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43 protocols using beckman glucose analyzer

1

Lipid and Glucose Metabolism Analysis

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Serum total cholesterol (TC) and TG levels were measured with kits on a Hitachi 7150 auto-analyzer (Hitachi Ltd., Tokyo, Japan). After precipitation of serum chylomicrons with dextran sulfate magnesium, the concentrations of low-density lipoprotein cholesterol (LDL-C) and HDL-C in the supernatants were enzymatically measured. Fasting serum glucose levels were measured using a glucose oxidase method with a Beckman Glucose analyzer (Beckman Instruments, Irvine, CA, USA). Insulin and C-peptide levels were measured by radioimmuno-assays with commercial kits (ImmunoNucleo Corporation, Stillwater, MN, USA). IR was calculated with the homeostasis model assessment (HOMA) using the following equation:
It developed by Matthews et al. [19 (link)] and Choi et al. [20 ]. Hemoglobin A1c (HbA1c) was measured by a glycated hemoglobin analyzer (SD A1cCare™; SD Biosensor Inc., Suwon, Korea).
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2

Metabolic and Inflammatory Biomarkers Analysis

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Venous blood samples were collected after an overnight (≥10 h) fast. Fasting glucose level was measured by glucose oxidase‐peroxidase reagents using a Beckman Glucose Analyzer (Beckman Instruments, Irvine, CA, USA), so was glycated hemoglobin (HgbA1C) on Variant analyzer (Variant II TURBO, Bio‐Rad, Hercules, CA, USA). Immunoradiometric assays specific for insulin (Linco, St. Louis, Mo., USA) was used for the measurement of fasting insulin based on an antiserum with <1% cross‐reactivity for pro‐insulin. Triglycerides and total cholesterol were determined by enzymatic methods on the analyzer Beckman Coulter (USA). In order to evaluate the CRP level, the immunoturbidimetric method was applied (analyzer Beckman Coulter, USA). Plasma renin concentration was measured using an immunochemiluminometric assay (Nichols Advantage Direct Renin Assay, Quest Diagnostics Nichols Institute, San Juan Capistrano, CA, USA). Angiotensin concentration was determined through the immuno‐fluorescence assay as described in the instruction manual (Fluorescent EIA Kit, phoenix pharmaceuticals). Serum aldosterone was measured by a sensitive radioimmunoassay (Quest Diagnostics, Cambridge, MA). Enzyme‐linked immunosorbent assay (ELISA) were performed with responding kits (Invitrogen Inc, USA) for IL‐6, TNF‐α, leptin, resistin, adiponectin as manufacturer’s instructions.
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3

Longitudinal Cardiometabolic Health Assessment

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Follow-up measurements took place 5 years after baseline examination. Both at baseline and follow-up investigation, the same measurements were conducted. Nurses collected anthropometric data (weight, height) and blood pressure using standard protocols. Height and weight were measured on a scale, with the subjects wearing light clothing and without shoes. Waist circumference was measured twice after a normal expiration halfway between the lowest rib and the top of the pelvis. The mean of the two measurements was calculated. Blood pressure was measured in a sitting position with a mercury sphygmomanometer. SBP and DBP were reported as the average of three repeat measurements with 30-s intervals.
After a 12-h overnight fast, whole blood and serum samples were collected for each subject. All of the laboratory tests were conducted on fresh samples in an ISO-9002 quality-assured, core facility laboratory. Glucose was analyzed with a glucose oxidase method with the Beckman Glucose Analyzer (Beckman Instruments, Irvine, CA, USA). Biochemical variables including, TG, total cholesterol (TC), HDL-C and low density lipoprotein cholesterol (LDL-C) were determined using biochemical auto-analyzers (Hitachi 7060, Tokyo, Japan).
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4

Oral Glucose Tolerance Test Methodology

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After acquisition of a fasting blood sample, a 75-g OGTT was administered. Blood samples were then drawn for determination of glucose and insulin values at 30-min intervals for 3-h. Glucose and insulin concentrations were assayed with a Beckman glucose analyzer (Beckman Coulter, Fullerton, CA) and radioimmunoassay (Linco, St. Louis, MO), respectively.
Using OGTT results, we computed three validated measures of insulin sensitivity (Stumvoll estimated metabolic clearance rate (Stumvoll MCR) [14 (link)], Stumvoll insulin sensitivity index (Stumvoll ISI) [14 (link)], and Matsuda index [15 (link)]) and three validated measures of β-cell function (Stumvoll insulin secretion, phase-1 and phase-2 [14 (link)]; and insulinogenic index [16 (link)] (see detailed formula in Table 1)). As secondary measures, we also computed one fasting-state-based index of insulin sensitivity (homeostatic model assessment-insulin resistance (HOMA-IR)) and one fasting-state-based index of β-cell function (HOMA-%β) [17 (link)]. Details of each measure including mathematical formula and clinical significances are provided in Table 1.
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5

