Impact of time from blood specimens collection to centrifugation on the diagnosis of gestational diabetes mellitus
Objective The process of glycolysis from blood collection to centrifugation impacts the diagnosis of gestational diabetes mellitus (GDM). However, the specific characteristics of the working environment in China and its influence on GDM diagnosis still need to be clarified.Methods Firstly, 15 pregna...
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Taylor & Francis Group
2025-12-01
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| Series: | Annals of Medicine |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/07853890.2025.2452352 |
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| author | Binbin Yin Yongying Bai Jinghua Zhang Yan Zhang Xia Li Yue Jin Xinyi Mou Kexin Fang Yan Chen Yue Cheng Bo Zhu |
| author_facet | Binbin Yin Yongying Bai Jinghua Zhang Yan Zhang Xia Li Yue Jin Xinyi Mou Kexin Fang Yan Chen Yue Cheng Bo Zhu |
| author_sort | Binbin Yin |
| collection | DOAJ |
| description | Objective The process of glycolysis from blood collection to centrifugation impacts the diagnosis of gestational diabetes mellitus (GDM). However, the specific characteristics of the working environment in China and its influence on GDM diagnosis still need to be clarified.Methods Firstly, 15 pregnant women were recruited, and six specimens were collected from each in a fasting state. The specimens were left at room temperature for different times (0.5, 1, 2, 3, 4, and 5 h) and then centrifuged. Subsequently, data were collected from pregnant women who underwent oral glucose tolerance test (OGTT) between June 1, 2021, and July 30, 2022. Pregnant women were categorized into different groups based on different pre-treatment times, and the incidence of GDM was calculated for each group.Results Glucose levels gradually decreased as the specimen remained longer before centrifugation, a decrease of 1.15 mmol/L (27.58%) from the initial glucose level (3.02 ± 0.30 mmol/L VS. 4.17 ± 0.28 mmol/L, p < 0.001). 2-h specimens had the longest pre-treatment time (29.92 ± 14.94 min (min)), accounting for half of the specimens exceeding 90 min. The longer the specimen pre-treatment time, the greater the impact on the diagnosis of GDM. Timely centrifugation prevented 3.42%, 3.35%, and 2.21% missed GDM diagnoses.Conclusions In the Chinese healthcare environment, prolonging specimen pre-treatment time can affect GDM diagnosis. Therefore, standardizing specimen pre-treatment is crucial to minimize potential effects. |
| format | Article |
| id | doaj-art-7e87b6b8a40d4886bf9f05c40057ab27 |
| institution | Kabale University |
| issn | 0785-3890 1365-2060 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Annals of Medicine |
| spelling | doaj-art-7e87b6b8a40d4886bf9f05c40057ab272025-01-11T13:32:25ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602025-12-0157110.1080/07853890.2025.2452352Impact of time from blood specimens collection to centrifugation on the diagnosis of gestational diabetes mellitusBinbin Yin0Yongying Bai1Jinghua Zhang2Yan Zhang3Xia Li4Yue Jin5Xinyi Mou6Kexin Fang7Yan Chen8Yue Cheng9Bo Zhu10Department of Laboratory Medicine, The Women’s Hospital of Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Laboratory Medicine, The Women’s Hospital of Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Laboratory Medicine, The Women’s Hospital of Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Laboratory Medicine, The Women’s Hospital of Zhejiang University School of Medicine, Hangzhou, ChinaSchool of Laboratory Medicine and Bioengineering, Hangzhou Medical College, Hangzhou, ChinaSchool of Laboratory Medicine and Bioengineering, Hangzhou Medical College, Hangzhou, ChinaDepartment of Dermatology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Genetics and Metabolism, The Children’s Hospital of Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Laboratory Medicine, The Women’s Hospital of Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Clinical Laboratory, Tongde Hospital of Zhejiang Province, Hangzhou, ChinaDepartment of Laboratory Medicine, The Women’s Hospital of Zhejiang University School of Medicine, Hangzhou, ChinaObjective The process of glycolysis from blood collection to centrifugation impacts the diagnosis of gestational diabetes mellitus (GDM). However, the specific characteristics of the working environment in China and its influence on GDM diagnosis still need to be clarified.Methods Firstly, 15 pregnant women were recruited, and six specimens were collected from each in a fasting state. The specimens were left at room temperature for different times (0.5, 1, 2, 3, 4, and 5 h) and then centrifuged. Subsequently, data were collected from pregnant women who underwent oral glucose tolerance test (OGTT) between June 1, 2021, and July 30, 2022. Pregnant women were categorized into different groups based on different pre-treatment times, and the incidence of GDM was calculated for each group.Results Glucose levels gradually decreased as the specimen remained longer before centrifugation, a decrease of 1.15 mmol/L (27.58%) from the initial glucose level (3.02 ± 0.30 mmol/L VS. 4.17 ± 0.28 mmol/L, p < 0.001). 2-h specimens had the longest pre-treatment time (29.92 ± 14.94 min (min)), accounting for half of the specimens exceeding 90 min. The longer the specimen pre-treatment time, the greater the impact on the diagnosis of GDM. Timely centrifugation prevented 3.42%, 3.35%, and 2.21% missed GDM diagnoses.Conclusions In the Chinese healthcare environment, prolonging specimen pre-treatment time can affect GDM diagnosis. Therefore, standardizing specimen pre-treatment is crucial to minimize potential effects.https://www.tandfonline.com/doi/10.1080/07853890.2025.2452352Gestational diabetes mellitusspecimenscentrifugationpre-treatment timeglucose |
| spellingShingle | Binbin Yin Yongying Bai Jinghua Zhang Yan Zhang Xia Li Yue Jin Xinyi Mou Kexin Fang Yan Chen Yue Cheng Bo Zhu Impact of time from blood specimens collection to centrifugation on the diagnosis of gestational diabetes mellitus Annals of Medicine Gestational diabetes mellitus specimens centrifugation pre-treatment time glucose |
| title | Impact of time from blood specimens collection to centrifugation on the diagnosis of gestational diabetes mellitus |
| title_full | Impact of time from blood specimens collection to centrifugation on the diagnosis of gestational diabetes mellitus |
| title_fullStr | Impact of time from blood specimens collection to centrifugation on the diagnosis of gestational diabetes mellitus |
| title_full_unstemmed | Impact of time from blood specimens collection to centrifugation on the diagnosis of gestational diabetes mellitus |
| title_short | Impact of time from blood specimens collection to centrifugation on the diagnosis of gestational diabetes mellitus |
| title_sort | impact of time from blood specimens collection to centrifugation on the diagnosis of gestational diabetes mellitus |
| topic | Gestational diabetes mellitus specimens centrifugation pre-treatment time glucose |
| url | https://www.tandfonline.com/doi/10.1080/07853890.2025.2452352 |
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