The Fresh Test™ is a diagnostic glucose beverage intended for gestational diabetes screening. Glucose tolerance tests are typically performed at 24-28 weeks gestation.


The Fresh Test® offers a line of diagnostic 50-gram, 75-gram and 100-gram glucose beverages. They are intended for diabetes mellitus and gestational diabetes mellitus screening.

The Fresh Test® glucose beverages are additive-free and made with just three high-quality ingredients: Organic Glucose, Crystallized Lemon and Organic Mint. Our products are labeled as Diagnostic Class II Medical Devices ensuring exact equivalency to predicate glucose beverages. FDA 3017544399.

The Fresh Test® products are not only clean (non-GMO, gluten free, artificial flavoring free, dye free, BPA free and preservative free) but also delicious. Nearly 100% of women enjoy the taste, greatly improving the patient experience.

The Fresh Test® has two product lines that are protected with USPTO Provisional Patents. A Glucose Powder Line - meant to be reconstituted with 10 ounces of water and a Glucose Beverage Line - relaunching in 2023. Please visit our Clinical Articles & Resources tab for Instructions For Use, Vendor Packets and Equivalency Certificates of Analysis, or reach out to

The Fresh Test® is frequently stocked at laboratories and physician offices. Patients may also purchase directly and receive coverage through HSAs and FSAs. Please reach out to for reimbursement assistance.

What distributors & local sites offer The Fresh Test ®?

As a diagnostic glucose beverage FDA 3017544399, The Fresh Test® can be used throughout the United States as a Glucose Tolerance Test. It is best to check if your laboratory or provider stocks this product. If not, patients are welcome to purchase direct or visit these locations that have The Fresh Test™ in stock:

Distributors: ThermoFisher, Mako Medical, Pathology Laboratories, FAIRE, InHisHands. Baby Birth & Beyond.

LabCorp Patients: More information at LabCorp's Testing While Expecting.LabCorp Offices: More information at LabCorp's Partners in Pregnancy™.

Alabama: Aurora Midwifery Hoover, AL 35226. Harvest Midwifery Harvest, AL 35749. Women's Village of Mobile OBGYN Care Mobile, AL 36608. Women 4 Women OBGYN Huntsville, AL 35801.

Alaska: Chena OBGYN Fairbanks, AK 99701. Midwifery and Women's Health Care Anchorage, AK 99508. Alpenglow Women's Health Wasilla, AK 99654. Mat-Su Midwifery Wasilla, AK 99654.

Arizona: Emergence Midwifery + Wellness Gilbert, AZ 85296. Agape Blooming Tempe, AZ 85281. Conscious Choices Birth Center Snowflake, AZ 85937. Glow Midwifery Gilbert, AZ 85297. Karin Braun Balance Gilbert, AZ 85234. Sun Valley Birth & Wellness Buckeye, AZ 85396.  Tree of Life Midwifery Phoenix, AZ 85053.

Arkansas:Eden Birth & Wellness Rogers, AR 72756. Midwife Christina Horatio, AR 72704. Abby Kay Midwifery Greenbrier, AR 72058.

California: OBGYN Specialists Walnut Creek, CA 94598. A Family Affair Poway, CA 92064. AA Midwifery Chino, CA 91710. Almond OBGYN Los Angeles, CA 90046. Alumbra Midwifery Paramount, CA 90723. Birth Waves San Diego, CA 92130. California Birth Center Rocklin, CA 95677. Circle City Corona, CA 92881. Beach Cities Midwifery Long Beach CA 90808. Daniel Niku MD Beverly Hills, CA 90211. East Bay Midwives Albany, CA 94706. Home Birth Service Sherman Oaks, CA 91423. Kinship San Luis Obispo & Santa Maria, CA 93420. Long Beach Birth Center Long Beach, CA 90807. Lotus Moon Calabasas, CA 91302. Mariposa Birth Nevada City, CA 95959. Monterey Birth Monterey, CA 93940. Midtown Nurse Midwives Sacramento, CA 95811. Midwife Courtney San Diego, CA 92103. Rodeo Drive Women's Health Center Beverly Hills, CA 90210. Sacred Body San Francisco, CA 94114. San Diego County Midwives Poway 92064. Santa Barbara Birth Center Santa Barbara, CA 93105. Wild Harmony Wellness San Diego, CA 92108.

Colorado: A Woman's Place Fort Collins, CO 80525. Reconnect Chiropractic Loveland, CO 8053. Southwest Midwives Durango, CO 81301.

