Acidification of blood is superior to sodium fluoride alone as an inhibitor of glycolysis
Abstract
Background: Sodium fluoride is the preferred agent to inhibit glycolysis. Its action is not immediate, however, and complete inhibition is delayed for up to 4 hours. A more effective method is needed. Acidification of blood combined with the addition of NaF and EDTA appears to be such a method. We studied whether acidification was indeed more effective than NaF. Methods: We conducted 6 independent studies over a 10-month period at 3 Quest Diagnostics laboratory sites. In each study, we drew venous blood from 6–24 nonfasting employee volunteers into 3 or 4 different serum- or plasma-collection tubes, which were stored under different conditions and aliquoted at different times. We analyzed the aliquots in duplicate by means of a hexokinase-based enzymatic method. Results: The mean glucose concentration decreased by 0.3% at 2 h and by 1.2% at 24 h when blood was drawn into tubes containing citrate buffer, NaF, and EDTA. In contrast, the mean glucose concentration decreased by 4.6% at 2 h and by 7.0% at 24 h when blood was drawn into tubes containing NaF and sodium oxalate. Conclusions: Acidification should replace NaF alone as the recommended method for obtaining an accurate glucose concentration. Diagnostic cut points based on blood samples collected into tubes containing NaF as the only inhibitor of glycolysis are likely to be too low.
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Ohnmacht, C. M., Cooley, M., Darling, R. J., Lei, S., & Patel, V. (2019) · Bioanalysis · doi:10.4155/bio-2019-0238 · Cited by 6 · see citing works
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Maintaining glucose integrity ex-vivo: Impact of preanalytical specimen handling
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Should haemoglobin A1cbe used for the diagnosis of diabetes mellitus in South Africa?
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Diabetes diagnostics including analytical methods for glucose monitoring
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Preanalytical issues related to routine and diagnostic glucose tests: Results from a survey in Spain
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Diagnostik des Gestationsdiabetes: Die Crux liegt bei der Blutentnahme
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Sample Processing and Specimen Misidentification Issues
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False paraprotein-induced hypoglycemia in the measurement of glucose by the hexokinase method
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- Authors
- Gambino, R., Piscitelli, J., Ackattupathil, T. A., Theriault, J. L., Andrin, R. D., Sanfilippo, M. L., & Etienne, M.
- Affiliations
- Quest Diagnostics (United States) (US)
- Teterboro, NJ
- West Hills, CA, and
- Miramar, FL
- Corresponding author
- Gambino, Raymond
- Venue
- Clinical Chemistry
- Publisher
- Oxford University Press (OUP)
- Published
- 2009-05-01
- Volume
- 55
- Issue
- 5
- Pages
- 1019-1021
- ISSN
- 0009-9147 (ISSN-L)
- 1530-8561
- OpenAlex
- W2156782964
- Cited by
- 160
- References
- 9
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 8 · 2023: 4 · 2022: 5 · 2021: 9 · 2020: 10 · 2019: 12 · 2018: 13 · 2017: 10 · 2016: 14 · 2015: 11 · 2014: 9 · 2013: 12 · 2012: 16
- FWCI
- 7.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- Clinical Chemistry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Clinical Laboratory Practices and Quality Control
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Bacterial Identification and Susceptibility Testing
- Keywords
- sodium fluoride, glycolysis inhibition, EDTA, sodium oxalate, blood collection tubes, serum glucose, plasma glucose, blood sample storage, diagnostic thresholds
- MeSH terms
- Blood, Blood Glucose, Blood Preservation, Citrates, Diabetes Mellitus, Glycolysis, Humans, Hydrogen-Ion Concentration, Sodium Fluoride, Specimen Handling
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