HbA1c and glucose are the most widely used indicators for glucose control, but they havesome disadvantages. Improving the diagnosis of diabetes is always ongoing, other markersare needed as a complement when standard measurements are not sufficient. One alternativeis analysis of fructosamine, which is commercially available and inexpensive.The main aim with this study was to validate a colorimetric method for analyzingfructosamine including investigation of precision, linearity and stability. Fructosamine valueswas compared with HbA1c values with and without genetic variations in the hemoglobingene. An investigation on if serum albumin concentration affects fructosamine values wasalso performed. The colorimetric method was also compared with an enzymatic method foranalysis of frutcotsamine.Blood samples were analyzed as HbA1c on Cobas 6000 c501 and for analysis of thegenetic variants Capillarys 3 TERA was used. Plasma was collected and analyzed onMindray BS-380 as fructosamine and albumin.The methods in this study were comparable and the colorimetric method had greatprecision and linearity. The correlation between HbA1c and fructosamine was R2= 0,402.Fructosamine was not affected by genetic variations in the hemoglobin molecule and may bea useful indicator of high glucose and could replace analysis of HbA1c. Fructosamine wasnot affected by albumin. The enzymatic method was shown to correlate better with HbA1cthan the colorimetric method.In conclusion, analyzing fructosamine could be an alternative to HbA1c when patientshave genetic variants and would improve the glycemic control.
| Identifer | oai:union.ndltd.org:UPSALLA1/oai:DiVA.org:uu-349084 |
| Date | January 2017 |
| Creators | Eriksson, Louise |
| Source Sets | DiVA Archive at Upsalla University |
| Language | English |
| Detected Language | English |
| Type | Student thesis, info:eu-repo/semantics/bachelorThesis, text |
| Format | application/pdf |
| Rights | info:eu-repo/semantics/openAccess |
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