A physician calls and says that all blood glucose results for his patients (from the blood drawn in his office and then sent to the laboratory) show low blood sugar. There must be a problem with the laboratory instrument. What would you investigate to resolve his problem?
Due to the time delay in the physician's specimens being delivered to the laboratory, glycolysis takes place and the glucose values decrease. Check to see what the blood is collected in. With a gray top tube there should not be a problem. Most likely the tube is a red top or gel tube. Check to see if the specimens are being centrifuged within one-half hour of being drawn. If the specimens are being centrifuged, see if there is a long time delay in getting the specimen to the laboratory. The physician's office may need to be equipped with a centrifuge, specimen pour-off containers, and a method of refrigerating the specimen until a pickup can be made.
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