Object: To Estimate blood Sugar level from given sample of blood.
Methods of determination 1. Orthotoludine method 2. Enzyemetic ethod PRINCIPLE:
Glucose is determined after enzymetic oxidation in the presence of glucose oxidase !he formed "ydrogen peroxidase reacts under catalysis of peroxidase #ith phenol and ! " #minophenazone red$violate %uinoneimine dye as indicator !he intensity of colour is directly proportional to the presence of sugar in $lood sample
RE%&IREMEN!'
Glucose enzymatic (it) measuring pippttes) test tu$es) 'pectrophotometer) $lood sample a$out * cc) !hermostat e+uipment Cotton s#a$) sprit) ,isposa$le 'yringes
'PECIMEN
-hole $lood) 'erum and Plasma
C.N!EN!'
/ Enzymatic reagent consist phosphate $uffer 01 23) 456minophenazone) Phenol) Glucose oxidase) Peroxidase) and Mutarotase 'ta$ilizers * 'tandard 'olution contain Glucose /77 mg8dl or 2 22 mmol8l
PR.CE,&RE
6''69 -a:elenght: .ptical path: !emperature: Measurement:
277 nm to 24; nm / cm *7< *2 7C or =1 7C 6gainst reagent $lan( .nly one reagent $lan( per series is re+uired
' No
/ * =
'olution
Enzymatic 'olution 'tandard 'erum
!est
* ml 5 7 7* ml
'ample
* ml 7 7* ml 5
>lan(
* ml 5 5
'ha(e #ell) incu$ate for *7 to *2 7C or 2 minutes at =1 7C and record the readings of a$sor$ance in test and standard separately $y 'pectrophotometer under #a:e length of 277 5 24; nm
C6LC&L6!I.N Reading of !est ? /77 @ Reading of 'tandard AAAAAAAAAAAAmg8dl
Result:5 !he gi:en sample of $lood contain 55555555555555555mg8dl Glucose 0Random 8 Basting3
IN!ERPRE!6!I.N: Clinical Importance
Normal Calue Basting @ ;7 to //7 mg8dl Random @ /*7 to /;7 mg8dl 'ource Car$ohydrate) Li:er Glycogen "9PERGL9CEMI6 0Increased $lood 'ugar le:el a$o:e /*7 mg 8dl3
/ ,ia$etes Mellitus * "yperacti:ity of thyroid) 0"perthyroidsim3) pituitary and adrenal gland 0accelerate a$sorption) insulin resistant) gluconeogenesis3 due to increased >MR = "aemochromatosis: Excessi:e Iron leads restriction D Cells 4 'tressful situations: Increased catecholamine and stimulate sympathetic system #hich suppress insulin 2 Pheochromocytoma 5555555555 0!umor of 6drenal Gland3: leads release catecholamine and glycogenolysis 0$rea(do#n of glycogen to glucose3 decreases release of insulin ; Pregnancy increased estrogen #hich is ,ia$etogenic hormone
"9P.GL9CEMI6 0,ecreased Glucose Le:el >elo# Normal Range 3 .:er dosage of Insulin Insulin 'ecreting !umors of Pancreas "ypothyroidism 0Myxoedema) Critinism3 decreased >MR "ypopitutarism decreased >MR "ypoadrenalism 06ddisonEs ,isease3 decreased >MR Certain Glycogen 'torage ,isease eg Con F Gier(Es disease 'e:ere Li:er ,isease) enzymatic deficiency Gluconeogenesis not occurs 6lcohol Ingestion formation of lactic acid 'e:ere exercise formation of lactic acid