A blood test with fasting is one of the most common laboratory tests doctors request in Nigeria, especially when checking for diabetes, cholesterol levels, or other metabolic conditions. Yet, many people still feel confused about what fasting really means, how long to fast, and what they can or cannot do before the test.
If you have ever asked questions like “Can I drink water before a fasting blood test?”, “What is my normal blood sugar level on fasting?”, or “Why must I fast before blood work?”, you are not alone. This guide breaks everything down in clear, practical terms so you can prepare properly and get accurate results.
What Is a Blood Test With Fasting?

A blood test with fasting is a laboratory test done after you have avoided food and certain drinks for a specific period, usually between 8 and 12 hours. During this time, only plain water is typically allowed unless your doctor advises otherwise.
Fasting is important because eating affects substances in your blood, especially glucose (sugar), fats, and insulin. When food is removed from the equation, doctors can get a clearer picture of your baseline health.
In Nigeria, fasting blood tests are commonly requested during routine medical check-ups, hospital visits, pre-employment screenings, and diabetes monitoring.
Why Do I Need to Fast Before My Blood Test?
You need to fast before your blood test to ensure accuracy. When you eat, your body breaks down food into glucose, fats, and other nutrients that temporarily raise levels in your bloodstream.
For example:
- Eating shortly before a test can increase your blood sugar level fasting result.
- Fatty meals can raise cholesterol and triglyceride levels.
- Sugary drinks can interfere with a blood sugar test with fasting.
Fasting allows your doctor to see how your body functions without the influence of recent meals. This is especially critical when assessing your blood sugar level on fasting, which helps diagnose or monitor diabetes and prediabetes.
How Long to Fast Before Blood Work
One of the most common questions Nigerians ask is how long they should fast before blood work. The answer depends on the type of test being performed.
Generally:
- 8–12 hours of fasting is recommended for most tests.
- Overnight fasting is often easiest—stop eating after dinner and go for your test in the morning.
For a blood sugar test with fasting, most labs require at least 8 hours without food. Fasting longer than recommended (for example, 16–24 hours) is not advised unless specifically instructed by a healthcare professional, as it can cause weakness or distort results.
Always confirm the fasting duration with your doctor or diagnostic centre.
Can I Drink Water Before a Fasting Blood Test for Diabetes?
Yes, you can—and should—drink water before a fasting blood test for diabetes. Plain water does not affect your blood sugar level on fasting and helps prevent dehydration, which can make blood collection more difficult.
However, avoid:
- Sugary drinks
- Fruit juice
- Soft drinks
- Alcohol
- Tea or coffee with sugar or milk
In most cases, black coffee or unsweetened tea is discouraged unless your doctor explicitly allows it. When in doubt, stick to water only to protect the accuracy of your blood test with fasting.
Understanding Blood Sugar Level on Fasting
Your blood sugar level on fasting measures how much glucose is in your blood after you have not eaten for several hours. This test is a key tool for diagnosing diabetes and assessing how well blood sugar is being controlled.
Normal Blood Sugar Level Fasting
While ranges may vary slightly by laboratory, general guidelines are:
- Normal: 70–99 mg/dL (3.9–5.5 mmol/L)
- Prediabetes: 100–125 mg/dL (5.6–6.9 mmol/L)
- Diabetes: 126 mg/dL (7.0 mmol/L) or higher on two separate tests
Your doctor will interpret your blood sugar level fasting result alongside your symptoms, medical history, and other tests.
High Blood Sugar Level Fasting: What It May Indicate
A consistently high fasting blood sugar may indicate:
- Type 2 diabetes
- Prediabetes
- Hormonal imbalances
- Effects of certain medications
- Stress or illness
This is why a properly done blood test with fasting is essential for correct diagnosis.
Blood Sugar Test With Fasting vs Non-Fasting
A blood sugar test with fasting differs from a non-fasting or random blood sugar test. The fasting test provides a baseline measurement, while a non-fasting test reflects how your body handles sugar after eating.
Fasting tests are preferred when:
- Diagnosing diabetes
- Monitoring long-term glucose control
- Establishing baseline health data
Non-fasting tests may be used for quick screening or emergency situations, but they are less precise for diagnosis.
Tips for a Successful Blood Test With Fasting
Preparing properly helps ensure your results are accurate and your experience is smooth.
Some practical tips include:
- Eat a balanced meal the night before; avoid heavy, oily, or sugary foods.
- Start fasting at the recommended time.
- Drink plenty of water.
- Get enough sleep.
- Schedule your blood test early in the morning if possible.
- Inform the lab if you feel dizzy or weak during the test.
These steps improve the reliability of your blood test with fasting and reduce discomfort.
Things to Avoid When Carrying Out Blood Test With Fasting

To protect the accuracy of your results, avoid the following during your fasting period:
- Alcohol: Can lower or raise blood sugar unpredictably.
- Smoking: Affects glucose and circulation.
- Chewing gum: Especially sweetened gum.