Connecticut: Magnolia Midwifery Simsbury, CT. Woman's Choice Perinatal Prospect, CT 06712. With Women Wellness Manchester, CT 06040.

Delaware: Lifeline Medical Associates 

Florida: Breath of Life Largo, FL 33771. Dr. Hyler Ob/Gyn and Associates Orange Park, FL 32073. Full Circle Midwifery Deland, FL 32720. Natural Design Midwifery Orlando, FL 32809. Sacred Birth Winter Park, FL 32792. Stand & Deliver Family Birth Center Pensacola, FL 32503. Sunshine Midwife Altamonte Springs, FL 32714.

Georgia: Atlanta Birth Center Atlanta, GA 30308. Birth by Grace Midwifery Tyrone, GA 30290.

Hawaii: Nightbloom Birth Kapa'a, HI 96746. Maui Midwifery Wailuku, HI 96793. Maui Lani Physicians Kahului HI, 96732. Wellness OB/GYN Honolulu, HI 96814. Hua Moon Women's Health Kapa'a, HI 96746

Idaho: Selah Midwifery Rigby, ID 83442. New Moon Midwives Garden City, ID 83714.

Illinois: Birth Center of Chicago Chicago, IL 60613. Chicago Nurse Midwife Chicago, IL 60649. Birth Center of Bloomington-Normal Bloomington, IL 61704. Encompass Midwifery, Rock Island County, IL. Home Sweet Home Birth Hopedale, IL 61747.

Indiana: Sacred Journey Goshen, IN 46526. Sacred Roots Birth & Wellness Indianapolis, IN 46254.

Iowa:Dr. Gabel Clinton, IA 52732. Hello Baby Burlington, IA 52601.

Kansas: Wichita Birth Andover, KS 67002. Miracle Moments Midwifery Wichita, KS 67217.

Kentucky:MaxLiving Chiropractor Louisville, KY 40243. Home Sweet Home Midwifery Lexington, KY 40504.

Louisiana: Baby Catcher Birth Center Lafayette, LA 70506. The Natural Birth House Lafayette LA 7051.

Maine: In The Nest Midwifery Brunswick, ME 04011. Mother Seed Midwifery Gardiner, ME 04345. Redington-Fairview General Hospital Skowhegan, ME 04976.  Saco River Midwifery Saco, ME 61747.

Maryland: Aglow Midwifery Middletown, MD 21769. Mother.Sister.Friend. Doula Services Owings Mills, MD 21117. Shifrah's Sisters Myersville, MD 21773.

Massachusetts: Alternative Glucose Distributor Danvers MA 01923. Circle of Life Clarksburg, MA 01247.

Michigan: Generations OBGYN Birmingham, MI 48009. Michigan Midwives Association. Newaygo Natural Beginnings Newaygo, MI 49337. Sacred Space Midwifery Union, MI 49130. Sandy's Birthworks Women's Wellness Detroit, MI.

Minnesota: New Birth Waconia, MN 55387. Wildflower Midwifery Zimmerman, MN 55398.

Missouri: Plaza Ob/Gyn Kansas City, MO 64111. Joyful Midwifery Jackson, MO 63755.

Montana:Origin Health Missoula, MT 59804Go Midwife Bozeman, MT 59718.

Nebraska: OBGYN Nebraska Hastings, NE 68901. Thrive Lincoln Lincoln, NE 68516.

Nevada: OBGYN Associates Reno, NV 89503. Well Rounded MommaLas Vegas, NV 89120. Baby's 1st Day Las Vegas, NV 89106. Battle Born Chiropractic Reno, NV 89509. Reno Nevada Doula Reno, NV 89501. Serenity Birth Center & Women's Care Las Vegas, NV 89107.

New Hampshire:
 Plymouth OBGYN Plymouth, NH 03264. Birth Cottage Milford, NH 03055 & Salem, NH 03079. Call The Midwife Amherst, NH 03031.

New Jersey: The Essential Market Hackettstown, NJ 07840 & Madison, NJ 07940.

New Mexico: Vida Midwifery Las Cruces, NM 88005. Arnold Midwife Santa Teresa, NM 88008.

New York: Gaia Midwives Smithtown, NY 11787. Grace 4D Ultrasound Newburgh, NY 12550. Indian Creek Midwifery & Birth Center Ithaca, NY 14850. Mama Bear Midwifery Syracuse, NY 13203. Wellness and Birth Center Potsdam, NY 13676.

