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Carbohydrate Deficient Transferrin (CDT)

Organ Function & Health
168.00

This test measures CDT, a marker linked to long-term alcohol intake. It helps assess alcohol-related liver impact.

Turnaround time

1 week

Biomarkers count

1

Same-Day Appointments
UKAS Accredited Labs

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Under 18? Patients under 18 can only be seen at GB Medlabs and Clinilabs, Monday to Friday only.
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Details about Carbohydrate Deficient Transferrin (CDT)

CDT Blood Test | London Blood Tests UK

Assess chronic alcohol consumption with our CDT blood test for £168. UKAS-accredited analysis, objective alcohol marker, optional GP consultation.

The Carbohydrate Deficient Transferrin (CDT) Blood Test measures specific transferrin isoforms altered by sustained alcohol intake, making it a highly specific biomarker for chronic alcohol consumption. Available for £168, analysed in a UKAS-accredited laboratory, with results typically available within 5–7 business days and an optional GP consultation for interpretation.

 

What is a Carbohydrate Deficient Transferrin (CDT) Test?

Transferrin is a protein responsible for transporting iron in the blood. In individuals who consume excessive amounts of alcohol over a prolonged period, the glycosylation (carbohydrate attachment) of transferrin becomes altered. This results in increased levels of carbohydrate-deficient transferrin (CDT).

Unlike liver enzymes such as GGT, which can be elevated due to many non-alcohol-related conditions, CDT is highly specific to sustained alcohol intake, typically reflecting regular consumption of approximately 50–80 g of alcohol per day over 1–2 weeks or longer.

The CDT test is widely used in occupational health, driving licence medicals, legal and forensic settings, and clinical monitoring where objective confirmation of alcohol use or abstinence is required.

 

Benefits of the CDT Blood Test

  1. Highly Specific Marker of Chronic Alcohol Use
    CDT is one of the most reliable blood biomarkers for identifying sustained heavy alcohol consumption.

  2. Objective and Tamper-Resistant
    Provides an objective measure not influenced by self-reporting or short-term abstinence.

  3. Useful in Legal and Occupational Assessments
    Frequently used in driving licence medicals, workplace health checks, and medico-legal evaluations.

  4. Differentiates Alcohol Use from Liver Disease
    Less affected by non-alcoholic liver conditions compared to GGT.

  5. Monitors Abstinence or Relapse
    CDT levels decrease with sustained abstinence, making it useful for follow-up monitoring.

  6. Complements Other Alcohol Biomarkers
    Works well alongside GGT, MCV, and liver function tests for a comprehensive alcohol assessment.

  7. Optional GP Consultation for Clinical Context
    Results can be reviewed with a GP to explain implications and recommend next steps.

 

Why Do I Need a CDT Blood Test?

You may be advised to have a CDT test if you:

  • Require objective evidence of alcohol abstinence

  • Are undergoing occupational or legal alcohol assessment

  • Have unexplained liver enzyme elevation

  • Need monitoring during alcohol reduction or recovery programmes

  • Are applying for driving licence reinstatement

  • Require confirmation of chronic alcohol intake patterns

CDT is especially valuable when traditional liver markers are inconclusive.

 

How the Test Works

In-Clinic Blood Test

  1. Book Your Appointment

    • Book online or by phone with no referral required.

  2. Pre-Test Preparation

    • No fasting required.

    • Avoid alcohol for several days prior if monitoring abstinence.

  3. Blood Sample Collection

    • A qualified phlebotomist collects a venous blood sample.

  4. Sample Handling

    • Samples are transported under controlled conditions to a UKAS-accredited laboratory.

  5. Laboratory Analysis

    • CDT is measured using high-performance liquid chromatography (HPLC) or capillary electrophoresis.

  6. Quality Control

    • Strict internal and external quality assurance ensures accuracy.

  7. Results Delivery

    • Results are typically available within 5–7 business days.

  8. Optional GP Consultation

    • Discuss results and implications with a GP if required.

At-Home Blood Draw (Home or Hotel Service)

  1. Book a Home Visit

    • Choose a convenient UK-wide location.

  2. Professional Phlebotomist Visit

    • A certified phlebotomist attends your home or hotel.

  3. Blood Collection

    • A venous blood sample is collected safely and professionally.

  4. Courier to Laboratory

    • Samples are transported the same day.

  5. Analysis & Reporting

    • CDT levels are analysed and verified.

  6. Optional GP Review

    • Results can be reviewed with a GP if needed.

 

Your CDT Test Results – Explained

CDT results are typically reported as a percentage of total transferrin (%CDT).

Typical UK Reference Ranges

  • Normal: < 1.7 %

  • Borderline: 1.7–2.0 %

  • Elevated: > 2.0 % (suggestive of chronic alcohol consumption)

Interpretation Notes

  • CDT reflects alcohol intake over the previous 1–3 weeks.

  • Short periods of abstinence may not normalise CDT immediately.

  • Rare genetic transferrin variants or advanced liver disease may affect results.

Interpretation should consider clinical history and other alcohol-related markers.

How It Works

Simple steps to get your results

1

Book Online

Choose your test online and book in seconds. Select your preferred clinic location or home visit option.

2

Visit or Test at Home

Attend one of our UK or London clinics, arrange a home nurse visit, or use a finger-prick kit where available.

3

Get Your Results

Your sample is analysed by accredited UK laboratories, with secure results delivered directly to you.

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How to Prepare for Your Test

Follow these guidelines for accurate results

Sample Timing

Where possible, attend your blood test between 7am and 12pm. Please wait until any short-term illness or infection has fully resolved before testing. Avoid intense exercise for 24–48 hours beforehand, as this can affect certain markers.

Fasting & Hydration

Fasting is not always required, but some tests may recommend it. If fasting is advised, avoid food for 8–12 hours before your appointment and drink water only. Stay well hydrated, as this helps with sample collection and accuracy.

Medications & Supplements

Continue prescribed medications unless advised otherwise by your clinician. Avoid vitamin, mineral, or biotin supplements for at least 24–48 hours before your test, as these can interfere with results. If you are unsure about any medication or supplement, please let us know before your appointment.

Hormones & Menstrual Cycle

For hormone-related tests, timing within your menstrual cycle may be important. If relevant, follow any specific guidance provided on your test page.

If you have any questions or special circumstances, our team is happy to advise before your appointment.

Frequently Asked Questions

It measures altered transferrin forms associated with chronic alcohol intake.

CDT is more specific to alcohol use, whereas GGT can rise for many liver-related reasons.

No fasting is required.

CDT reflects alcohol intake over 1–3 weeks and normalises with sustained abstinence.

No — CDT rises mainly with sustained heavy drinking.

Severe liver disease may influence results, but CDT remains more specific than other markers.

Results are typically available within 5–7 business days.

Yes — CDT is commonly used in occupational and legal assessments.

Yes — clinic testing and at-home phlebotomy services are available nationwide.

An optional GP consultation is recommended for interpretation and documentation.

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