Comprehensive Metabolic Profiling Protocol

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Blood samples were collected in plain tubes and ethylenediaminetetraacetic acid (EDTA)-treated tubes in the morning after an 8-hour fast. Blood samples were separated into serum or plasma by a centrifuge, aliquoted and stored at −80°C before analyses. Serum TG concentrations and total cholesterol were measured using kits on a Hitachi 7150 autoanalyzer (Hitachi, Tokyo, Japan). After precipitation of serum chylomicrons with dextran sulfate magnesium, the concentrations of low-density lipoprotein cholesterol (LDL-C) and HDL-C in the supernatant were analyzed enzymatically. The serum glucose concentration was measured using a glucose oxidase method with a Beckman glucose analyzer (Beckman Instruments, Irvine, CA, USA). The glycosylated hemoglobin (HbA1c) concentration was measured using a glycated hemoglobin analyzer (SD A1cCare; SD Biosensor Inc., Suwon, Korea). The serum insulin and C-peptide concentrations were assessed using radioimmunoassay methods. The homeostasis model assessment insulin resistance (HOMA-IR) was calculated using HOMA method developed by Matthews et al.15 (link)
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6

Glucose Tolerance Test Protocol

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Glucose tolerance tests were performed on days 7 and 8 of refeeding, according to the protocol described previously7 (link),9 (link). Food was removed early in the morning (07:00 h). At 6–7 h later, i.e. in the post-absorptive phase, blood was drained from the tail vein and immediately followed by an intraperitoneal injection of glucose (2 g/kg body weight). At intervals of 30 min for the next 2 h period, blood samples were taken from the tail vein in heparinized tubes and transferred on ice. The blood samples were then centrifuged, and the plasma was frozen and stored at −20 °C for later assays of plasma glucose and insulin. Plasma glucose was determined using a Beckman Glucose Analyzer (Beckman Instruments, Palo Alto, CA, USA), while plasma insulin was assessed using a rat insulin ELISA kit (Crystal Chem, Inc., Downer’s Grove, IL, USA).
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7

Fasting Blood Glucose and Glycemic Markers

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All blood samples were taken in the morning following a minimum 8-hour fast. The hexokinase method with the Beckman Glucose Analyzer (Beckman Coulter, Fullerton, CA, USA) was used to measure FBG. HbA1c levels were measured using automated high-performance liquid chromatography (HLC-723 G7, Tosoh, Tokyo, Japan), with the reference range at 4.0% to 6.0%. At an HbA1c level of 5.6%, the intra- and inter-assay coefficients of variation were 0.89% and 1.56%, respectively. GA levels were measured using a Toshiba 200FR analyzer (Toshiba Medical Systems, Tokyo, Japan) and an enzymatic method involving ketoamine oxidase, which is an albumin-specific proteinase, and an albumin detection reagent (Lucica GA-L, Asahi Kasei Pharma, Tokyo, Japan).
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8

Plasma PAI-1 Activity Measurement

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All assays were performed using commercially available kits on paired samples. Blood for determination of PAI-1 activity in plasma was collected into 5 mL tubes containing 0.5 mL of sodium citrate. The samples were immediately centrifuged for 10 minutes at 3000 g and 4°C, and then plasma was carefully separated, transferred to small vials, and stored at −80°C until analyzed. The level of PAI-1 activity in plasma was determined by using plasminogen/chromogenic plasmin substrate assay (kit Behring, Germany). The normal range for PAI-1 activity by using this test is 0.3–3.5 U/mL with an interassay CV of 7.7%. Plasma glucose was determined by using glucose oxidase method on Beckman glucose analyzer (Beckman Instruments, Fullerton, USA). Plasma insulin levels were measured by radioimmunoassay with double antibodies kits (INEP, Zemun, Serbia). Insulin resistance was estimated using the homeostasis model assessment (HOMA-IR) and was calculated from fasting plasma insulin and glucose levels according to the formula: (insulin (mU/L) × glucose (mmol/L))/22.5 [21 (link)]. Determination of lipid parameters, total cholesterol (chol), HDL-chol, and triglycerides concentrations were analyzed using commercial enzymatic kit (Boehringer Mannheim GmbH Diagnostics), while LDL-chol levels were calculated by using standard Friedewald formula.
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9

Measuring Serum Lipid Profiles

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Fasting serum total cholesterol, triglyceride, and high-density lipoprotein (HDL) cholesterol levels were measured using commercially available kits on a Hitachi 7150 Autoanalyzer (Hitachi Ltd., Tokyo, Japan). Low-density lipoprotein (LDL) cholesterol was indirectly estimated in subjects with serum triglyceride concentrations of <400 mg/dl using the Friedewald formula. Fasting glucose levels were measured using the glucose oxidase method with a Beckman Glucose Analyzer (Beckman Instruments, Irvine, CA).
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10

Metabolic Profile Assessment Protocol

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The relevant parameters were measured as follows:

BMI was calculated according to equation BMI = weight (kg)/height (m2). BMI after delivery was measured before the 2-h OGTT in the fasting state.

HbA1c was measured using a commercial test reagent (SEBIA, Lisses, France).

FPG and PG values during the 2-h OGTT were obtained by the glucose oxidase method using a Beckman Glucose Analyzer (Beckman Instruments Inc., Fullerton, CA, USA).

Serum lipid levels (total and HDL-c and triglycerides) were analyzed enzymatically using a commercial kit (Boehringer Mannheim GmbH Roche Diagnostics, Mannheim, Germany), while LDL-c was calculated by the standard Friedewald formula.

Lipid index (Tg/HDL) was calculated dividing the serum concentration of TG by HDL-c after conversion to mg/dL [14 (link)].

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