Skip to main content

GLUCOSE

GLUCOSE 

Synonyms - Specimen - Reference Value - Method Collection of sample preservation of samples  - Description 
Indications of Blood Glucose Determination 


Synonyms                 : Blood sugar , Fasting blood sugar (FBS) 
specimen                   : Serum (1 mL) , plasma (1 mL)Collected in( sodium   fluoride)           
Reference Value      : 80 - 120 mg/dl , renal threshold 140 - 170 mg/dl 
Method                        : Spectrophotometry 


Collection of samples

- Blood specimens should be collected after an over night fast ( usually 12 hours ) to prevent influences of the diet on blood glucose . 
- All collection equipments must be sterile and chemically clean . 


Preservation of samples 

1 - Sodium fluoride is used as anticoagulant and preservative 
2 - Refrigeration at 4 degree 
3 - Freezing ( analysis should be performed 2 - 3 hours after removal from freezer ) . some damage to enzymes from freezing may occurred , but activity returned at room temperature .
Freezing and thawing should not be permitted more than once before analysis because it may be denature the constituents .Glucose level decrease at rate of 10% / hour at room temperature.

Description ( Glucose ) 

Glucose , a six carbon sugar ( monosaccharide )   , enters the diet as a part of sugars sucrose , lactose and maltose and as major constituents of complex poly  saccharides  called dietary starch .
The body acquires most of its energy from the oxidative    metabolism of glucose . Excess glucose is stored in the liver or in muscle tissue as glycogen . 
Diabetes is a disease characterized by hyperglycemia or elevated glucose levels .

Indications of Blood Glucose Determination

1 - Diabetes mellitus  or pencreatitis  
2 - Increase of unexplained comas and convulsions 
3 - As a routine physical examination 





Comments

Popular posts from this blog

MICROSCOPIC URINALYSIS

MICROSCOPIC URINALYSIS   Methodology A sample of well-mixed   urine (usually 10-15 ml) is centrifuged in a test tube at relatively low speed (about 2-3,000 rpm) for 5-10 minutes until a moderately cohesive button is produced at the bottom of the tube. The supernatant is decanted and a volume of 0.2 to 0.5 ml is left inside the tube. The sediment is resuspended in the remaining supernatant by flicking the bottom of the tube several times. A drop of resuspended sediment is poured onto a glass slide and coverslipped.

Liver Enzymes

Liver Enzymes   Definition A liver enzyme is a protein that helps to speed up a chemical reaction in the   liver. Liver function tests are blood tests that are used to evaluate various functions of the liver - for example, metabolism, storage, filtration and excretion, which are often performed by liver enzymes. However, not all liver function tests are measures of enzyme function. • ALT - (alanine aminotransferase )   - was previously called SGPT is more specific for liver damage. The ALT is an enzyme that is produced in the liver cells (hepatocytes) therefore it is more specific for liver disease than some of the other enzymes. It is generally increased in situations where there is damage to the liver cell membranes. All types of liver inflammation can cause raised ALT.    • AST - (aspartate aminotransferase) which was previously called SGOT. This is a mitochondrial enzyme that is also present in heart, muscle, kidney and brain ...

Gamma globulins

Gamma globulins   Increased in immunoglobulins are often referred to as hyper gammaglobulinemia or gammopathies  Hypogammaglobulinemia This most often results from  decreased synthesis , but could also be associated with increased loss .  1 - Decreased synthesis ( High A : G ratio )  a- failure of passive transfer or colostrum deprivation  b - Combined immunodeficiency disease ( Both T & B cells are deficient )  c - Agammaglobulinemia  d - Acquired deficiency associated with inflammation , immunosuppressive drugs or neoplasia