Cited by 160Clinical Laboratory Practices and Quality ControlDiabetes Management and ResearchBacterial Identification and Susceptibility Testing

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Acidification of Blood Is Superior to Sodium Fluoride Alone as an Inhibitor of Glycolysis

Gambino, Raymond, Piscitelli, Janet, Ackattupathil, Tomy A, Theriault, Judy L, Andrin, Reynaldo D, Sanfilippo, Michael L, Etienne, Monina·2009·Clinical Chemistry

DOI 10.1373/clinchem.2008.121707

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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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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
DOI: 10.1373/clinchem.2008.121707
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 › Health Professions › Medical Laboratory Technology › Clinical Laboratory Practices and Quality Control
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Health Sciences › Medicine › Microbiology (medical) › 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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Acidification of Blood Is Superior to Sodium Fluoride Alone as an Inhibitor of Glycolysis

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