Livestrong, "a fasting glucose test measures the level of glucose in the blood during a fasted state," so you need to avoid food and beverage intake for at least 8 hours. [8]

“Fasting is defined as eating and drinking nothing but water. These narrow parameters allow lab technicians and physicians the greatest diagnostic margin by introducing no dietary variables into the procedure. While you may consider black coffee little more than water, drinking it causes you to absorb caffeine and other organic compounds into your bloodstream. You need only plain water, without added vitamins, flavoring or carbonation, to achieve the correct fluid and electrolyte balance in your blood chemistry. In some instances, your doctor will ask you to avoid only certain foods, beverages or medications before a test.”

  • Medical News Today agrees with Livestrong, saying that “coffee affects digestion and can also affect the results of a blood test. As such, people should not drink coffee before a fasting blood test.” [9]

Guidelines on common blood tests

It depends to some extent on what test is being performed, but for many that require fasting, intake of non-carbohydrate containing liquids a few hours before blood work will not impact results.

Luckily, there are various guidelines available to know whether it’s safe to go with black coffee before heading to the clinic, or just steer clear altogether.

The British National Health Service has the following fasting guidelines on some common tests: [10]

  • Fasting glucose blood test: This test helps a doctor diagnose a patient for diabetes, which is caused by having too much sugar in the blood. For this test, one needs to abstain from all foods and drinks except water for eight to 10 hours beforehand.
  • Iron blood test: These are usually taken in the morning before eating anything, and also after avoiding iron or iron-containing pills from 24 hours beforehand. This test can help diagnose anemia, or having too few red blood cells, a condition that can be caused by iron deficiency.
  • Lipid profile or cholesterol test: This is one test that doctors require many people to get with today’s diet of high-fat and high-cholesterol foods. The doctor will probably tell you to drink only water and not to eat anything for up to 12 hours before the phlebotomist draws your blood. Doctors test for what is called good cholesterol, bad cholesterol, the total number of cholesterols and triglycerides or other types of fats.

Medical News Today also has additional guidelines, as follows: [9]

  • Gamma-glutamyl transferase test: this is a test to diagnose any liver disease. While fasting for food is not necessary with this test, patients are advised not to consume alcoholic beverages nor smoke 24 hours before the test.
  • Comprehensive metabolic panel, which doctors order as part of a yearly physical to test check your blood sugar, electrolyte and fluid balance, kidney function and liver function.
  • Renal function panel: Tests to see how well the kidneys are working. Typically, people are asked to fast for 8 to 12 hours before these tests.
  • Vitamin B12 test: Doctors order the vitamin B21 test to measure the amount of this vitamin the blood. This test helps diagnosis one type of anemia and other problems. Your doctor will likely ask you again all the medications you take because some drugs can interfere with this test. 

Conclusion

Drinking coffee and eating are OK before some blood tests but not others, and some doctors say any black coffee at all before is OK even before a cholesterol test as long as you don’t add cream or sugar.

But if you still find yourself in doubt, it’s best to ask a medical professional. In fact, upon recommendation of a blood test, you should double-check with your doctor. They may be ordering tests that they haven't told you about — tests that do require fasting.

Sources

[1] https://www.webmd.com/cholesterol-management/fasting-blood-tests#1

[2] http://www.onemedical.com/blog/live-well/blood-draw-faq/

[3] https://www.health.harvard.edu/staying-healthy/ask-the-doctor-what-blood-tests-require-fasting

[4] https://www.everydayhealth.com/cholesterol-specialist/coffee-before-cholesterol-testing.aspx

[5] https://www.ncbi.nlm.nih.gov/pubmed/15928258

[6] http://www.cbsnews.com/news/fasting-may-not-be-necessary-before-cholesterol-test/

[7] http://www.livestrong.com/article/492574-can-i-have-coffee-if-im-fasting-before-blood-work/

[8] https://www.livestrong.com/article/464282-can-you-drink-coffee-the-morning-you-have-a-fasting-blood-sugar-test/

[9] https://www.medicalnewstoday.com/articles/319080.php

[10] http://www.nhs.uk/chq/Pages/1018.aspx


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Does coffee affect fasting blood test?

Can you drink coffee if you're fasting before a blood test? Even if you drink it black, coffee can interfere with blood test results. That's because it contains caffeine and soluble plant matter, which might skew your test results. Coffee is also a diuretic, which means that it will increase how much you pee.

How long before a blood test can you drink coffee?

A bite of toast and a few gulps of coffee won't really make a difference, right? Not so fast. Your results could come back wrong if you give in to temptation. Fasting means you don't eat or drink anything but water usually for 8 to 12 hours beforehand.

What blood tests are affected by coffee?

For example, you might need to skip your morning coffee before taking a glucose test, especially if you normally take it with sweetener and milk. This type of test measures the level of sugar in your blood, so this could cause your glucose to elevate and alter your test results.