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Fructosamine

Manufactured by Roche
Sourced in United States

Fructosamine is a laboratory test that measures the average level of glucose in the blood over a 2-3 week period. It is used to monitor long-term glycemic control in individuals with diabetes.

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8 protocols using fructosamine

1

Glycemic Biomarkers in Long-Term Samples

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Serum glucose was measured in fresh samples at visit 2 using the hexokinase method. HbA1c was measured in whole blood samples collected at visit 2 stored at −80 Celsius degrees using high-performance liquid chromatography with instruments standardized to the Diabetes Control and Complications Trial assay (Tosoh A1c 2.2. Plus Glycohemoglobin in 2003–2004 and Tosoh G7 analyzers 2007–2008) [17 (link)]. Fructosamine (Roche Diagnostics Corp, Indianapolis, IN, USA), glycated albumin (Asashi Kasei Lucica GA-L, Tokyo, Japan), and 1,5-AG (GlycoMark, Winston-Salem, NC) were measured in 2012–2013 in stored frozen serum using a Roche Modular P800 system [14 (link),18 (link)]. Previous studies have shown these analytes to be reliable in long-term stored samples [19 –21 (link)].
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2

Plasma Clinical Chemistry Analysis

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Blood was collected under terminal anaesthesia into heparinized tubes for plasma preparation. Within 1 hour of collection, blood samples were centrifuged and plasma recovered and stored at -20°C until analysis. Clinical chemistry analysis of plasma was performed using the Olympus AU400 analyzer (Beckman Coulter Ltd) and was blinded to the operator via barcodes.
The majority of parameters were measured using kits and controls supplied by Beckman Coulter. Samples were also tested for haemolysis. Four parameters were measured by kits not supplied by Beckman Coulter: transferrin, ferritin (Randox Laboratories Ltd), fructosamine (Roche Diagnostic) and thyroxine (Thermo Fisher).
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3

Glycated Albumin and Fructosamine Measurement

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Both Fructosamine and glycated albumin were measured from serum samples collected at visit 2 (1990–1992). Samples were stored at −70°C. Fructosamine (Roche Diagnostics, Indianapolis IN, USA) and glycated albumin (GA-L Asashi Kasei Pharma Corporation, Tokyo, Japan) were measured in 2012–2013 using a Roche Modular P800 system. In this study, glycated albumin was expressed as percent glycated albumin: [(glycatedalbuminconcentration(g/dL)/serumalbuminconcentration(g/dL))×100/1.14]+2.9 .
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4

Biomarkers Measurement Protocol

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Glucose and insulin were measured in plasma on the Cobas 6000 instrument (Roche Diagnostics, USA) using an enzymatic hexokinase assay or electrochemiluminescence, respectively. HbA1c was determined using the HPLC D10 instrument (Bio-Rad, USA). High sensitivity C-reactive protein (hsCRP) was measured in plasma with the immunoturbidometric method assay (Abbott Architect, USA). Fructosamine was measured in serum via colorimetric rate reaction (Roche Diagnostics, USA). Cholesterol, triglyceride and HDL cholesterol concentrations were measured by enzymatic assays (Abbott Architect, USA). LDL was calculated with the following equation:
LDL = (1.06*Chol) – (1.03*HDLC) – (0.117*Trig) – (0.00047*(TRIG*(Chol-HDLC))) + (0.000062*(Trig*Trig)) – 9.44
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5

Measurement of Fructosamine and Glycated Albumin

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Fructosamine (Roche Diagnostics Corp, Indianapolis, IN, USA) and glycated albumin (Lucia GA-L, Asahi Kasei Corp, Tokyo, Japan) were measured in 2012–2013 from serum samples, using a Roche Modular P800 system. Samples had been stored at −70°C since collection during the baseline examination in 1990 to 1992. For Fructosamine, the inter-assay coefficients of variation (CVs) were 3.2% at a concentration of 212.6 umol/L and 2.5% at a concentration of 856.7 umol/L%. For glycated albumin, the inter-assay CVs were 2.3% at a concentration of 1.579 g/dL and 2.8% at a concentration of 0.426 g/dL. Previous studies have demonstrated the stability of these analytes in long-term stored samples7 (link)–9 (link).
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6

Glycemic Biomarkers Measured in ARIC Cohort

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Samples for all glycemic biomarkers were collected at ARIC visit 2 (1990–1992). Fructosamine (Roche Diagnostics, Indianapolis IN, USA), glycated albumin (GA-L Asashi Kasei Pharma Corporation, Tokyo, Japan) and 1,5-AG (GlycoMark, Winston-Salem, NC) were measured in 2012–2013 using a Roche Modular P800 system from samples stored at −70°C. Glucose was measured at visit 2 using the Roche Hitachi 911 analyzer using the hexokinase method (Roche Diagnostics). HbA1c was measured at visit 2 in stored whole blood samples using high performance liquid chromatography, using NGSP-certified assays standardized to the Diabetes Control and Complications Trial (Selvin 2010 (link)).
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7

Fructosamine and Glycated Albumin Measurement

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Fructosamine (Roche Diagnostics) and glycated albumin (Asashi Kasei Lucica GA-L, Tokyo, Japan) were measured in 2012–2013 from stored serum specimens using a Roche Modular P800 system. The inter-assay coefficients of variation were 3.0% for Fructosamine and 1.8% for glycated albumin.
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8

Glycated Albumin and Fructosamine Measurements

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Fructosamine (Roche Diagnostics, Indianapolis, IN) and glycated albumin and serum albumin (GA-L; Asahi Kasei Pharma Corporation, Tokyo, Japan) were measured in 2012–2013 using a Roche Modular P800 system from serum collected at visit 2 and stored at −70°C (3 (link)). Percent glycated albumin was calculated per the manufacturer’s protocol: [(glycated albumin concentration in g/dL/serum albumin concentration in g/dL)*100/1.14] + 2.9. We also examined total glycated albumin (g/dL) as well as serum albumin (g/dL) to help distinguish genetic factors specific to serum protein concentration versus hyperglycemia.
Serum glucose was measured on the Roche Hitachi 911 analyzer using the hexokinase method (Roche Diagnostics), and HbA1c was measured from whole blood stored at −70°C using high-performance liquid chromatography, standardized to the assay used in the Diabetes Control and Complications Trial (DCCT) (27 (link)).
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