CN103808774A - Average red blood cell glucose concentration - Google Patents

Average red blood cell glucose concentration Download PDF

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Publication number
CN103808774A
CN103808774A CN201410066276.XA CN201410066276A CN103808774A CN 103808774 A CN103808774 A CN 103808774A CN 201410066276 A CN201410066276 A CN 201410066276A CN 103808774 A CN103808774 A CN 103808774A
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concentration
glucose concentration
glucose
hematocrit value
red blood
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CN201410066276.XA
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CN103808774B (en
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高磊
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Abstract

The invention discloses average red blood cell glucose concentration. A method for measuring the glucose concentration inside red blood cells is not available in the field of medical detection. Three data of whole blood glucose concentration, plasma glucose concentration and hematocrit value of the same one blood sample can be measured by using the method. The average red blood cell glucose concentration is calculated by substituting the following formula of the invention: average red blood cell glucose concentration=[whole blood glucose concentration-plasma glucose concentration*(1-hematocrit value)/hematocrit value. The average red blood cell glucose concentration has important significance on calibration of a portable glucometer and study on insulin resistance.

Description

Mean corpuscular concentration of glucose
Technical field
in medical testblood-glucose is measured, and can have plasma glucose mensuration, serum glucose mensuration, full blood glucose to measure according to the difference of sample used.But there is no the simply assay method for clinical mean corpuscular concentration of glucose.
Background technology
Along with the incidence of disease of China's diabetes is more and more higher, the mensuration of glucose is more and more important for diagnosis, treatment, the research of diabetes.The mensuration of mean corpuscular concentration of glucose is for the correction of blood glucose meter, and the research of insulin resistance is all very important.This method can calculate mean corpuscular concentration of glucose by plasma glucose concentration, full blood glucose concentration, hematocrit value.
Summary of the invention
first talk aboutwhat is plasma glucose, full blood glucose, hematocrit value.
plasma glucose: gather anticoagulant heparin whole blood, the concentration of glucose of measuring through centrifugal separation plasma.
Full blood glucose: the red blood cell in whole blood is all smashed, and whole blood becomes pure solution, and then the concentration of glucose of measuring.
Hematocrit value: refer to that red blood cell accounts for the number percent of whole blood volume.The ratio of its reflection red blood cell and blood plasma.By the blood that adds a small amount of anti-coagulants and mix, pack specific volume pipe special, tool scale into, the centrifugal half an hour of speed turning with per minute 3000, the each composition of visible blood is pressed gravity difference and layering, and upper strata weak yellow liquid is blood plasma, and the opaque kermesinus thrombus of lower floor is red blood cell, skim tunica albuginea between red blood cell and blood plasma is leucocyte and blood platelet, account for 1%, now, red blood cell accounts for whole blood volume percent and is hematocrit value.The now compressed zero-clearance of red blood cell of cause, claims again packed cell volume.The hematocrit value of health adult of China, man 40~50%, female 37~48%.
Instrument
1. German EKF diagnostic companies malaga sugar/lactic acid analyser (this instrument is Enzyme Electrode, can use blood plasma, serum, whole blood to measure concentration of glucose for sample)
2. hypervelocity hydro-extractor (for centrifugal separation plasma and mensuration hematocrit value).
This method is after utilizing whole blood centrifugal, and whole blood can be divided into two-layer substantially, and upper strata weak yellow liquid is blood plasma, and the opaque kermesinus thrombus of lower floor is red blood cell.Skim tunica albuginea between red blood cell and blood plasma is leucocyte and blood platelet, accounts for 1% negligible.Concentration of glucose and volume, full blood glucose concentration and volume that can practical measurement upper plasma layer, ask the concentration of lower floor's red blood cell layer glucose.Like the syrup of two glasss of variable concentrations, the concentration of the syrup of known one glass of high concentration and volume, also know two glasss of concentration and volumes after mixing, also know the volume of low concentration syrup, ask the concentration of low concentration syrup.
This method plasma glucose concentration used, full blood glucose concentration are all used same instrument, German EKF diagnostic companies malaga sugar/lactic acid analysis-e/or determining.
If 1ml anticoagulant heparin whole blood, we use German EKF diagnostic companies malaga sugar/lactic acid analyser can actually record its plasma glucose concentration, full blood glucose concentration, then determine hematocrit value (HCT) with hydro-extractor
So:
Plasma glucose concentration × (1ml-1ml × hematocrit value)+mean corpuscular concentration of glucose × (1ml × hematocrit value)=full blood glucose concentration × 1ml
Mean corpuscular concentration of glucose=[full blood glucose concentration × 1ml-plasma glucose concentration × (1ml-1ml × hematocrit value)] ÷ (1ml × hematocrit value)
Can be reduced to:
Mean corpuscular concentration of glucose=[full blood glucose concentration-plasma glucose concentration × (1-hematocrit value)] ÷ hematocrit value
The unit of mean corpuscular concentration of glucose is consistent with full blood glucose concentration, plasma glucose concentration unit for calculating.
For example: certain human blood sample anticoagulant heparin, we first mix whole blood to gather whole blood assay full blood glucose concentration and record 5.00mmol/L, a residual blood part is measured hematocrit value and records 45%, and it is 5.70mmol/L that all the other centrifugal blood separated plasmas are measured plasma glucose concentration.In order to reduce the impact of haemocyte metabolism on concentration of glucose, above three numerical value will complete in the shortest timing.Above numerical value substitution formula: this person's mean corpuscular concentration of glucose=[5.00mmol/L-5.70mmol/L × (1-0.45)] ÷ 0.45 ≈ 4.14
This person's mean corpuscular concentration of glucose is 4.14 mmol/L.

