Glycated albumin is stable in plasma when exposed to common laboratory conditions and comparable when drawn from venous or capillary sites

J Clin Lab Anal. 2018 Feb;32(2):e22236. doi: 10.1002/jcla.22236. Epub 2017 Apr 25.

Abstract

Background: Circulating glycated albumin is a marker of blood glucose reflecting the previous 2 weeks. However, the effects of storage conditions and draw site on glycated albumin values are not fully understood.

Methods: Fifteen plasma samples from people with type 2 diabetes were assessed during repeated freeze-thaw rounds for 10 cycles. A further 15 samples were stored at 4°C and assessed over 3 days. Another 40 samples drawn concurrently from capillary and venous sites had their glycated albumin content compared.

Results: Glycated albumin concentration did not alter over 10 freeze-thaw cycles (P=.856), or after 72 hours at 4°C (P=.962). Capillary and venous samples did not differ in their percentage of glycated albumin (P=.379), although lower concentrations of albumin and glycated albumin (g/dL) were observed in the capillary sample (P<.001).

Conclusion: Glycated albumin in plasma appears relatively stable when exposed to common laboratory conditions, reducing a potential confounder to its use as a marker of blood glucose control. The glycated albumin (%) in samples from capillary and venous sites was comparable, suggesting the potential of rapid or portable assessment devices that require a finger prick.

Keywords: glycated plasma protein; protein decay; sample stability.

MeSH terms

  • Aged
  • Blood Chemical Analysis* / methods
  • Blood Chemical Analysis* / standards
  • Blood Chemical Analysis* / statistics & numerical data
  • Blood Specimen Collection* / methods
  • Blood Specimen Collection* / standards
  • Blood Specimen Collection* / statistics & numerical data
  • Female
  • Glycated Serum Albumin
  • Glycation End Products, Advanced
  • Humans
  • Male
  • Middle Aged
  • Protein Stability
  • Reproducibility of Results
  • Serum Albumin / analysis*
  • Serum Albumin / chemistry*

Substances

  • Glycation End Products, Advanced
  • Serum Albumin
  • Glycated Serum Albumin