Study of glucose specimen integrity in various blood collection tubes over a period of 24 hours
DOI:
https://doi.org/10.18203/2320-6012.ijrms20243707Keywords:
Analysis, Anticoagulants, Glucose, Preservatives, Stability, StorageAbstract
Background: Blood glucose testing is performed to diagnose and monitor conditions such as diabetes mellitus and gestational diabetes in pregnant women. Accurate measurement of plasma glucose concentration is an important component. Here, we have compared the glucose estimation in specimen collected in various collection tubes.
Methods: The samples were stored at 2-4°C temperature and at 0, 4, 12 and 24 hrs aliquots were taken and were processed. Plasma glucose was determined using the glucose oxidase enzymatic methods on the Beckman coulter AU700. All the results at 0 hour were compared with results at 4 hours, 12 hours and 24 hours. Also results of fluoride tubes were compared with results of EDTA, heparin and plane tubes.
Results: We have found no significant difference between results of glucose estimation obtained using samples collected in serum tubes, EDTA tubes, fluoride tube and lithium heparin tube even after 24 hours after separation of serum/plasma.
Conclusions: From this study we have concluded that blood samples collected in plane serum tube, fluoride tubes, EDTA tubes and heparin tubes produce similar results for estimation of glucose if the collected samples are centrifuged immediately after collection for separation of plasma and serum.
Metrics
References
Metzger BE, Lowe LP, Dyer AR, Trimble ER, Chaovarindr U, Coustan DR, et al. Hyperglycemia and adverse pregnancy outcomes. N Engl J Med. 2008;358(19):1991-2002.
Evers IM, de Valk HW, Visser GH. Risk of complications of pregnancy in women with type 1 diabetes: nationwide prospective study in the Netherlands. BMJ. 2004;328(7445):915.
Sacks DB, Arnold M, Bakris GL, Bruns DE, Horvath AR, Kirkman MS, et al. Guidelines and recommendations for laboratory analysis in the diagnosis and management of diabetes mellitus. Clin Chem. 2011;57:1-47.
Shalini L, Silambanan S. A study on the assessment of stability of glucose concentrations in serum separator gel tubes. Int J Clin Biochem Res. 2018;5(2):334-7.
Roccaforte V, Daves M, Platzgummer S, Lippi G. The impact of different sample matrices in delayed measurement of glucose. Clin Biochem. 2016;49(18):1412-5.
Pant V, Gautam K, Pradhan S, Pyakurel D, Shrestha A. Blood glucose concentration compared in EDTA/F plasma and serum in a referral clinical laboratory in Nepal. J Pathol Nep. 2021;11:1837-41.
Dimeski G, Yow KS, Brown NN. What is the most suitable blood collection tube for glucose estimation? Ann Clin Biochem. 2015;52(2):270-5.
Fernandez L, Jee P, Klein MJ, Fischer P, Perkins SL, Brooks SP. A comparison of glucose concentration in paired specimens collected in serum separator and fluoride/potassium oxalate blood collection tubes under survey ‘field’ conditions. Clin Biochem. 2013;46(4-5):285-8.
Samuel JKR, Chandrasekaran S, Karpaghavalli VG. Comparison of sodium fluoride and serum separator tubes for blood glucose estimation- what’s the best option? Int J Clin Biochem Res. 2022;9(3):204-9.
Coward SM, O'Neill FC, McAdam L, Reilly L, McKeeman GC. Stabilization of plasma glucose: the use of newer technology and pragmatic laboratory practice. J Appl Lab Med. 2019;3(6):1028-34.
Fobker M. Stability of glucose in plasma with different anticoagulants. Clin Chem Lab Med. 2014;52(7):1057-60.
Chauhan K P, Patel J D, Prajapati S, Trivedi A. Study of specimen stability for biochemical parameters. Int J Clin Biochem Res. 2018;5(1):158-63.
Shaherawala J, Mangukiya K. Study of various glycolytic inhibitors for preservation of blood glucose and clinical biochemical parameters. Int J Clin Biochem Res. 2019;6(4):535-8.
Laessig RH, Hassemer DJ, Westgard JO, Carey RN, Feldbruegge DH, Schwartz TH. Assessment of the Serum Separator Tube as an Intermediate Storage Device with in the Laboratory. Am J Clin Pathol. 1976;66(4):653-7.
Reshma DC. Determining the efficacy of citrate buffer tubes compared to Sodium fluoride tubes as inhibitor of glycolysis in glucose estimation. Int J Clin Biochem Res. 2019;6(3):299-302.
Juricic G, Bakliza A, Saracevic A, Kopcinovic LM, Dobrijevic S, Drmic S, et al. Glucose is stable during prolonged storage in un-centrifuged Greiner tubes with liquid citrate buffer, but not in serum and NaF/KOx tubes. Clin Chem Lab Med. 2016;54(3):411-8.