- Strenuous exercise: Can temporarily lower blood sugar.
- Snacking “just a little”: Even small bites affect results.
Ignoring these precautions can lead to misleading blood sugar level fasting readings.
What Types of Blood Tests Require Fasting?
Not all blood tests require fasting, but several important ones do.
Common fasting blood tests include:
- Fasting blood glucose (FBG)
- Lipid profile (cholesterol test)
- Triglyceride test
- Basic metabolic panel
- Comprehensive metabolic panel
Your doctor will tell you if your test requires fasting. When in doubt, ask the lab directly.
Can I Continue Taking Medicine During a Fast?
Whether you should continue taking medicine during a fast depends on the medication. Some drugs affect blood sugar levels, while others must be taken daily regardless of fasting.
Generally:
- Do not stop prescribed medication without medical advice.
- Inform your doctor about all medications and supplements you take.
- Ask if your drugs could affect your blood test with fasting results.
In Nigeria, many patients make the mistake of skipping medication without guidance, which can be risky.
Common Mistakes Nigerians Make During Fasting Blood Tests
Some frequent mistakes include:
- Drinking sweetened beverages “by mistake”
- Fasting longer than required
- Exercising heavily before the test
- Assuming all blood tests require fasting
- Ignoring lab instructions
Avoiding these errors helps ensure your blood sugar test with fasting gives accurate, useful information.
When Should You Book a Blood Test With Fasting?
You may need a fasting blood test if:
- You have symptoms like excessive thirst, frequent urination, or unexplained weight loss
- Diabetes runs in your family
- You are monitoring an existing condition
- A doctor recommends routine screening
Early testing can help detect problems before they become serious.
Where to Do a Blood Test With Fasting in Nigeria
Across Nigeria, fasting blood tests are available at:
- Private diagnostic laboratories
- Teaching hospitals
- Private hospitals and clinics
- Some home-testing service providers
Costs vary depending on location, test type, and facility, so it’s best to confirm prices and preparation instructions before booking.
Conclusion
A blood test with fasting is a simple but powerful tool for understanding your health, especially when it comes to diabetes and metabolic conditions. By fasting correctly, staying hydrated, and following medical advice, you ensure that your blood sugar level on fasting and other results are accurate and reliable.
Whether you are doing a routine check-up or monitoring an existing condition, understanding how fasting works helps you get the most value from your test. When in doubt, always consult a healthcare professional or diagnostic centre before your blood sugar test with fasting.
Frequently Asked Questions About Blood Test With Fasting
1. What is a blood test with fasting?
A blood test with fasting is a laboratory test done after you have avoided food and certain drinks for a specific period, usually 8–12 hours, to ensure accurate results.
2. How long should I fast before a blood test with fasting?
For most tests, you should fast for 8–12 hours. This duration allows your blood sugar level fasting and other markers to stabilise before testing.
3. Can I drink water during a blood test with fasting?
Yes. Drinking plain water is allowed and encouraged during a blood test with fasting, as it does not affect your blood sugar level on fasting.
4. What happens if I eat before a blood sugar test with fasting?
Eating before a blood sugar test with fasting can raise your blood glucose levels, leading to inaccurate or misleading results.
5. What is a normal blood sugar level on fasting?
A normal blood sugar level on fasting is generally between 70 and 99 mg/dL. Your doctor will interpret results based on your overall health.
6. What causes a high blood sugar level fasting result?
A high blood sugar level fasting result may be caused by diabetes, prediabetes, stress, illness, or certain medications.
7. Can I take my medication before a blood test with fasting?
Some medications can be taken, while others may affect your blood test with fasting results. Always consult your doctor before skipping or taking medication.
8. Is a blood sugar test with fasting better than a non-fasting test?
Yes, a blood sugar test with fasting provides a more accurate baseline measurement compared to a non-fasting or random blood sugar test.
9. Can I drink tea or coffee before a blood test with fasting?
No. Tea or coffee, even without sugar, may affect your blood sugar level fasting and should be avoided unless your doctor says otherwise.
10. Does exercise affect a blood test with fasting?
Yes. Strenuous exercise before a blood test with fasting can temporarily lower blood sugar levels and affect test accuracy.
11. What blood tests require fasting?
Tests that often require fasting include fasting blood glucose, lipid profile, triglycerides, and some metabolic panels.
12. How often should I do a blood sugar test with fasting?
Frequency depends on your health status. People with diabetes may need regular blood sugar tests with fasting, while others may do it annually or as advised.
13. Can fasting too long affect my blood sugar level on fasting?
Yes. Prolonged fasting beyond the recommended period may cause low blood sugar or distort your blood sugar level on fasting results.
14. Is alcohol allowed before a blood test with fasting?
No. Alcohol can significantly alter your blood sugar level fasting and should be avoided at least 24 hours before the test.
15. What should I eat the night before a blood test with fasting?
Eat a light, balanced meal and avoid sugary or fatty foods to help ensure accurate blood test with fasting results.