North Carolina: City of Oaks Midwifery Raleigh, NC 27607. Formed and Foreknown Midwifery Burlington, NC. Triangle Physicians for Women Cary, NC 27518. Mako Medical Laboratories Raleigh, NC 27612. Magnolia OBGYN Greenville, NC 27834.

North Dakota: Maximized Chiropractic Bismarck, ND 58501.

Ohio:Rio Care Center, Centerville, OH 45685. Holistic Homebirth Cincinnati, OH 45230.

Oklahoma: Aspen Women's Center OKC, OK 73134. Wesley Vaughan OBGYN, OKC, OK 73120.

Oregon: McKenzie Midwives & Lactation Springfield, OR  97477.

Pennsylvania: Beautiful Beginnings Doylestown, PA 18902. BellissiMama Bainbridge, PA 17502.

Rhode Island:

South Carolina: Birth Right Midwifery Greenville, SC, 29607. Charleston Birth Place Mount Pleasant, SC 29464. Hatched Midwife Greenville, SC 29615. Parkside OBGYN Greenville, SC 29607.

South Dakota: Black Hills OBGYN Rapid City, SD 57701. Flourish Birth Co Sioux Falls, SD 57103. Morning Star Midwifery Rapid City, SD 57702. 

Tennessee: Generations ObGyn Knoxville, TN 37923. Haven Birth and Wellness Franklin, TN 37069. Nova Birth Services Hermitage, TN 37076. Wild Fig Birth Antioch, TN 37013.

Texas: OBGYN Dallas Dallas, TX 75231. Women & Children First Fredericksburg, TX 78624. Adriatica OB/GYN  Mckinney, TX 75071. The Vine Chiro Grapevine, TX 76051. All About Babies Argyle, TX 76226. Allen Family Wellness Allen, TX 75013. Austin Area Birthing Center Austin, TX 78759. Attuned Midwifery El Paso, TX 79903. Bear Together Taylor, TX 76574. Birth Bliss Midwifery San Antonio, TX 78254. Birth & Wellness Arlington, TX 76012. Birth Pointe Irving, TX 75062.  Birth Experience Castle Hills, TX 78213. Flourish Mound, TX 75028. Grapevine Birthing Center Grapevine, TX 76051. Heart of Houston Birth & Wellness Houston, TX 77081. Home Birth Honey Austin, TX 78745. Joyful Beginnings New Braunfels, TX 78130. Katy Birth Center Katy, TX 77493. Kueo Birth Decatur, TX 76234. Lunaria Birth & Wellness Belton, TX 76513. Moxie Tyler, TX 75703. Origins Birth and Wellness Dallas, TX 75204 & Fort Worth TX 76244. North Texas Dallas, TX 75226. Sweet Embrace Abilene, TX 7960. The Vine Family Chiropractic Grapevine, TX 76051. 

Utah: Budge OBGYN Clinic Logan, UT 84321.Innate Midwifery Holladay, UT 84124. Utah Birth Center Salt Lake City, UT 84117. Two Leaves Midwifery Orem, UT 84057.

Vermont:Vitality Home Birth Wolcott, VT 05680. Mountain Mama Midwifery Shaftsbury, VT 05262.

Virginia: Brookhaven Natural Birth Center Harrisonburg, VA 22801. Charlottesville Midwifery Charlottesville, VA 22901. Pineapple Babies Virginia Beach, VA 23455. Premier Birth Chantilly, VA 20151.

Washington: The Valley Midwife Pasco, WA 99301. Columbia Birth Center Richland, WA 99352. Community Birth Center Lacey, WA 98503. Generations Midwifery Lacey, WA 98503. Little Blessings Yakima, WA 98902. Natural Beginnings Tacoma, WA 98446. Quilted Health Tacoma, WA 98409. Something Beautiful Auburn, WA 9807.

Wisconsin: Authentic Birth Center Wauwatosa, WI 53226. Crossing Rivers Health Prairie du Chien, WI 53821. Alba Birth Center Menasha, WI 54952.

Wyoming:Cheyenne OBGYN Cheyenne, WY 82001


Please reach out to find out if your local provider or laboratory stocks the product. Returns are accepted if needed.

Fresh Test, LLC, medical device COM & third party ISO  17025 laboratories offer a diagnostic product that has gone through rigorous laboratory and quality testing to ensure exact glucose dosages/active ingredient and negligible inactive ingredients – while keeping the product lines as natural, high-quality and delicious as possible.

