Carbohydrates 2
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the standard clinical specimen.
Venous plasma glucose
Fasting glucose in whole blood is _ lower than in serum/plasma.
15%
perform glycolysis using energy from serum/plasma biomolecules.
Red cells
suitable for glucose analysis if separated from cells within 30 minutes (via centrifugation).
Serum
If delayed >30 minutes, use glycolysis-inhibiting preservatives like
sodium fluoride.
Venous blood glucose is _ lower than the capillary due to tissue metabolism (extrahepatic tissues such as in the muscles)
7 mg/dl
NOTE: _ is the same with arterial blood glucose
Capillary glucose
Plasma glucose level increases with age: ○ Fasting - _/dL /decade ○ Postprandial - _/dL /decade ○ Glucose challenge test – _ mg/dL /decade
2 mg/dL /decade 4 mg/dL /decade 8 to 13 mg/dL /decade
Specimen Handling and Storage Prolonged storage: at room temperature between _ _ _, glycolysis decreases glucose by 7 mg/dL/hr in normal uncentrifuged blood
20 to 23 C
Specimen Handling and Storage At refrigerated temperature of _ , glucose is metabolized at the rate of 2 mg/dL/hr
4 C
the suitable specimen for glucose testing because → WBC and RBC metabolize glucose resulting to decrease value in clotted, uncentrifuged blood
Serum and plasma
Principle: reduction of cupric ions to cuprous ions forming cuprous oxide in hot alkaline solution by glucose
Alkaline Copper Reduction Method
Glucose is being subjected to
heat Alkaline Copper Reduction Method
● End point / color reaction: _ ● Measured in optical density: _
Folin Wu Method Blue, 400 nanometers
Reducing sugars, when heated in alkaline copper tartrate, reduce copper to cuprous or cupric form
Nelson Somogyi Method
Cuprous oxide reacts with arsenomolybdic acid, forming a blue color
Nelson Somogyi Method
Nelson Somogyi Method Color intensity is measured at
620 nm.
Copper reacts with neocuproine to form the cuprous-neocuproine complex
Neocuproine Method
The complex is extracted from the chloroform of methanol mixture yielding a yellow or yellow-orange solution ● End point / color reaction: _
Neocuproine Method Yellow or yellow-orange
It is used for the detection and quantification of reducing substances in body fluids (blood and urine)
Benedict’s Method (Modified Folin Wu)
standard clinical specimen
Venous plasma glucose
Fasting glucose in whole blood is _ lower than in serum/plasma
15%
_ perform glycolysis using energy from serum/plasma biomolecules.
Red cells
suitable for glucose analysis if separated from cells within 30 minutes (via centrifugation).
Serum