Document Detail


Rapid blood separation is superior to fluoride for preventing in vitro reductions in measured blood glucose concentration.
MedLine Citation:
PMID:  19638548     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: To determine whether tubes containing sodium fluoride negatively bias blood glucose concentration by directly comparing glucose concentrations in paired blood samples collected in tubes containing lithium heparin (Li-Heparin) and tubes containing sodium fluoride/potassium oxalate (NaF-KOx). METHODS: Paired blood samples from a group of patients (n = 1040) were collected in tubes containing Li-Heparin and tubes containing NaF-KOx at the same time. All Li-Heparin samples were centrifuged soon after collection and were kept cool in transport along with NaF-KOx samples, which were centrifuged at the receiving location after an average transport time of 4 h, but immediately before analysis. Glucose concentrations in the paired samples were determined simultaneously by an automated oxidase method. RESULTS: The mean glucose concentrations for NaF-KOx samples and Li-Heparin samples were 5.7 mmol/l and 6.1 mmol/l, respectively, with a mean difference of 0.39 mmol/l. CONCLUSION: Rapid separation of heparinised blood is superior to fluoride alone for abrogating glycolytic effects on blood glucose measurements in the clinical laboratory.
Authors:
R Z Shi; E S Seeley; R Bowen; J D Faix
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of clinical pathology     Volume:  62     ISSN:  1472-4146     ISO Abbreviation:  J. Clin. Pathol.     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-29     Completed Date:  2009-11-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376601     Medline TA:  J Clin Pathol     Country:  England    
Other Details:
Languages:  eng     Pagination:  752-3     Citation Subset:  AIM; IM    
Affiliation:
Department of Pathology, Stanford University, Stanford, California, USA. rzshi@stanford.edu
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MeSH Terms
Descriptor/Qualifier:
Blood Glucose / analysis*,  drug effects
Blood Specimen Collection / methods*
Centrifugation
Glycolysis / drug effects
Heparin / pharmacology
Humans
Lithium / pharmacology
Reproducibility of Results
Sodium Fluoride / pharmacology*
Time Factors
Chemical
Reg. No./Substance:
0/Blood Glucose; 7439-93-2/Lithium; 7681-49-4/Sodium Fluoride; 9005-49-6/Heparin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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