CLICK HERE to view The Fresh Test Ingredients

CLICK HERE to view the Specs/IFU

The Fresh Test® has two product lines. A powder (to be reconstituted with 10 ounces of water) and a pre-mixed beverage. Each of these comes in 50-gram, 75-gram and 100-gram dosages.  The product contains organic or nonGMO dextrose (tapioca or corn), crystallized lemon and organic peppermint leaf. The thoughtfully designed recipe has been known to decrease nausea and improve the patient experience. Please view the unsponsored IRB Clinical Study and Manufacturer’s survey here, indicating that 99%+ women like this product. We hope this clean product offering increases adherence to gestational diabetes.

The Fresh Test® products are manufactured in a facility that handles eggs, fish, tree nuts, peanuts and soy. Please note, our products are manufactured within a controlled room with dedicated equipment to avoid cross contamination of these aforementioned allergens. Our product lines have been developed with the most high-quality ingredients, void of unnecessary additives and preservatives. On our label you'll see that our natural crystallized lemon is comprised of lemon oil, lemon juice and citric acid. This citric acid, sourced from cassava plant, is produced by the natural process of fermentation.

If you have a unique allergy or need to be verify if your lot is derived from either Tapioca or Corn, please email

The American Diabetes Association suggests that a Glucose Load Test be performed at 24 – 28 weeks of gestation in women not previously diagnosed with diabetes.

When conducting the two-step approach, the 50-gram glucose beverage should be consumed within 5 minutes. A plasma glucose measurement is then be performed at 1-hour. This test is performed at your laboratory or physician's office. Consult with your healthcare provider for more details. Please note, the 50-gram, 75-gram & 100-gram glucose tests have different requirements.

If you are a healthcare professional and have more questions about the ADA's screening and diagnosis of GDM please refer to the Standards of Care in Diabetes - 2023.

It’s important to ask your provider if you’ll be taking the 50-gram glucose load test (commonly known as the 1-hour test) or the 75-gram oral glucose tolerance test (commonly known as the 2-hour confirmatory test). The requirement varies between offices.  Here are general guidelines as published in theAmerican Diabetes Association's 2022 Standards of Medical Care in Diabetes Journal

If you’re taking the 50-gram glucose load test, the ADA suggests that this is a non-fasting test. You will be asked to consume a 50-gram glucose beverage (within 5 minutes) 1-hour prior to a plasma blood glucose draw.  This will be performed at a laboratory or at your OBGYN’s office.  If the plasma glucose value exceeds a specific threshold you will then be scheduled for a 100-gram oral glucose tolerance test. If you failed the 50-gram test and are required to do the 100-gram 3-hour glucose tolerance test, the ADA suggests a fasting plasma glucose measurement prior to consuming the beverage. Per your provider and laboratory instruction, subsequent glucose measurements will be taken at the 1-hour, 2-hour, and 3-hour mark.

If you’re taking the 75-gram oral glucose tolerance test, the ADA suggests that this is a fasting test. First, your plasma glucose will be measured.  Then you will be asked to consume a 75-gram glucose beverage (within 5 minutes).  Your plasma blood glucose will be measured again at 1-hour and 2-hour. 

Shipping: Fresh Test, LLC realizes that patients may need product quickly to meet the timeline of their glucose tolerance test. We do our best to get product out within a day. Please note that orders being shipped to Canada require an addition 2-3 days to process. To help you rest easy, if the product does not arrive in time you might be able to reschedule the date of your test or you’re welcome to email for assistance with a return.

Return Policy: We allow returns on all orders shipped within the U.S. Returns will be subject to a $4.50 return shipping fee, which will be deducted from your refund. Outbound shipping fees from the original order are not refundable. Orders being shipped to Canada are nonrefundable.

Fresh Test, LLC is not responsible for lost or stolen product, product left out for extended periods of time, carrier weather or unrelated delays.

Shelf Life: The Fresh Test® glucose powder line (to be reconstituted with 10 ounces of water) has a shelf life of twenty-four months. For storage, avoid exposure to heat. Color variation may occur due to the natural flavorings (crystalized lemon and organic peppermint leaf). The Fresh Test® glucose beverage line has a shelf life of twenty months. This product line is currently only available for wholesale purchase by laboratory or provider office.

The Fresh Test® has gone through significant research and development to ensure exact equivalency to predicate 50-gram, 75-gram and 100-gram anhydrous glucose beverages. This R&D along with high quality ingredient sourcing is reflected in the price. As our product demand goes up we anticipate prices dropping each year.

Please refer to the Products page of this website. Wholesale pricing is available for providers, laboratories, distributors and wellness stores. Additional discounts are available for LabCorp sites. Visit LabCorp's Testing While Expecting & Partners in Pregnancy for more information.

