Glucose is stable during prolonged storage in un-centrifuged Greiner tubes with liquid citrate buffer, but not in serum and NaF/KOx tubes
-
Gordana Juricic
, Ana Bakliza
, Andrea Saracevic , Lara Milevoj Kopcinovic , Sanja Dobrijevic , Sandra Drmic und Ana-Maria Simundic
Abstract
Background: Delayed sample processing can affect accurate glucose measurement. Our aim was to investigate the stability of glucose in samples collected in serum, sodium fluoride/potassium oxalate (NaF/KOx) and Glucomedics tubes processed according to different controlled pre-centrifugation delays (up to 180 min after venipuncture) in order to simulate prolonged sample transport between venipuncture and centrifugation.
Methods: Samples were collected from healthy volunteers (n=80) into either serum or NaF/KOx and Glucomedics tubes. Glucose concentration was measured in samples centrifuged immediately after venipuncture and compared with tubes processed with a delay of 60, 120 and 180 min prior to centrifugation. Differences between baseline and respective delayed centrifugation glucose value for each tube type were tested using the paired t-test. Mean bias calculated for each tube type and delay protocol was compared to recommended quality specifications for glucose (2.2%).
Results: Glucose concentrations measured in all three delayed tube types were lower in comparison to respective baseline glucose concentrations measured in immediately processed tube (p<0.001). The highest decrease in glucose was observed in serum tubes in all specified time points (p<0.001), while glucose was most stable in Glucomedics tubes (p<0.001). The decrease in glucose observed for serum and NaF/KOx tubes was clinically significant at all specified time points while the bias for Glucomedics tubes did not exceed the criteria even with a centrifugation delay of 180 min.
Conclusions: Glucose stability in un-centrifuged Glucomedics tubes is much superior to serum and NaF/KOx tubes. Glucomedics tubes can be left un-centrifuged for up to 3 h without affecting glucose concentration.
Acknowledgments
We thank Marija Culjak for her technical skills in performing all venipunctures.
Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.
Research funding: This study was supported by the Ministry of Science, Education, and Sports, Republic of Croatia (project number: 134-1340227-0200).
Employment or leadership: None declared.
Honorarium: None declared.
Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.
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©2016 by De Gruyter
Artikel in diesem Heft
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Artikel in diesem Heft
- Frontmatter
- Editorial
- The way of prostate cancer diagnostics
- Review
- Statistical methods used in the calculation of geriatric reference intervals: a systematic review
- Opinion Paper
- The side effects of translational omics: overtesting, overdiagnosis, overtreatment
- Genetics and Molecular Diagnostics
- Rapid detection of non-deletional mutations causing α-thalassemia by multicolor melting curve analysis
- General Clinical Chemistry and Laboratory Medicine
- Patient pools and the use of “patient means” are valuable tools in quality control illustrated by a bone-specific alkaline phosphatase assay
- Long-term stability of glucose: 96-h study using Terumo Glycaemia tubes
- Glucose is stable during prolonged storage in un-centrifuged Greiner tubes with liquid citrate buffer, but not in serum and NaF/KOx tubes
- Croatian laboratories have a good knowledge of the proper detection and management of hemolyzed, icteric and lipemic samples
- Fetal exposure to ethanol: relationship between ethyl glucuronide in maternal hair during pregnancy and ethyl glucuronide in neonatal meconium
- Comparing the effect of isotopically labeled or structural analog internal standards on the performance of a LC-MS/MS method to determine ciclosporin A, everolimus, sirolimus and tacrolimus in whole blood
- Relationship between matrix metalloproteinase-9 and oxidative stress in drug-free male schizophrenia: a case control study
- Comparison of functional fibrinogen (FF/CFF) and FIBTEM in surgical patients – a retrospective study
- Reference Values and Biological Variations
- Assessment of serum free light chain levels in healthy adults immediately after marathon running
- Pharmacokinetics of a novel dosing regimen of oral melatonin in critically ill patients
- Cancer Diagnostics
- An epidemiology-based model as a tool to monitor the outbreak of inappropriateness in tumor marker requests: a national scale study
- Comparative analysis of prostate cancer specific biomarkers PCA3 and ERG in whole urine, urinary sediments and exosomes
- Infectious Diseases
- Comparative evaluation of the Aptima HIV-1 Quant Dx assay and COBAS TaqMan HIV-1 v2.0 assay using the Roche High Pure System for the quantification of HIV-1 RNA in plasma
- Evaluating the use of procalcitonin in an asymptomatic, HIV-infected antiretroviral therapy-naïve, South African cohort
- Diabetes
- Early prediction of gestational diabetes: a practical model combining clinical and biochemical markers
- Letters to the Editors
- Highly-trained dogs’ olfactory system for detecting biochemical recurrence following radical prostatectomy
- More on the accuracy of the Architect enzymatic assay for hemoglobin A1c and its traceability to the IFCC reference system
- Assessing quality from an accuracy-based HbA1c proficiency survey
- HbG-Honolulu interferes with some cation-exchange HPLC HbA1c assays
- Between analyser differences in chloride measurements and thus anion gap cause different interpretations of the acid-base balance
- Non-albumininuric proteinuria: a urinary tubular marker in the diagnosis of diabetic kidney disease
- International Normalized Ratio (INR) testing: analytical and clinical performance of four point-of-care devices versus central laboratory instrumentation analysis
- Genetic screening of the makorin ring finger 3 gene in girls with idiopathic central precocious puberty
- Practical approach for medical validation of therapeutic drug monitoring results
- Marked elevation of procalcitonin in a patient with a drug related infusion reaction to rituximab