A B C D E F G H I J K L M N O P Q R S T U V W X Y Z # |
GLUCOSE
Test CodeGLU
CPT Codes
82947
Preferred Specimen
1.0 mL plasma collected in a PST (LiHeparin tube)
Minimum Volume
0.5 mL
Other Acceptable Specimens
Plasma-EDTA (Lavender);
Plasma-NaF KOxl (Gray);
Serum-SST, Red Top or Tiger Top
Sterile container - Body fluids and CSF
Plasma-NaF KOxl (Gray);
Serum-SST, Red Top or Tiger Top
Sterile container - Body fluids and CSF
Specimen Stability
Room Temperature:
Plasma \Serum 8 hours at 15-25°C
Fluoride Plasma 3 days at 15-25°C
Refrigerated:
Plasma \Serum 3 days at 2-8°C
CSF should be analyzed immediately or stored at 4°C or -20 °C
Frozen: Not specified
Plasma \Serum 8 hours at 15-25°C
Fluoride Plasma 3 days at 15-25°C
Refrigerated:
Plasma \Serum 3 days at 2-8°C
CSF should be analyzed immediately or stored at 4°C or -20 °C
Frozen: Not specified
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Grossly Hemolyzed, Lipemic and Icteric are unacceptable
Methodology
Enzymatic with hexokinase
Reference Range
Plasm/Serum:
45 - 108 mg/dL 0 days to 30 days old
70 - 108 mg/dL Adult
1 hour prenatal screen < 135mg/dL
CSF
40 – 70mg/dL
Body fluids: No established reference range
Critical Values
Plasma/Serum:
< 40 mg/dL or >130 mg/dL 0 days to 30 days old
< 50 or >500 mg/dL Adult
45 - 108 mg/dL 0 days to 30 days old
70 - 108 mg/dL Adult
1 hour prenatal screen < 135mg/dL
CSF
40 – 70mg/dL
Body fluids: No established reference range
Critical Values
Plasma/Serum:
< 40 mg/dL or >130 mg/dL 0 days to 30 days old
< 50 or >500 mg/dL Adult
Clinical Significance
Glucose is the major carbohydrate present in the peripheral blood. Oxidation of glucose is the major source of cellular energy in the body. Glucose derived from dietary sources is converted to glycogen for storage in the liver or to fatty acids for storage in adipose tissue. The concentration of glucose in blood is controlled within narrow limits by many hormones, the most important of which are produced by the pancreas. The most frequent cause of hyperglycemia is diabetes mellitus resulting from a deficiency in insulin secretion or action. A number of secondary factors also contribute to elevated blood glucose levels. These include pancreatitis, thyroid dysfunction, renal failure and liver disease. Hypoglycemia is less frequently observed. A variety of conditions may cause low blood glucose levels such as insulinoma, hypopituitarism or insulin induced hypoglycemia. Glucose measurement in urine is used as a diabetes screening procedure and to aid in the evaluation of glycosuria, to detect renal tubular defects, and in the management of diabetes mellitus. Glucose measurement in cerebrospinal fluid is used for evaluation of meningitis, neoplastic involvement of meninges and other neurological disorders.
Performing Laboratory
Frederick Health Laboratory
400 W 7th Street
Frederick, MD. 21701
Last Updated: December 13, 2019