Assessment of a New Blood Collection Tube for HbA1c and Glucose Determination in One Tube Concept

Authors

  • Kotchakorn Thongsukkaeng Phukhieo Chalerm Prakiat Hospital, Chaiyaphum Province

Keywords:

HbA1c, Glucose, K3EDTA, NaF, Innomed

Abstract

            This study aimed to evaluate the performance of Innomed blood collection tubes, a Thai innovation designed for simultaneous measurement of glucose and HbA1c levels in a single tube.

           Methodology: Blood samples were collected from 40 individuals, including both healthy controls and diabetic patients, at Phu Khieo Chalerm Prakiat Hospital, Chaiyaphum province. The results obtained from Innomed tubes were compared with those from standard NaF tubes for glucose and K3EDTA tubes for HbA1c. Statistical analyses included paired t-tests, one-way ANOVA, and Pearson correlation.

            Results: Glucose levels measured in Innomed tubes did not differ significantly from those in NaF tubes over an 8-hour period (p>0.05). A greater decrease in glucose levels was observed in the healthy control group compared to the diabetic group. HbA1c values between Innomed tubes and K3EDTA tubes showed a high correlation (R²=0.9991, p<0.01).

            Conclusion: Innomed blood collection tubes demonstrated comparable performance to standard tubes for the analysis of both glucose and HbA1c, reducing the need for repeated blood draws, saving costs, and enhancing laboratory efficiency.

References

วิชัย เอกพลากร. การสำรวจสุขภาพประชาชนไทยโดยการตรวจร่างกาย ครั้งที่ 5 พ.ศ.2557. นนทบุรี : สถาบันวิจัยระบบสาธารณสุข (สวรส.), 2557.

ราชวิทยาลัยอายุรแพทย์แห่งประเทศไทย ในพระบรมราชูปถัมภ์. แนวทางเวชปฏิบัติสำหรับโรคเบาหวาน พ.ศ. 2566. กรุงเทพฯ : สมาคมโรคเบาหวานแห่งประเทศไทยในพระราชูปถัมภ์สมเด็จพระเทพรัตนราชสุดาฯ สยามบรมราชกุมารี, 2566.

Wiriyaprasit R, Moonla K, Apiratmateekul N, Chittamma A, Kost GJ, Treebuphachatsakul W. Optimizing d-mannose and glyceraldehyde concentrations as glucose preservatives without clinically affecting biochemical test results. Pract Lab Med 2024;39:e00388.

Treebupachatsakul W, Rassameebunphotkun N, Thongprong N, Wiriyaprasit R, Ngaotaku W, Teansun W. Comparative study of innomed blood collection tubes versus sodium fluoride-coated tubes in preserving blood glucose levels for enhanced diabetes diagnosis. Clinica Chimica Acta 2024;558(Suppl 1):118012.

Wang X, Cheng Z. Cross-Sectional Studies Strengths, Weaknesses, and Recommendations. Chest 2020;158(1S):S65-S71.

CLSI. Validation and Verification of Tubes for Venous and Capillary Blood Specimen Collection; Approved Guideline. CLSI document GP34-A. Wayne, PA: Clinical and Laboratory Standards Institute, 2010.

Ayala-Lopez N, Conklin SE, Tenney BJ, Ness M, Marzinke MA. Comparative evaluation of blood collection tubes for clinical chemistry analysis. Clin Chim Acta 2021;520:118-25.

Chan AY, Ho CS, Chan TY, Swaminathan R. D-mannose as a preservative of glucose in blood samples. Clin Chem 1992;38(3):411–3.

Gambino R. Sodium fluoride: an ineffective inhibitor of glycolysis. Ann Clin Biochem 2013;50(Pt 3):3–5.

Dimeski G, Yow KS, Brown NN. What is the most suitable blood collection tube for glucose estimation?. Ann Clin Biochem 2015;52(Pt 2):270-5.

Published

2024-12-31 — Updated on 2025-01-03

Versions

Issue

Section

Original Article