Typically The Fresh Test™ is an out-of-pocket expense.  Glucose Beverages are historically purchased by laboratories being that it is a part of a global CPT code, inclusive of both the plasma blood draw(s) and glucose beverage(s). For women needing a more natural, additive-free, and palatable glucose beverage, The Fresh Test® is an extra expense.  However, we have good news! For those with HSA accounts, The Fresh Test® is now approved to be purchased via HSA Cards. You can either use your FSA/HSA debit card when checking out on our site, or use the itemized receipt (which will be in your inbox after you make a purchase). If you have any questions or specific requests regarding this, please email

Women are becoming increasingly health conscious, especially during pregnancy. Consumers frequently request a natural glucose option to have a better screening experience.

The Fresh Test® is a validated equivalent glucose beverage; FDA 3017544399. This product is not considered an alternative, but rather a 100% equivalent option. What makes Fresh Test, LLC's products unique is that they are additive-free and manufactured with high quality ingredients. Please visit our Nutrition Factsfor more information.

The Fresh Test® is manufactured according to diagnostic Class II Medical Devices; FDA Number 317544399. Regulation Code 862.1345.  Fresh Test, LLC has a validated product line with equivalency to predicate anhydrous 50-gram, 75-gram and 100-gram glucose beverages. ISO 17025 Certificates of Analysis are available for every lot. Please reference the Unique Device Identification on the packaging.

Physician organizations such as ACOG and ACNM cannot encourage one brand over another however Fresh Test, LLC has been vetted and is a proud conference sponsor. The Fresh Test® is also referenced on LabCorp’s ACOG Recommendations.

The Fresh Test's IFU is printed on each packet and follows the same guidelines as traditional 50-gram glucose beverages. For ease of use, mix The Fresh Test packet with 10 ounces of cold water at home.  Consume the glucose beverage one hour before a plasma blood glucose draw.

Specifications & Instructions For Use

50-gram Glucose Powder, P/N 27102055. INSTRUCTIONS FOR USE: Consult a physician for screening protocols. Failure to follow the screening protocol can lead to inaccurate results. Mix the contents of this packet with 10 ounces of water. Mix for three minutes or until dissolved. Consume the 50-gram glucose beverage within 5 minutes. Failure to consume the entire beverage within 5 minutes can lead to inaccurate results. Per your provider and laboratory instruction, a plasma glucose measurement will be taken after 1-hour. 

75-gram Glucose Powder, P/N 27102056. INSTRUCTIONS FOR USE: Consult a physician for screening protocols. Per the American Diabetes Association, a 75-gram oral glucose tolerance test is to be administered while fasting. Failure to follow the screening protocol can lead to inaccurate results. Mix the contents of this packet with 10 ounces of water. Mix for three minutes or until dissolved. After a fasting plasma glucose measurement is performed, consume the 75-gram glucose beverage within 5 minutes. Failure to consume the entire beverage within 5 minutes can lead to inaccurate results. Per your provider and laboratory instruction, subsequent plasma glucose measurements will be taken at 1-hour and 2-hour. 

100-gram Glucose Powder, P/N 27102057. INSTRUCTIONS FOR USE: Consult a physician for screening protocols. Per the American Diabetes Association, a 100-gram oral glucose tolerance test is to be administered while fasting. Failure to follow the screening protocol can lead to inaccurate results. Mix the contents of this packet with 10 ounces of water. Mix for three minutes or until dissolved. After a fasting plasma glucose measurement is performed, consume the 100-gram glucose beverage within 5 minutes. Failure to consume the entire beverage within 5 minutes can lead to inaccurate results. Per your provider and laboratory instruction, subsequent plasma glucose measurements will be taken at 1-hour, 2-hour and 3-hour.

Video – How do I mix the 50-gram powder?

Fortunately, The Fresh Test® is now commonly accepted throughout the United States. Many providers and laboratories are familiar with our validated product and may have The Fresh Test™ on hand for patients with known allergies/intolerability or for patients with non-GMO diet regimens. If your laboratory or provider does not yet stock The Fresh Test, you are welcome to discuss it with them and order an individual unit online.

If you laboratory or provider does not yet know about The Fresh Test™ glucose beverages, please visit our Resources tab and view the clinical documentation available. You are also welcome to reach out to Our team will supply you with all necessary documentation including Product Information, Part Numbers, Vendor Packet, Certificates of Analysis etc.

Fresh Test's LLC goal is to increase screening adherence and improve the patient experience. Cheers to healthy options and advancements in women's healthcare.