Claims (1)

1. the present invention is for the indirect determination of mean corpuscular concentration of glucose, present stage does not also have a kind of method of measuring mean corpuscular concentration of glucose to be applied to clinical, my method of invention is to utilize same sample at its plasma glucose concentration of the shortest timing, full blood glucose concentration, calculate mean corpuscular concentration of glucose with hematocrit value by these three measurement results, its formula is: mean corpuscular concentration of glucose=[full blood glucose concentration × 1ml-plasma glucose concentration × (1ml-1ml × hematocrit value)] ÷ (1ml × hematocrit value)
Can be reduced to:
Mean corpuscular concentration of glucose=[full blood glucose concentration-plasma glucose concentration × (1-hematocrit value)] ÷ hematocrit value
The unit of mean corpuscular concentration of glucose is consistent with full blood glucose concentration, plasma glucose concentration unit for calculating.
CN201410066276.XA 2014-02-26 2014-02-26 Mean corpuscular concentration of glucose Expired - Fee Related CN103808774B (en)

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CN103808774B CN103808774B (en) 2016-01-13

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107209174A (en) * 2014-11-25 2017-09-26 聚合物技术系统公司 System and method by alternating current impedance phase-angle detection to determine electrochemistry hematocrit value

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1036079A (en) * 1988-03-21 1989-10-04 罗伯特·A·利费恩 Measure the method for haemoglobin
WO1999012021A1 (en) * 1997-08-29 1999-03-11 Han Chi Neng Arthur Analyte detection systems
CN1605869A (en) * 2003-10-09 2005-04-13 堀口升 Blood examination method
JP2005160782A (en) * 2003-12-03 2005-06-23 Hitachi Ltd Blood sugar level measuring instrument
CN102419367A (en) * 2010-09-24 2012-04-18 株式会社堀场制作所 Whole blood immunity measuring device and whole blood immunity measuring method

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1036079A (en) * 1988-03-21 1989-10-04 罗伯特·A·利费恩 Measure the method for haemoglobin
WO1999012021A1 (en) * 1997-08-29 1999-03-11 Han Chi Neng Arthur Analyte detection systems
CN1605869A (en) * 2003-10-09 2005-04-13 堀口升 Blood examination method
JP2005160782A (en) * 2003-12-03 2005-06-23 Hitachi Ltd Blood sugar level measuring instrument
CN102419367A (en) * 2010-09-24 2012-04-18 株式会社堀场制作所 Whole blood immunity measuring device and whole blood immunity measuring method

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107209174A (en) * 2014-11-25 2017-09-26 聚合物技术系统公司 System and method by alternating current impedance phase-angle detection to determine electrochemistry hematocrit value
CN107209174B (en) * 2014-11-25 2020-01-21 聚合物技术系统公司 System and method for determining electrochemical hematocrit by alternating current impedance phase angle detection
US11680925B2 (en) 2014-11-25 2023-06-20 Polymer Technology Systems, Inc. Systems and methods for electrochemical hematocrit determination by alternate current impedance phase angle determinations

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