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Laboratory: Clinical Biochemistry  (POC (Point of Care) TEST)
Test Name:
Glucose - epoc - (B)
Test Code: GB
Clinical Information:
Description:  Glucose is the major carbohydrate present in the blood. The most common disorder related to carbohydrate metabolism is diabetes mellitus. Determination of blood glucose is used for diagnosing and managing diabetes mellitus and other carbohydrate metabolism disorders such as gestational diabetes, hypoglycemia and pancreatic islet cell carcinoma.

Capillary blood and arterial blood glucose values are essentially the same and both are approximately 0.3 mmol/L higher than venous blood glucose values. 
Collection Devices:
Capillary specimens must be collected in a balanced heparin capillary tube (FULL collection), capped, mixed, and tested within 5 minutes of collection.
Specimen Required:
Whole Blood: 4.0 mL
Pediatric Whole Blood: 0.1 mL

Collection Information: Evacuated blood tubes must be FULL to maintain specimen stability. Specimens must remain capped until tested to avoid contamination with air.

 

Rejection criteria: clots, insufficient volume, leaking specimens, and specimens not received within 30 minutes of collection.

 

Capillary samples must be tested at the bedside, within 5 minutes.


Specimen Stability:

Ambient: 30 minutes (Vacutainer, syringe); 5 minutes (capillary)

Refrigerated: DO NOT REFRIGERATE

Frozen: DO NOT FREEZE

Do not submit specimens on ice.

Referral:

Only available at sites which perform epoc testing on-site.
Requisition:
Reference Values:
Reference Intervals: 3.6 – 11.0 mmol/L (random)

Critical Values: Neonates, <30 days old: <1.7 mmol/L or >18 mmol/L

                                             >30 days old, Adults: <2.5 mmol/L or >25 mmol/L

Method of Analysis: Amperometric determination using glucose oxidase

Siemens epoc® Blood Analysis System, BGEM test card

Availability:
Daily or Stat
See Also:
More Information:
Interpretation & Assay Interferences: See attached epoc assay interference document