Academic Materials
Simultaneous Measurement of Glucose and HbA1c in Clinical Chemistry Analyzer

The determination of glucose and HbA1c is essential to diagnose diabetes mellitus. HbA1c is a form of hemoglobin chemically linked to glucose. Glucose is in serum or plasma and HbA1c is inside of RBCs. Glucose can be determined directly from serum and plasma.
On the other hand, HbA1c is determined from lysing solution after RBCs are lysed. Clinical chemistry analyzers equipped with lysing function enable hemolysis of RBCs and the simultaneous determination of glucose and HbA1c.

Blood components

Blood components:Plasma, Red blood cells, White blood cells, Platelets. Low HbA1c(Red blood cell
), High HbA1c(Glucose)

Latex Immunoturbidimetric Assay

Hb and HbA1c can be released from erythrocytes by hemolysis treatment. Latex particles are immobilized with HbA1c in the sample. Immobilized latex particles by Hb and HbA1c react with mouse anti-human HbA1c monoclonal antibody and goat anti-mouse IgG polyclonal antibody. The agglutination of latex, HbA1c and two types of antibodies is proportional to the percentage of HbA1c. Therefore, the percentage of HbA1C can be determined.

Mechanism of Simultaneous Determination of Glucose and HbA1c from Whole Blood Sample in CA-800

Clinical chemistry analyzer, the CA-800, has the function to lyse RBCs on board. RBCs are lysed in cuvette with lysing solution.
This lysed sample is used for HbA1c determination. This enables the simultaneous determination of Glucose and HbA1c from one blood collecting tube with anticoagulant.

NGSP Certificate

The combination between Furuno CA-800, Centronic HbA1c reagent and calibrator gets NGSP certificate of traceability every year.

Correlation

Centronic HbA1c reagent shows good correlation to enzymatic methodology, too.

Reagent Package Information

Product Name Product No. FURUNO Analyzer Configuration
R1 R2 Other

Glucose HK fluid 5+1
GF02917084-F3 CA-270
CA-400
CA-800
3 × 67 mL 3 × 17 mL -
GF02917084-F 6 × 67 mL 6 × 17 mL -
GF02917084-F4 4 × 20 mL 4 × 6 mL -
GF02917084-F8 8 × 20 mL 8 × 6 mL -

HbA1c
HF04917040-F CA-270
CA-800
1 × 30 mL 12 × 20 mL Lysing solution 2 × 60mL

HbA1c Calibration set
CCALHbA1cT CA-270
CA-400
CA-800
4 levels × 0.5 mL

HbA1c Control low
CNORMHbA1c 1 levels × 0.5 mL

HbA1c Control high
CPATHHbA1c 1 levels × 0.5 mL

Reagents are manufactured by Centronic GmbH certified according to ISO13485.

FURUNO Analyzers

Academic Materials