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Title: Precision of glucose measurements in control sera by isotope dilution/mass spectrometry: proposed definitive method compared with a reference method

Journal Article · · Clin. Chem. (Winston-Salem, N.C.); (United States)
OSTI ID:6025317

This improved isotope-dilution gas chromatographic/mass spectrometric (GC/MS) method, in which (/sup 13/C)glucose is the internal standard, meets the requirements of a Definitive Method. In a first study with five reconstituted lyophilized sera, a nested analysis of variance of GC/MS values indicated considerable among-vial variation. The CV for 32 measurements per serum ranged from 0.5 to 0.9%. However, concentration and uncertainty values (mmol/L per gram of serum) assigned to one serum by the NBS Definitive Method (7.56 +/- 0.28) were practically identical to those obtained with the proposed method (7.57 +/- 0.20). In the second study, we used twice more (/sup 13/C)glucose diluent to assay four serum pools and two lyophilized sera. The CV ranged from 0.26 to 0.5% for the serum pools and from 0.28 to 0.59% for the lyophilized sera. In comparison, results by the hexokinase/glucose-6-phosphate dehydrogenase reference method agreed within acceptable limits with those by the Definitive Method but tended to be slightly higher (up to 3%) for lyophilized serum samples or slightly lower (up to 2.5%) for serum pools.

Research Organization:
Health Protection Branch, Health and Welfare, Ottawa, Ontario
OSTI ID:
6025317
Journal Information:
Clin. Chem. (Winston-Salem, N.C.); (United States), Vol. 33:8
Country of Publication:
United States
Language:
English