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Optometrists must complete a Doctor of Optometry (O.D.) degree program and obtain a license to practice in a particular state. O.D. programs take 4 years to complete, and most students have a bachelor’s degree before entering such a program. The Role of the Oral Glucose Tolerance Test (OGTT) An OGTT need only be considered to establish a diagnosis of diabetes if blood glucose values fall into an equivocal range (e.g. FPG >6.0 but an OGTT is not necessary if the diagnostic criteria for diabetes are present. 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